Referral patterns of patients with liver metastases due to colorectal cancer for resection.

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  • Additional Information
    • Author-Supplied Keywords:
      Colorectal cancer
      Liver metastases
      Referral for hepatic resection
    • Abstract:
      Colorectal carcinoma accounts for 10% of cancer deaths in the Western World, with the liver being the most common site of distant metastases. Resection of liver metastases is the treatment of choice, with a 5-year survival rate of 35%. However, only 5–10% of patients are suitable for resection at presentation. To examine the referral pattern of patients with liver metastases to a specialist hepatic unit for resection. Retrospective review of patient’s charts diagnosed with colorectal liver metastases over a 10-year period. One hundred nine (38 women, 71 men) patients with liver metastases were included, mean age 61 years; 79 and 30 patients had synchronous and metachronus metastases, respectively. Ten criteria for referral were identified; the referral rate was 8.25%, with a resection rate of 0.9%. Forty two percent of the patients had palliative chemotherapy; 42% had symptomatic treatment. This study highlights the advanced stage of colorectal cancer at presentation; in light of modern evidence-based, centre-oriented therapy of liver metastasis, we conclude that criteria of referral for resection should be based on the availability of treatment modalities. [ABSTRACT FROM AUTHOR]
    • Abstract:
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    • Author Affiliations:
      1Department of General Surgery , Our Lady of Lourdes Hospital , Drogheda, Co. Ireland
      2Royal College of Surgeons , Dublin Ireland
    • ISSN:
      0179-1958
    • Accession Number:
      10.1007/s00384-008-0561-6
    • Accession Number:
      35417309
  • Citations
    • ABNT:
      AL-SAHAF, O. et al. Referral patterns of patients with liver metastases due to colorectal cancer for resection. International Journal of Colorectal Disease, [s. l.], v. 24, n. 1, p. 79–82, 2009. DOI 10.1007/s00384-008-0561-6. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=a9h&AN=35417309&custid=s6224580. Acesso em: 19 jan. 2020.
    • AMA:
      Al-Sahaf O, Al-Azawi D, Al-Khudairy A, Fauzi MF, El-Masry S, Gilen P. Referral patterns of patients with liver metastases due to colorectal cancer for resection. International Journal of Colorectal Disease. 2009;24(1):79-82. doi:10.1007/s00384-008-0561-6.
    • APA:
      Al-Sahaf, O., Al-Azawi, D., Al-Khudairy, A., Fauzi, M. F., El-Masry, S., & Gilen, P. (2009). Referral patterns of patients with liver metastases due to colorectal cancer for resection. International Journal of Colorectal Disease, 24(1), 79–82. https://doi.org/10.1007/s00384-008-0561-6
    • Chicago/Turabian: Author-Date:
      Al-Sahaf, O., Dhafir Al-Azawi, Ammar Al-Khudairy, Mohammad F. Fauzi, Sherif El-Masry, and Peter Gilen. 2009. “Referral Patterns of Patients with Liver Metastases Due to Colorectal Cancer for Resection.” International Journal of Colorectal Disease 24 (1): 79–82. doi:10.1007/s00384-008-0561-6.
    • Harvard:
      Al-Sahaf, O. et al. (2009) ‘Referral patterns of patients with liver metastases due to colorectal cancer for resection’, International Journal of Colorectal Disease, 24(1), pp. 79–82. doi: 10.1007/s00384-008-0561-6.
    • Harvard: Australian:
      Al-Sahaf, O, Al-Azawi, D, Al-Khudairy, A, Fauzi, MF, El-Masry, S & Gilen, P 2009, ‘Referral patterns of patients with liver metastases due to colorectal cancer for resection’, International Journal of Colorectal Disease, vol. 24, no. 1, pp. 79–82, viewed 19 January 2020, .
    • MLA:
      Al-Sahaf, O., et al. “Referral Patterns of Patients with Liver Metastases Due to Colorectal Cancer for Resection.” International Journal of Colorectal Disease, vol. 24, no. 1, Jan. 2009, pp. 79–82. EBSCOhost, doi:10.1007/s00384-008-0561-6.
    • Chicago/Turabian: Humanities:
      Al-Sahaf, O., Dhafir Al-Azawi, Ammar Al-Khudairy, Mohammad F. Fauzi, Sherif El-Masry, and Peter Gilen. “Referral Patterns of Patients with Liver Metastases Due to Colorectal Cancer for Resection.” International Journal of Colorectal Disease 24, no. 1 (January 2009): 79–82. doi:10.1007/s00384-008-0561-6.
    • Vancouver/ICMJE:
      Al-Sahaf O, Al-Azawi D, Al-Khudairy A, Fauzi MF, El-Masry S, Gilen P. Referral patterns of patients with liver metastases due to colorectal cancer for resection. International Journal of Colorectal Disease [Internet]. 2009 Jan [cited 2020 Jan 19];24(1):79–82. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=a9h&AN=35417309&custid=s6224580