Accès ouvert déclaré
2025
article
Enhanced recovery and survival after elective surgery for colorectal cancer - propensity score weighting analysis of 2,865 prospective patients
Marco Catarci, Stefano Guadagni, Marco Scatizzi, Raffaele De Luca, Paolo Delrio, Giacomo Ruffo, Felice Borghi, Francesco Masedu, Paolo Ciano, Michele Benedetti, L Montemurro, Maria Sole Mattei, Elena Belloni, Matteo Di Carlo, Daniela Apa, Marco Clementi, Lorenzo Pandolfini, Alessandro Falsetto, M. De Simone, Ugo Pace, Andrea Fares Bucci, Elisa Bertocchi, Gaia Masini, Massimo Viola, Amedeo Altamura, Francesco Rubichi, Ferdinando Ficari, Francesco Giudici, Fabio Cianchi, Felice Pirozzi, Antonio Sciuto, Marco Migliore, Alberto Patriti, Marcella Lodovica Ricci, Gianluca Garulli, D Parlanti, Gabriele Vago, Walter Siquini, A. Cardinali, Stefano D’Ugo, Marcello Spampinato, Stefano Scabini, Alessandra Aprile, Domenico Soriero, Marco Caricato, Gabriella Teresa Capolupo, Giusto Pignata, Jacopo Andreuccetti, Ilaria Canfora, Andrea Liverani, Giuseppe Lamacchia, Claudia Franceschilli, Roberto Campagnacci, Angela Maurizi, Pierluigi Marini, Grazia Maria Attinà, Ugo Elmore, Lorenzo Gozzini, Roberto Santoro, Pietro Maria Amodio, Massimo Carlini, Domenico Spoletini, Rosa Marcellinaro, Antonio Giuliani, Giovanni Del Vecchio, Mario Sorrentino, Massimo Stefanoni, Giovanni Ferrari, Pietro Carnevali, Giànandrea Baldazzi, Diletta Cassini, Alberto Di Leo, Lorenzo Crepaz, Augusto Verzelli, Andrea Budassi, Giuseppe Sica, Giulia Bagaglini, Davide Cavaliere, Leonardo Solaini, Giorgio Ercolani, Gian Luca Baiocchi, Sarah Molfino, Marco Milone, Giovanni Domenico De Palma, Giovanni Ciaccio, Paolo Locurto, Giovanni Domenico Tebala, Antonio Di Cintio, Luigi Boni, Elisa Cassinotti, Stefano Mancini, Andrea Sagnotta, Mario Guerrieri, Monica Ortenzi, Roberto Persiani, Alberto Biondi, Andrea Lucchi, Giulia Vitali, Dario Parini, Maurizio De Luca, Antonino Spinelli, Francesco Maria Carrano, Annalisa Maroli, Michele Genna, Francesca Fior, Vincenzo Bottino, Antonio Ferronetti, Andrea Coratti, Giuseppe Giuliani, Roberto Benigni, Andrea Muratore, Patrizia Marsanic, Nicoletta Sveva Pipitone Federico, Maurizio Pavanello, Carlo Di Marco, Iacopo Graziosi, Umberto Rivolta, Camillo Leonardo Bertoglio, Micaela Piccoli, Francesca Pecchini, Carlo Talarico, Vincenzo Greco, A. Carrara, Michele Motter, Giuseppe Tirone, Mauro Totis, Nicolò Tamini, Marco Braga, Franco Roviello, Riccardo Piagnerelli, Alessandro Anastasi, Giuseppe Canonico, Gianluca Guercioni, Simone Cicconi, Giuseppe Maria Ettorre, Marco Colasanti, Mauro Montuori, Enrico Pinotti, Pierpaolo Mariani, Roberta Carminati, Nicolò de Manzini, Edoardo Osenda, Annibale Donini, Luigina Graziosi, Mariano Fortunato Armellino, Ciro De Martino, Lucio Taglietti, S. Ruggiero, Gabriele Anania, Matteo Chiozza, Mariantonietta Di Cosmo, Daniele Zigiotto, Carlo V. Feo, Fioralba Pindozzi, Paolo Millo, Manuela Grivon, Corrado Pedrazzani, Cristian Conti, Silvio Guerriero, Lorenzo Organetti, Andrea Costanzi, Michela Monteleone, Nereo Vettoretto, Emanuele Botteri, Federico Marchesi, Giorgio Dalmonte, Graziano Longo, Simone Santoni
4Citations signalées — pas une note de qualité
71Institutions déclarées
11Pays d’affiliation déclarés
Résumé fourni par la source
BACKGROUND: The impact of enhanced recovery pathway (ERP) on survival after colorectal cancer surgery (CCS) remains controversial. MATERIALS AND METHODS: A total of 2865 adults enrolled in a multicenter cohort study (iCral3 study) after CCS were followed up. The percentage adherence to the ERP was recorded, and the patients were grouped according to their quartiles. Other patient-, center-, disease-, and treatment-related factors were considered in a machine learning generalized boosted model (GBM) to estimate the 22 covariates propensity score weights for the binary comparisons between the reference treatment (1st quartile, ERP adherence rates <57.7 %) and the other treatment arms (2nd, 3rd, and 4th quartile). The primary endpoint was overall survival (OS). A GBM-weighted Cox model balanced on the same covariates was used to estimate the hazard ratio (HR) and 95 % confidence interval (95 %CI). RESULTS: Patients in the 4th quartile (ERP adherence rates ≥80.8 %) showed a significant lower risk of death from any cause (HR, 0.69; 95 %CI 0.49-0.96; p = 0.026). CONCLUSIONS: High adherence to ERP was associated to a significant impact on long-term overall survival, supporting the efforts towards proper ERP implementation after CCS.
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Contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Enhanced recovery and survival after elective surgery for colorectal cancer - propensity score weighting analysis of 2,865 prospective patients
- Date Crossref
- 01/11/2025
- Éditeur
- Elsevier BV
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude et ne compte pas comme une seconde source scientifique indépendante.
Institutions déclarées
Une affiliation ne permet pas de déduire la nationalité d’un auteur.
Sujets associés
Enhanced Recovery After SurgeryNausea and vomiting managementCancer survivorship and care