Contributing factors and short-term surgical outcomes of patients with early-onset rectal cancer

Agnes Ewongwo, Mohammad Hamidi, Zana Alattar, Oluwatosin P. Ayotunde, Hina A. Tiwari, Emad Elquza, Aaron Scott, Kamil Hanna, Valentine Nfonsam

Research output: Contribution to journalArticle

Abstract

Introduction: The aim of this study was to evaluate patient factors that contribute to increased incidence of early onset rectal cancer and analyze the short-term surgical outcomes of patients undergoing surgery. Methods: A 2-year review (2015–2016) of the ACS-NSQIP included patients with rectal cancer who underwent surgical management. Patients were stratified into early-onset RC (<50-years) and late-onset RC (≥50-years). Results: We included a total of 7538 patients in the analysis. Overall, 14% of the patients had early-onset RC. Patients with early-onset RC were more likely to be Black and Hispanic. Additionally, they were more likely to present with higher TNM stages. Patients with early-onset RC had lower 30-day complications and lower 30-day mortality. There was no difference between the two groups regarding hospital length of stay or 30-day readmission. On regression analysis, there was no difference between the two groups regarding patient outcomes. Conclusions: Racial disparities do exist in the incidence of RC. Young patients tend to have more aggressive disease, however, surgical outcomes between the two groups are comparable.

Original languageEnglish (US)
Pages (from-to)578-582
Number of pages5
JournalAmerican journal of surgery
Volume219
Issue number4
DOIs
StatePublished - Apr 2020

Keywords

  • Early onset
  • Rectal cancer
  • Surgical Outcomes

ASJC Scopus subject areas

  • Surgery

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