Carcinoma of the Colon and Rectum

A Population‐based Study of the Incidence, Mortality and Outcomes in Patients Following Surgery for Colorectal Cancer in Western Australia

“…This is also an unexpected finding because from other studies there appears to have been little change in the survival of patients with colo‐ rectal cancer. 4,15,35–37,39,40 The incidence rates of colon and rectal cancers in men and women in WA were high and similar to the incidence rates reported from New South Wales (Australia), 7 North America 3,5 and England. 2…”

“…The distribution of cancers between the colon and rectum remain unchanged, with the rectum accounting for approximately one‐third of all colorectal cancers. 37 Approximately 25% of patients with colorectal cancer in WA presented as emergency admissions, somewhat higher than the 17% reported by Mella et al 13 in the UK. This implies that these patients are presenting with advanced disease, and their overall 5‐year survival (emergency 48%; elective 63%) supports this suggestion.…”

“… 4,35,36 The decade of life at greatest risk of developing colorectal cancer was between 60 and 69 years, and there was a slight predominance of men to women. 37 This was due mainly to a higher incidence of rectal cancers in men. The distribution of cancers between the colon and rectum remain unchanged, with the rectum accounting for approximately one‐third of all colorectal cancers.…”

“…The overall survival observed in the present study is comparable to previous reports. 37,41 Reported overall crude 5‐year survival figures in the literature vary from 37 41 to 54%. 37 The crude 5‐year survival of 57% observed in the present study is comparable to these results.…”

“… 37,41 Reported overall crude 5‐year survival figures in the literature vary from 37 41 to 54%. 37 The crude 5‐year survival of 57% observed in the present study is comparable to these results. The only factor found to have a negative impact on survival was emergency admission.…”