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Please use this identifier to cite or link to this item: http://hdl.handle.net/1807/18299

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
population-based study
survival
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.
URI: http://hdl.handle.net/1807/18299
Appears in Collections:Master
The Institute of Health Policy, Management and Evaluation - Master theses

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