Esophageal Neoplasm Clinical Trial
Official title:
Factors Linked to Outcomes After Esophageal Cancer Surgery: a Multicenter National Study
Background
- Esophageal carcinoma is the sixth leading cause of cancer -related mortality and the
eighth most common cancer worldwide
- The incidence is increasing rapidly
- The overall 5-year survival ranges from 15% to 25% in the literature and poor outcomes
are related to diagnosis at advanced stages.
- Surgery used to be the cornerstone of treatment of resectable esophageal cancer, but
treatment of esophageal carcinoma remains challenging and need to be considered through
a multimodal approach. However the modalities and the impact of this multimodal
approach at a national level are unknown Primary objective: To identify predictors of
recurrence after esophageal cancer surgery
Secondary objectives :
- 5-year recurrence free survival
- 5-year overall survival
- Predictors of postoperative mortality and morbidity after surgery
- Impact of pCR on recurrence and survival
- Impact of neoadjuvant treatments on recurrence and survival
- Impact of patient preconditioning (such as nutritional support, esophageal prosthesis,
mini-invasive approach…) on outcomes
Methodology : European French-speaking retrospective multicentric study Inclusion criteria:
All consecutive patients operated on, for a histologically proven carcinoma of the
esophagus, the oesophago-gastric junction (Siewert type I and II), in surgical investigator
centers between January 2000 and December 2010 Exclusion criteria: Siewert III type
carcinoma of the oesophago-gastric junction , non surgical treatment of esophageal carcinoma
Planned study period: The data will be collected over a 11-year period from January 2000 to
December 2010. Follow up will be ascertained in May 2013.
Patients with an esophageal or junctional carcinoma (including SIewert type I and II) with surgical resection of the primary tumor inclusion date will be date of surgery all patients will be followed during 5 years after surgery or time of death ;
Observational Model: Cohort, Time Perspective: Retrospective
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