Is the increasing rate of local excision for stage I rectal cancer in the United States justified?: a nationwide cohort study from the National Cancer Database.

@article{You2007IsTI,
  title={Is the increasing rate of local excision for stage I rectal cancer in the United States justified?: a nationwide cohort study from the National Cancer Database.},
  author={Y. Nancy You and Nancy N Baxter and Andrew B Stewart and Heidi Nelson},
  journal={Annals of surgery},
  year={2007},
  volume={245 5},
  pages={726-33}
}
OBJECTIVE Determine rates of local excision (LE) over time, and test the hypothesis that LE carries increased oncologic risks but reduced perioperative morbidity when compared with standard resection (SR). SUMMARY BACKGROUND DATA Despite the lack of level I/level II evidence supporting its oncologic adequacy, LE is performed for stage I rectal cancer. METHODS Surgical therapy for 35,179 patients with stage I rectal cancer diagnosed in 1989 to 2003 was examined over time, utilizing the… CONTINUE READING

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