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|Title: ||Long-term Outcomes in Young Adult Survivors of Colorectal Cancer: A Population-based Study|
|Authors: ||Forbes, Shawn|
|Advisor: ||Baxter, Nancy|
Urbach, David Robert
|Department: ||Health Policy, Management and Evaluation|
|Keywords: ||colorectal cancer|
|Issue Date: ||18-Jan-2010|
|Abstract: ||Introduction: This study evaluated long-term outcomes of young survivors of colorectal cancer including survival, development of acute illnesses, and childbirth.
Methods: Persons aged 20-44 diagnosed with colorectal cancer and surviving at least five years were identified using the Ontario Cancer Registry and compared to randomly selected controls. Outcomes included death, admission to hospital for acute illness, and childbirth in women, determined by linkage to provincial administrative data.
Results: There were 917 cancer survivors in this study. Survivors were more likely to die (HR 8.2, 95%CI [5.8, 11.6]), and require admission to hospital for acute illness (rate ratio 3.4, 95%CI [2.9, 4.1]) than controls. There was no difference in admissions for childbirth in women (HR 0.6, 95%CI [0.3, 1.4]).
Conclusions: Five-year survivors of colorectal cancer remain at high risk of long-term death and illness. Aggressive surveillance for recurrent malignant disease is necessary to mitigate risk of death.|
|Appears in Collections:||Master|
The Institute of Health Policy, Management and Evaluation - Master theses
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