Gs21p the use of adjuvant therapies in colorectal cancer at a regional centre.

Gs21p the use of adjuvant therapies in colorectal cancer at a regional centre. Research Abstract Details 

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Gs21p the use of adjuvant therapies in colorectal cancer at a regional centre. Abstract Text:

D Morrissey,S M Yang,R Franz,

Purpose The use of adjuvant therapies in colorectal carcinoma is becoming more common. However, it can be logistically difficult for patients of regional hospitals to have access to such treatments. Our aim was to document the proportion of regional patients with colorectal cancer who received chemotherapy and/or radiotherapy. Method An audit of all patients treated for colorectal cancer at Toowoomba Base Hospital between 1 January 1990 and 1 April 2006 was undertaken. Chemotherapy use, radiotherapy use, anatomical location and histological grade of the cancers were examined. Findings Of the 225 patients who had surgery for Dukes B colonic carcinomas, 22.7% were given chemotherapy. This rate increased to 59.6% for Dukes C colon cancers. 141 rectal cancers were curatively excised during the prescribed period. 39 of these patients received radiotherapy (27.7%). Of these, only 2 (5.13%) had pre-operative radiotherapy. 19 patients had rectal cancers which were considered non resectable and of these, 5 (26.3%) were treated with radiotherapy. Conclusion Despite the paucity of high level evidence showing a benefit in using adjuvant therapy in node negative colon cancers, a relatively large proportion of our regional patients with Dukes B adenocarcinomas were given chemotherapy. The rate of such therapy for Dukes C cancers was comparable to other studies. Fewer than expected patients with rectal adenocarcinomas had radiotherapy. Of those who did receive this, only a very small proportion received pre-operative radiotherapy. It may be that the lower than expected rates of radiotherapy were due to this service being located about 130 km from Toowoomba Hospital.

Gs21p the use of adjuvant therapies in colorectal cancer at a regional centre. Publishing Authors By Initials

D Morrissey,SM Yang,R Franz,

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Gs21p the use of adjuvant therapies in colorectal cancer at a regional centre. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: ANZ journal of surgery

VOLUME: 77 Suppl 1

Page Numbers: A30

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ISSN: 1445-1433

DAY: 10

MONTH: May

YEAR: 2007

Gs21p the use of adjuvant therapies in colorectal cancer at a regional centre. Information

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LANGUAGE: eng

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AFFILIATION: Toowoomba Base Hospital, Queensland, Australia.

Country: Australia

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MEDLINETA: ANZ J Surg

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