The DOI matches its Crossref record; 3 of the 3 references it cites were found in a registry or an index.
Impact of a surgical training programme on rectal cancer outcomes in Stockholm
Abstract
Background: Total mesorectal excision (TME) and use of adjuvant radiotherapy are major advances in the treatment of rectal cancer that have emerged in the past 20 years. The aim of this study was to evaluate the effects of an initiative to teach the TME technique on outcomes at 5 years after surgery. Methods: TME-based surgery was introduced in Stockholm in 1994. The study population comprised all 447 patients who underwent abdominal operations for rectal cancer in Stockholm County during 1995 and 1996. Outcomes were compared with those in the Stockholm I (790 patients) and Stockholm II (542 patients) radiotherapy trials. Results: The permanent stoma rate was reduced from 60·3 and 55·3 per cent in the Stockholm I and II trials respectively to 26·5 per cent in the TME project (P < 0·001). Five-year local recurrence rates decreased from 21·9 and 19·1 per cent to 8·2 per cent respectively (P < 0·001). Five-year cancer-specific survival rates increased from 66·0 and 65·7 per cent in the Stockholm trials to 77·3 per cent in the TME project (hazard ratio 0·62 (95 per cent confidence interval 0·49 to 0·80); P < 0·001). Conclusion: A surgical teaching programme had a major impact on rectal cancer outcome.
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Citations
Cites
Preoperative Radiotherapy Combined with Total Mesorectal Excision for Resectable Rectal Cancer
Kapiteijn, E., Marijnen, C. A. M., Nagtegaal, I. D., Putter, H., Steup, W. H., Wiggers, T., Rutten, H. J. T., Pahlman, L., Glimelius, B., van Krieken, J. H. J. M., et al. (2001) · New England Journal of Medicine · doi:10.1056/nejmoa010580 · Cited by 4,205
The mesorectum in rectal cancer surgery—the clue to pelvic recurrence?
Heald, R. J., Husband, E. M., & Ryall, R. D. H. (1982) · Journal of British Surgery · doi:10.1002/bjs.1800691019 · Cited by 2,917
Self-citationImproved Survival with Preoperative Radiotherapy in Resectable Rectal Cancer
(1997) · New England Journal of Medicine · doi:10.1056/nejm199704033361402 · Cited by 2,517
Cited by
Hohenberger, W., Weber, K., Matzel, K., Papadopoulos, T., & Merkel, S. (2009) · Colorectal Disease · doi:10.1111/j.1463-1318.2008.01735.x · Cited by 1,636
Recent cancer survival in Europe: a 2000–02 period analysis of EUROCARE-4 data
Verdecchia, A., Francisci, S., Brenner, H., Gatta, G., Micheli, A., Mangone, L., & Kunkler, I. (2007) · The Lancet Oncology · doi:10.1016/s1470-2045(07)70246-2 · Cited by 1,285
Matthiessen, P., Hallböök, O., Rutegård, J., Simert, G., & Sjödahl, R. (2007) · Annals of Surgery · doi:10.1097/sla.0b013e3180603024 · Cited by 1,123
Holm, T., Ljung, A., Häggmark, T., Jurell, G., & Lagergren, J. (2007) · Journal of British Surgery · doi:10.1002/bjs.5489 · Cited by 655
Self-citationHofheinz, R.-D., Wenz, F., Post, S., Matzdorff, A., Laechelt, S., Hartmann, J. T., Müller, L., Link, H., Moehler, M., Kettner, E., et al. (2012) · The Lancet Oncology · doi:10.1016/s1470-2045(12)70116-x · Cited by 509
Metadata
- Authors
- Martling, A., Holm, T., Rutqvist, L. E., Johansson, H., Moran, B. J., Heald, R. J., & Cedermark, B.
- Venue
- Journal of British Surgery
- Publisher
- Oxford University Press (OUP)
- Published
- 2005-01-31
- Volume
- 92
- Issue
- 2
- Pages
- 225-229
- ISSN
- 0007-1323 (ISSN-L)
- 1365-2168
- OpenAlex
- W2015605723
- Cited by
- 198
- References
- 3
- FWCI
- 4.26
- Type
- journal article
- Language
- en
- Open access
- closed
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