Annals of Coloproctology

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Minimally invasive surgery

Robotic abdominoperineal resection, bilateral robotic groin node dissection and simultaneous perineal gracilis flap reconstruction for locally advanced node-positive anal squamous cell carcinoma: Mohammed Ali, Melanie Holzgang, Vivekanandan Kumar, Dhalia Masud, Sandeep Kapur, Ahmed El-Hadi, Dolly Dowsett, Irshad Shaikh; Ann Coloproctol. 2024;40(6):613-615. Published online December 2, 2024; DOI: https://doi.org/10.3393/ac.2023.00801.0114

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Original Article

Effect of Social Deprivation on the Stage and Mode of Presentation of Colorectal Cancer: Ahmed ELHadi, Sarah Ashford-Wilson, Stephanie Brown, Atanu Pal, Roshan Lal, Kamal Aryal; Ann Coloproctol. 2016;32(4):128-132. Published online August 31, 2016; DOI: https://doi.org/10.3393/ac.2016.32.4.128

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11 Web of Science
13 Citations

Abstract PDF

Purpose

Based in a hospital serving one of the most deprived areas in the United Kingdom (UK), we aimed to investigate, using the Indices of Deprivation 2010, the hypothesis that deprivation affects the stage and mode of presentation of colorectal cancer.

Methods

All newly diagnosed patients with colorectal cancer presenting to a District General Hospital in the UK between January 2010 and December 2014 were included. Data were collected from the Somerset National Cancer Database. The effect of social deprivation, measured using the Index of Multiple Deprivation Score, on the stage and mode of presentation was evaluated utilizing Microsoft Excel and IBM SPSS ver. 22.0.

Results

A total of 701 patients (54.5% male; mean age, 76 years) were included; 534 (76.2%) underwent a surgical procedure, and 497 (70.9%) underwent a colorectal resection. Of the patients undergoing a colorectal resection, 86 (17.3%) had an emergency surgical resection. Social deprivation was associated with Duke staging (P = 0.09). The 90-day mortality in patients undergoing emergency surgery was 12.8% compared to 6.8% in patients undergoing elective surgery (P = 0.06). No association was found between deprivation and emergency presentation (P = 0.97). A logistic regression analysis showed no increase in the probability of metastasis amongst deprived patients.

Conclusion

This study suggests an association between deprivation and the stage of presentation of colorectal cancer. Patients undergoing emergency surgery tend to have a higher 90-day mortality rate, although this was not related to deprivation. This study highlights the need to develop an individual measure to assess social deprivation.

Citations

Citations to this article as recorded by

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Socioeconomic Status and Ovarian Cancer Stage at Diagnosis: A Study Nested Within UKCTOCS
Chloe Karpinskyj, Matthew Burnell, Arturo Gonzalez-Izquierdo, Andy Ryan, Jatinderpal Kalsi, Ian Jacobs, Max Parmar, Usha Menon, Aleksandra Gentry-Maharaj
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Chintamani Godbole, Aneel Bhangu, Douglas M. Bowley, Thejasvi Subramanian, Sivesh K. Kamarajah, Sharad Karandikar
International Journal of Colorectal Disease.2019; 34(12): 2101. CrossRef
Systematic review of the influence of socioeconomic deprivation on mortality after colorectal surgery
T E Poulton, T Salih, P Martin, A Rojas-Garcia, R Raine, S R Moonesinghe
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Clinicopathological, genomic and immunological factors in colorectal cancer prognosis
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British Journal of Surgery.2018; 105(2): e99. CrossRef
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Hang Li, Dan Li, Ning Meng
International Journal of Oncology.2017; 50(6): 2059. CrossRef
Is A Mode of Presentation of Colorectal Cancer Different According to Each Individual's Social-economic Status?
Chinock Cheong, Nam Kyu Kim
Annals of Coloproctology.2016; 32(4): 123. CrossRef

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