DOI QR코드

DOI QR Code

Survival of Colorectal Cancer Patients in the Presence of Competing-Risk

  • Baghestani, Ahmad Reza (Department of Biostatistics, Faculty of Paramedical Sciences, Shahid Beheshti University of Medical Sciences) ;
  • Daneshvar, Tahoura (Department of Biostatistics, Faculty of Paramedical Sciences, Shahid Beheshti University of Medical Sciences) ;
  • Pourhoseingholi, Mohamad Amin (Gastroenterology and Liver Disease Research Center, Shahid Beheshti University of Medical Sciences) ;
  • Asadzade, Hamid (Gastroenterology and Liver Disease Research Center, Shahid Beheshti University of Medical Sciences)
  • Published : 2014.08.15

Abstract

Background: Colorectal cancer (CRC) is considered to be a main cause of malignancy-related death in the world, being commonly diagnosed in both men and women. It is the third leading cause of cancer dependent death in the world and there are one million new cases diagnosed per year. In Iran the incidence of colorectal cancer has increased during the last 25 years and it is the fifth cause of cancer in men and the third in women. Materials and Methods: In this article we analyzed the survival of 475 colorectal patients of Taleghani hospital in Tehran with the semi-parametric competing-risks model. Results: There were 55% male cases and at the time of the diagnosis most of the patients were between 48 and 67years old. The probability of a patient death from colorectal cancer with survival of more than 25 years was about 0.4. Body mass index, height, tumour site and gender had no influence. Conclusions: According to these data and by using semi-parametric competing-risks method, we found out that only age at diagnosis has a significant effect on these patient survival time.

Keywords

References

  1. Abdifard E, Ghaderi S, Hosseini S, et al (2013). Incidence trends of colorectal cancer in the West of Iran during 2000-2005. Asian Pac J Cancer Prev, 14, 1807-11. https://doi.org/10.7314/APJCP.2013.14.3.1807
  2. Azadeh S, Moghimi-Dehkordi B, Fatem SR, et al (2008). Colorectal cancer in Iran: an epidemiological study. Asian Pac J Cancer Prev, 9, 123-6.
  3. Batty G, Barzi F, Woodward M, et al (2010). Adult height and cancer mortality in Asia: the Asia Pacific Cohort Studies Collaboration. Ann Oncol, 21, 646-54. https://doi.org/10.1093/annonc/mdp363
  4. Center MM, Jemal A, Smith RA, et al (2009). Worldwide variations in colorectal cancer. CA: A Cancer J Clinicians, 59, 366-78. https://doi.org/10.3322/caac.20038
  5. Chen Y-S, Xu S-X, Ding Y-B, et al (2013). Colorectal cancer screening in high-risk populations: a survey of cognition among medical professionals in Jiangsu, China. Asian Pac J Cancer Prev, 14, 6487-91. https://doi.org/10.7314/APJCP.2013.14.11.6487
  6. David G Kleinbaum MK (2012). Survival Analysis, Springer.
  7. Dodge Y, Cox D, Commenges D, et al (2003). The Oxford Dictionary of Statistical Terms, Oxford University Press.
  8. Heidarnia MA, Monfared ED, Akbari ME, et al (2013). Social determinants of health and 5-year survival of colorectal cancer. Asian Pac J Cancer Prev, 14, 5111-6. https://doi.org/10.7314/APJCP.2013.14.9.5111
  9. Kim HT (2007). Cumulative incidence in competing risks data and competing risks regression analysis. Clin Cancer Res, 13, 559-65. https://doi.org/10.1158/1078-0432.CCR-06-1210
  10. Li X-P, Xie Z-Y, Fu Y-F, et al (2013). Colorectal cancer concealment predicts a poor survival: a retrospective study. Asian Pac J Cancer Prev, 14, 4157-60. https://doi.org/10.7314/APJCP.2013.14.7.4157
  11. Moradi A, Khayamzadeh M, Guya M, et al (2009). Survival of colorectal cancer in Iran. Asian Pac J Cancer Prev, 10, 583-6.
  12. Morrison DS, Parr CL, Lam TH, et al (2013). Behavioural and metabolic risk factors for mortality from colon and rectum cancer: analysis of data from the Asia-pacific cohort studies collaboration. Asian Pac J Cancer Prev, 14, 1083-7. https://doi.org/10.7314/APJCP.2013.14.2.1083
  13. Mousavi SM, Gouya MM, Ramazani R, et al (2009). Cancer incidence and mortality in Iran. Annals Oncol, 20, 556-63.
  14. Pintilie M 2006. Competing risks: a practical perspective, John Wiley and Sons.
  15. Pourhoseingholi MA, Zali MR (2012). Colorectal cancer screening: Time for action in Iran. World J Gastrointest Oncol, 4, 82-3. https://doi.org/10.4251/wjgo.v4.i4.82
  16. Ranjbar R, Saberfar E, Shamsaie A, Ghasemian E (2014). The aetiological role of human papillomavirus in colorectal carcinoma: an iranian population-based case control study. Asian Pac J Cancer Prev, 15, 1521-5. https://doi.org/10.7314/APJCP.2014.15.4.1521
  17. Roya N, Abbas B (2013). Colorectal cancer trends in kerman province, the largest province in Iran, with forecasting until 2016. Asian Pac J Cancer Prev, 14, 791-3. https://doi.org/10.7314/APJCP.2013.14.2.791
  18. Safaee A, Fatemi SR, Ashtari S, et al (2012). Four years incidence rate of colorectal cancer in Iran: a survey of national cancer registry data-implications for screening. Asian Pac J Cancer Prev, 13, 2695-8. https://doi.org/10.7314/APJCP.2012.13.6.2695
  19. Sung JJ, Lau JY, Goh K, et al (2005). Increasing incidence of colorectal cancer in Asia: implications for screening. Lancet Oncology, 6, 871-6. https://doi.org/10.1016/S1470-2045(05)70422-8

Cited by

  1. Demographic Survey of Four Thousand Patients with 10 Common Cancers in North Eastern Iran over the Past Three Decades vol.15, pp.23, 2014, https://doi.org/10.7314/APJCP.2014.15.23.10193
  2. Adjuvant Chemotherapy and Prognostic Factors in Stage II Colon Cancer - Izmir Oncology Group Study vol.16, pp.6, 2015, https://doi.org/10.7314/APJCP.2015.16.6.2413
  3. Relationships of Colorectal Cancer with Dietary Factors and Public Health Indicators: an Ecological Study vol.16, pp.9, 2015, https://doi.org/10.7314/APJCP.2015.16.9.3991
  4. Survival of Colorectal Cancer in the Presence of Competing-Risks - Modeling by Weibull Distribution vol.17, pp.3, 2016, https://doi.org/10.7314/APJCP.2016.17.3.1193
  5. Application of the Parametric Regression Model with the Four-Parameter Log-Logistic Distribution for Determining of the Effecting Factors on the Survival Rate of Colorectal Cancer Patients in the Presence of Competing Risks vol.19, pp.6, 2017, https://doi.org/10.5812/ircmj.55609