Factores sociodemográficos asociados a cirugía de cáncer colorrectal de urgencia en un centro de referencia en México

Abstract

Background: Diagnosis of colorectal cancer (CRC) after emergency presentation is associated with a worse prognosis.Aim: The aim of the study was to determine the sociodemographic factors related with emergency CRC surgery at our institution. Methods: From January 2009 to December 2017, patients that underwent CRC surgery at our institution were included in the study. Univariate and multivariate logistic regression were used to determine the effect of the potential risk factors on the rate of emergency surgery. Results: A total of 247 patients underwent CRC surgery at our institution. The rate of emergency surgery was 7.7%. On univariate analysis, patients without a family history of cancer (odds ratio [OR]: 4.95), living in a rural area (OR: 3.7), and late clinical cancer stage (OR: 5.06) were associated with emergent surgery. Mid-income status was a protective factor for emergency surgery (OR: 0.14, p = 0.003). On multivariate analysis, late clinical cancer stage (OR: 4.41, p = 0.024) and mid-income economic status (OR: 0.41, 95% CI 0.04-0.55, p = 0.004) were identified as independent risk factors for emergency surgery. Conclusion: Social, economic, and demographic factors were identified as predictors for emergent CRC surgery.

Epidemiología de los factores ambientales relacionados con la vía β-catenina y su impacto en el desarrollo y progresión del cáncer colorrectal

“…-CCR en etapas avanzadas (RM = 5.06). 5 Ciertamente, la mortalidad por este cáncer es alta en México, mayormente en los estados del norte del país; tan solo en el periodo 1998-2018, la tasa aumentó anualmente 1.3 % en mujeres y 2.7 % en hombres. Lo anterior se relaciona con la mayor urbanización y la afiliación a servicios de salud que no cubre rutinariamente su detección oportuna.…”