Table 7

Comparison of results from the previous study by Porter and colleagues with those of the present study

FactorPorter et al. (2)Present study
Study period1983–19901998–2004
No. cases683433
Age, mean, yr6565
Total surgeons, no.5242
Colorectal surgeons, no.55
Cases by colorectal surgeons, no. (%)109 (16)150 (35)
High-volume surgeons, no.NA9
Cases by high-volume surgeons, no. (%)360 (53)278 (64)
Chemotherapy/radiation therapy, no. (%)432 (64)171 (39)
Neoadjuvant therapy, no. (%)68 (11)175 (40)
Adjuvant therapy, no. (%)169 (25)87 (20)
Overall 5-year DSS, %5981
Overall 5-year LR, %337
Colorectal trained surgeons LR, %13.4*8.7
Non-colorectal trained surgeons LR, %37.4*6.7
Effect of training on 5-year LR, HR2.49*1.03
Colorectal trained surgeons DSS, %61*86
Non-colorectal trained surgeons DSS, %44*79
Effect of training on 5-year DSS, HR1.52*1.85*
High volume surgeons LR, %26.0*8.3
Low volume surgeons LR, %42.2*5.8
Effect of volume on 5-year LR, HR1.80*0.70
High volume surgeons DSS, %54*80
Low volume surgeons DSS, %39*84
Effect of volume on 5-year DSS, HR1.40*0.62
  • DSS = disease specific survival; HR = hazard ratio; LR = local recurrence; NA = not available.

  • * Statistically significant (p < 0.05).

  • Multivariate analysis.