Incidence and Prognosis of Colorectal Cancer After Heart Transplantation: Data From the Spanish Post-Heart Transplant Tumor Registry

Fecha de publicación: Fecha Ahead of Print:

Autores de IIS La Fe

Participantes ajenos a IIS La Fe

  • Sagastagoitia-Fornie, Marta
  • Moran-Fernandez, Laura
  • Blazquez-Bermejo, Zorba
  • Diaz-Molina, Beatriz
  • Gomez-Bueno, Manuel
  • Lopez-Granados, Amador
  • Gonzalez-Vilchez, Francisco
  • Mirabet-Perez, Sonia
  • Garcia-Romero, Elena
  • Jose M., Sobrino-Marquez
  • Juan-Aracil, Gregorio Rabago
  • Castel-Lavilla, Maria Angels
  • Blasco-Peiro, Teresa
  • Garrido-Bravo, Iris
  • De La Fuente-Galan, Luis
  • Muniz, Javier
  • Crespo-Leiro, Maria G.

Grupos

Abstract

In this observational and multicenter study, that included all patients who underwent a heart transplantation (HT) in Spain from 1984 to 2018, we analyzed the incidence, management, and prognosis of colorectal cancer (CRC) after HT. Of 6,244 patients with a HT and a median follow-up of 8.8 years since the procedure, 116 CRC cases (11.5% of noncutaneous solid cancers other than lymphoma registered) were diagnosed, mainly adenocarcinomas, after a mean of 9.3 years post-HT. The incidence of CRC increased with age at HT from 56.6 per 100,000 person-years among under 45 year olds to 436.4 per 100,000 person-years among over 64 year olds. The incidence rates for age-at-diagnosis groups were significantly greater than those estimated for the general Spanish population. Curative surgery, performed for 62 of 74 operable tumors, increased the probability of patient survival since a diagnosis of CRC, from 31.6% to 75.7% at 2 years, and from 15.8% to 48.6% at 5 years, compared to patients with inoperable tumors. Our results suggest that the incidence of CRC among HT patients is greater than in the general population, increasing with age at HT.

Copyright © 2023 Sagastagoitia-Fornie, Morán-Fernández, Blázquez-Bermejo, Díaz-Molina, Gómez-Bueno, Almenar-Bonet, López-Granados, González-Vílchez, Mirabet-Pérez, García-Romero, Jose M., Rábago Juan-Aracil, Castel-Lavilla, Blasco-Peiro, Garrido-Bravo, De La Fuente-Galán, Muñiz and Crespo-Leiro.

Datos de la publicación

ISSN/ISSNe:
0934-0874, 1432-2277

TRANSPLANT INTERNATIONAL  WILEY

Tipo:
Article
Páginas:
11042-11042
PubMed:
37275465
Enlace a otro recurso:
www.scopus.com
Factor de Impacto:
1,005 SCImago
Cuartil:
Q1 SCImago

Citas Recibidas en Web of Science: 5

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Keywords

  • heart transplantation; prognosis; incidence; colorectal cancer; management

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