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Hanekamp B, Virdee P, Goh V, Jones M, Guren M, Muirhead R. P-178 Diffusion-weighted magnetic resonance imaging as an early predictive marker of chemoradiotherapy response in squamous cell carcinoma of the anus: An individual patient data meta-analysis. Ann Oncol 2022. [DOI: 10.1016/j.annonc.2022.04.268] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
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Guren M. SP-0966 Treating elderly and frail patients with anal cancers: What are the alternative options? Radiother Oncol 2022. [DOI: 10.1016/s0167-8140(22)04074-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Dijkstra E, Hospers G, van de Velde C, Fleer J, Bahadoer R, Guren M, Tjalma J, Putter H, Meershoek-Klein Kranenbarg E, Roodvoets A, ten Tije A, Capdevila J, Hendriks M, Cervantes A, Nilsson P, Glimelius B, van Etten B, Marijnen C. OC-0337 Quality of life, functional outcome and late toxicity in patients treated within the RAPIDO trial. Radiother Oncol 2021. [DOI: 10.1016/s0167-8140(21)06870-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Acosta Roa A, Lønne P, Guren M, Malinen E, Hellebust T. PD-0791 VMAT plan complexity in dose painting. Radiother Oncol 2021. [DOI: 10.1016/s0167-8140(21)07070-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Rao S, Capdevila J, Gilbert D, Kim S, Dahan L, Kayyal T, Fakih M, Demols A, Jensen L, Spindler KL, Arnold D, Tamberi S, Guren M, Cornfeld M, Jones M, Tian C, Catlett M, Spano JP. LBA42 POD1UM-202: Phase II study of retifanlimab in patients (pts) with squamous carcinoma of the anal canal (SCAC) who progressed following platinum-based chemotherapy. Ann Oncol 2020. [DOI: 10.1016/j.annonc.2020.08.2272] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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Slørdahl K, Olsen JA, Klotz D, Skovlund E, Undseth C, Abildgaard H, Brændengen M, Nesbakken A, Larsen S, Hanekamp B, Holmboe L, Tvedt R, Malinen E, Kaasa S, Guren M. 518P Treatment outcome and prognostic factors after chemoradiotherapy for anal cancer. Ann Oncol 2020. [DOI: 10.1016/j.annonc.2020.08.628] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Breugom A, Bastiaannet E, Guren M, Kørner H, Boelens P, Dekker F, Kapiteijn E, Gelderblom H, Larsen I, Liefers G, van de Velde C. Treatment strategies and overall survival for incurable metastatic colorectal cancer – A EURECCA international comparison including 21,196 patients from the Netherlands and Norway. Eur J Surg Oncol 2020; 46:1167-1173. [DOI: 10.1016/j.ejso.2020.02.005] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2019] [Revised: 01/15/2020] [Accepted: 02/10/2020] [Indexed: 12/26/2022] Open
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Majano SB, Di Girolamo C, Maringe C, Walters S, Morris M, Guren M, Glimelius B, Iversen L, Schnell E, Lundqvist K, Christensen J, Coleman M, Rachet B. Treatment and Survival From Colorectal Cancer in Denmark, England, Norway, and Sweden: A Population-Based Study. J Glob Oncol 2018. [DOI: 10.1200/jgo.18.52300] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Background: Colorectal cancer (CRC) patients in Denmark and England have historically had worse outcomes than patients diagnosed in other high-income countries with similar healthcare coverage. This survival deficit may be partly explained by differences in stage distribution due to delays in cancer diagnosis, however, differences in stage-specific survival suggest that differences in treatment also explain the survival gap. Aim: We aim to provide a comparison of stage-specific survival of CRC patients diagnosed in Denmark, England, Norway and Sweden, and compare the probability of receiving potentially curative surgery (PCS) by patient and tumor characteristics to understand whether differences in stage and treatment help explain the international differences in survival. Methods: Population-based information on patients aged 18-99 years diagnosed with primary malignant colon or rectal cancer in Denmark, England, Norway, and Sweden during 2010-2012 was extracted from national CRC registries. We compared the prevalence of PCS by stage and age category, and estimated the probability of receiving it using multivariate logistic regression. Age-standardized net survival was estimated using a multivariable modeling approach. Results: There were 13,230 patients diagnosed with CRC in Denmark, 99,869 in England, 11,754 in Norway, and 17,584 in Sweden between 2010 and 2012. The proportion of patients with missing stage information was higher in England than in the other countries. Stage distribution was otherwise similar. Survival of patients with stage I-II tumors was generally comparable between the countries, but lower in England and - to a lesser degree - in Denmark for stage III-IV disease. Patients with unknown stage had lower survival than staged patients in all countries. We found marked disadvantages in the probability of receiving PCS in older patients with stage II-IV disease in England, and stage IV colon cancer patients in Denmark. The proportion of surgically-treated rectal cancer patients (and their survival) was comparable between Denmark, Norway and Sweden for each combination of age group and stage, except for patients diagnosed with stage I disease. The proportion of patients receiving surgery and survival from rectal cancer was generally lower in England. Conclusion: Denmark seems to be catching up with Norway and Sweden, especially in rectal cancer survival. Despite recent improvements, CRC survival in England remains lower than in Sweden and Norway. Survival generally paralleled countries' relative performance in the provision of potentially curative surgery. Differences in patient selection for surgery, especially in older patients and/or with advanced disease, may partly explain the survival deficit. Increases in the proportion treated, in combination with efforts in postoperative care and with other treatment modalities, may translate into better longer-term outcomes, especially for frail patients.
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Affiliation(s)
- S. Benitez Majano
- London School of Hygiene and Tropical Medicine, London, United Kingdom
| | - C. Di Girolamo
- London School of Hygiene and Tropical Medicine, London, United Kingdom
| | - C. Maringe
- London School of Hygiene and Tropical Medicine, London, United Kingdom
| | - S. Walters
- London School of Hygiene and Tropical Medicine, London, United Kingdom
| | - M. Morris
- London School of Hygiene and Tropical Medicine, London, United Kingdom
| | - M.G. Guren
- London School of Hygiene and Tropical Medicine, London, United Kingdom
| | - B. Glimelius
- London School of Hygiene and Tropical Medicine, London, United Kingdom
| | - L. Iversen
- London School of Hygiene and Tropical Medicine, London, United Kingdom
| | - E. Schnell
- London School of Hygiene and Tropical Medicine, London, United Kingdom
| | - K. Lundqvist
- London School of Hygiene and Tropical Medicine, London, United Kingdom
| | - J. Christensen
- London School of Hygiene and Tropical Medicine, London, United Kingdom
| | - M.P. Coleman
- London School of Hygiene and Tropical Medicine, London, United Kingdom
| | - B. Rachet
- London School of Hygiene and Tropical Medicine, London, United Kingdom
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Skingen V, Rusten E, Rekstad B, Undseth C, Guren M, Malinen E. EP-1996: A patient-specific tumor control probability model based on total lesion glycolysis of anal cancer. Radiother Oncol 2018. [DOI: 10.1016/s0167-8140(18)32305-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Rusten E, Rekstad B, Undseth C, Hernes E, Guren M, Malinen E. EP-1500: Prediction of anal carcinoma chemoradiotherapy outcome by a new PET-based biomarker. Radiother Oncol 2018. [DOI: 10.1016/s0167-8140(18)31809-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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Nyvang L, Byskov C, Guren M, Muren L, Spindler K. PV-0133: Re-irradiation of pelvic recurrence of rectal cancer: Developing an adaptive plan selection strategy. Radiother Oncol 2017. [DOI: 10.1016/s0167-8140(17)30576-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Guren M, Myklebust T, Lundqvist K, Wibe A, Glimelius B. Two countries − two treatment strategies for rectal cancer. Eur J Cancer 2017. [DOI: 10.1016/s0959-8049(17)30240-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Guren M, Christensen H, Larsen S, Appelt A, Lindegaard J, Spindler KL. Re-RAD-I external beam radiotherapy for pelvic recurrences in rectal cancer patients previously treated with radiotherapy. Ann Oncol 2016. [DOI: 10.1093/annonc/mdw370.150] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Breugom A, Bastiaannet E, Guren M, Kørner H, Boelens P, Dekker F, Kapiteijn E, Gelderblom H, Larsen I, Liefers G, Van de Velde C. 52. Resection of the primary tumour for asymptomatic incurable metastatic colorectal cancer – A EURECCA international comparison. Eur J Surg Oncol 2016. [DOI: 10.1016/j.ejso.2016.06.058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Cameron M, Kersten C, Vistad I, Van Helvoirt R, Weyde K, Undseth C, Mjaaland I, Skovlund E, Fosså S, Guren M. PO-0779: Multicenter study of palliative pelvic radiation for symptomatic primary and recurrent rectal cancer. Radiother Oncol 2016. [DOI: 10.1016/s0167-8140(16)32029-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Cameron M, Kersten C, Vistad I, Van Helvoirt R, Weyde K, Undseth C, Mjaaland I, Skovlund E, Fosså S, Guren M. OC-0054: A prospective multicenter study of palliative pelvic radiotherapyfor symptomatic incurable prostate cancer. Radiother Oncol 2015. [DOI: 10.1016/s0167-8140(15)40054-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Bentzen A, Guren M, Wanderás E, Dahl O, Frykholm G, Balteskard L. 6539 POSTER Radiotherapy of Anal Carcinoma – Outcome in an Unselected National Cohort. Eur J Cancer 2011. [DOI: 10.1016/s0959-8049(11)71850-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Guren M, Bruheim K, Rekstad B, Tveit K. 1057 poster LATE FUNCTIONAL OUTCOME AND QUALITY OF LIFE AFTER RADIOTHERAPY AND SURGERY FOR RECTAL CANCER. Radiother Oncol 2011. [DOI: 10.1016/s0167-8140(11)71179-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Rekstad B, Hellebust P, Bruheim K, Tveit K, Olsen D, Guren M. HALF BEAM TECHNIQUE REDUCES DOSE TO TESTICLES IN IRRADIATION OF RECTAL CANCER. Radiother Oncol 2011. [DOI: 10.1016/s0167-8140(11)71800-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Guren M, Dueland S, Skovlund E, Poulsen J, Tveit K. Rectal cancer: quality of life during radiation therapy. Eur J Cancer 2001. [DOI: 10.1016/s0959-8049(01)81632-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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