Patient characteristics
|
Overall (N%)
|
No BO (N%)
|
BO (N%)
|
---|
Gender
|
Male
|
5293 (44.8%)
|
3831 (44.0%)
|
1462 (47.1%)
|
Female
|
6521 (55.2%)
|
4879 (56.0%)
|
1642 (52.9%)
|
Age at diagnosis, years
|
66–70
|
1525 (12.9%)
|
966 (11.1%)
|
559 (18.0%)
|
71–75
|
1975 (16.7%)
|
1296 (14.9%)
|
679 (21.9%)
|
76–80
|
2342 (19.8%)
|
1617 (18.6%)
|
725 (23.4%)
|
> 80
|
5972 (50.6%)
|
4831 (55.5%)
|
1141 (36.8%)
|
Race
|
White
|
9421 (79.7%)
|
6945 (79.7%)
|
2476 (79.8%)
|
Black
|
1566 (13.3%)
|
1185 (13.6%)
|
381 (12.3%)
|
Asian
|
372 (3.1%)
|
244 (2.8%)
|
128 (4.1%)
|
Other
|
455 (3.9%)
|
336 (3.9%)
|
119 (3.8%)
|
Marital status
|
Single + separated
|
1358 (11.5%)
|
1023 (11.7%)
|
335 (10.8%)
|
Married
|
4441 (37.6%)
|
3015 (34.6%)
|
1426 (45.9%)
|
Divorced + widowed
|
5296 (44.8%)
|
4073 (46.8%)
|
1223 (39.4%)
|
Other
|
719 (6.1%)
|
599 (6.9%)
|
120 (3.9%)
|
Residence location*
|
Big metro
|
6750 (57.2%)
|
4869 (55.9%)
|
1881 (60.6%)
|
Metro or urban
|
3814 (32.3%)
|
2886 (33.1%)
|
928 (29.9%)
|
Less urban or rural
|
1247 (10.6%)
|
952 (10.9%)
|
295 (9.5%)
|
Median household income
|
1st quartile
|
2781 (23.5%)
|
2094 (24.0%)
|
687 (22.1%)
|
2nd quartile
|
2791 (23.6%)
|
2058 (23.6%)
|
733 (23.6%)
|
3rd quartile
|
2786 (23.6%)
|
2037 (23.4%)
|
749 (24.1%)
|
4th quartile
|
2791 (23.6%)
|
2015 (23.1%)
|
776 (25.0%)
|
Unknown
|
665 (5.6%)
|
506 (5.8%)
|
159 (5.1%)
|
Level of education
|
1st quartile
|
2770 (23.4%)
|
2032 (23.3%)
|
738 (23.8%)
|
2nd quartile
|
2817 (23.8%)
|
2068 (23.7%)
|
749 (24.1%)
|
3rd quartile
|
2798 (23.7%)
|
2061 (23.7%)
|
737 (23.7%)
|
4th quartile
|
2762 (23.4%)
|
2043 (23.5%)
|
719 (23.2%)
|
Unknown
|
667 (5.6%)
|
506 (5.8%)
|
161 (5.2%)
|
Year of diagnosis
|
1992–1996
|
1228 (10.4%)
|
758 (8.7%)
|
470 (15.1%)
|
1997–2001
|
1999 (16.9%)
|
1478 (17.0%)
|
521 (16.8%)
|
2002–2005
|
3752 (31.8%)
|
2796 (32.1%)
|
956 (30.8%)
|
2006–2009
|
4835 (40.9%)
|
3678 (42.2%)
|
1157 (37.3%)
|
Tumor characteristics
|
T category
|
Tis
|
595 (5.0%)
|
491 (5.6%)
|
104 (3.4%)
|
T1
|
2054 (17.4%)
|
1662 (19.1%)
|
392 (12.6%)
|
T2
|
307 (2.6%)
|
126 (1.4%)
|
181 (5.8%)
|
T3
|
1647 (13.9%)
|
596 (6.8%)
|
1051 (33.9%)
|
T4a
|
161 (1.4%)
|
35 (0.4%)
|
126 (4.1%)
|
T4b
|
717 (6.1%)
|
457 (5.2%)
|
260 (8.4%)
|
Unknown
|
6333 (53.6%)
|
5343 (61.3%)
|
990 (31.9%)
|
M category
|
M0
|
2475 (20.9%)
|
1686 (19.4%)
|
789 (25.4%)
|
M1
|
3311 (28.0%)
|
2684 (30.8%)
|
627 (20.2%)
|
Unknown
|
6028 (51.0%)
|
4340 (49.8%)
|
1688 (54.4%)
|
Primary tumor site
|
Rectum
|
4674 (39.6%)
|
3666 (42.1%)
|
1008 (32.5%)
|
Left-sided colon
|
2624 (22.2%)
|
1648 (18.9%)
|
976 (31.4%)
|
Right-sided colon
|
4516 (38.2%)
|
3396 (39.0%)
|
1120 (36.1%)
|
Histologic type
|
Adenocarcinoma
|
11,200 (94.8%)
|
8375 (96.2%)
|
2825 (91.0%)
|
Mucinous carcinoma
|
523 (4.4%)
|
281 (3.2%)
|
242 (7.8%)
|
Signet-ring cell carcinoma
|
91 (0.8%)
|
54 (0.6%)
|
37 (1.2%)
|
Histologic grade
|
Well
|
724 (6.1%)
|
509 (5.8%)
|
215 (6.9%)
|
Moderate
|
5011 (42.4%)
|
3327 (38.2%)
|
1684 (54.3%)
|
Poor
|
1488 (12.6%)
|
973 (11.2%)
|
515 (16.6%)
|
Undifferentiated
|
96 (0.8%)
|
69 (0.8%)
|
27 (0.9%)
|
Unknown
|
4495 (38.0%)
|
3832 (44.0%)
|
663 (21.4%)
|
Tumor size
|
< 35 mm
|
1134 (9.6%)
|
693 (8.0%)
|
441 (14.2%)
|
35–50 mm
|
1039 (8.8%)
|
522 (6.0%)
|
517 (16.7%)
|
50–65 mm
|
1241 (10.5%)
|
760 (8.7%)
|
481 (15.5%)
|
≥ 65 mm
|
1103 (9.3%)
|
639 (7.3%)
|
464 (14.9%)
|
Unknown
|
7297 (61.8%)
|
6096 (70.0%)
|
1201 (38.7%)
|
Presenting features
|
HCC risk score
|
1st quartile
|
2955 (25.0%)
|
2232 (25.6%)
|
723 (23.3%)
|
2nd quartile
|
2980 (25.2%)
|
2079 (23.9%)
|
901 (29.0%)
|
3rd quartile
|
2917 (24.7%)
|
2089 (24.0%)
|
828 (26.7%)
|
4th quartile
|
2962 (25.1%)
|
2310 (26.5%)
|
652 (21.0%)
|
History of alcoholism
|
No
|
11,390 (96.4%)
|
8369 (96.1%)
|
3021 (97.3%)
|
Yes
|
424 (3.6%)
|
341 (3.9%)
|
83 (2.7%)
|
Tobacco
|
No
|
10,457 (88.5%)
|
7690 (88.3%)
|
2767 (89.1%)
|
Yes
|
1357 (11.5%)
|
1020 (11.7%)
|
337 (10.9%)
|
History of colorectal polyps
|
No
|
10,459 (88.5%)
|
7710 (88.5%)
|
2749 (88.6%)
|
Yes
|
1355 (11.5%)
|
1000 (11.5%)
|
355 (11.4%)
|
Obesity
|
No
|
10,916 (92.4%)
|
8045 (92.4%)
|
2871 (92.5%)
|
Yes
|
898 (7.6%)
|
665 (7.6%)
|
233 (7.5%)
|
Treatment
|
Chemotherapy
|
Nonchemotherapy
|
9105 (77.1%)
|
6651 (76.4%)
|
2454 (79.1%)
|
5-FU/capecitabine
|
1398 (11.8%)
|
1047 (12.0%)
|
351 (11.3%)
|
FOLFOX/CapeOX
|
277 (2.3%)
|
213 (2.4%)
|
64 (2.1%)
|
FOLFIRI/XELIRI
|
242 (2.0%)
|
186 (2.1%)
|
56 (1.8%)
|
FOLFOX/CapeOX + bevacizumab
|
273 (2.3%)
|
227 (2.6%)
|
46 (1.5%)
|
FOLFIRI/XELIRI + bevacizumab
|
42 (0.4%)
|
29 (0.3%)
|
13 (0.4%)
|
Other
|
477 (4.0%)
|
357 (4.1%)
|
120 (3.9%)
|
Radiotherapy
|
No
|
9912 (83.9%)
|
7252 (83.3%)
|
2660 (85.7%)
|
Yes
|
1902 (16.1%)
|
1458 (16.7%)
|
444 (14.3%)
|
Presenting symptoms
|
Abdominal pain
|
No
|
9091 (77.0%)
|
6773 (77.8%)
|
2318 (74.7%)
|
Yes
|
2723 (23.0%)
|
1937 (22.2%)
|
786 (25.3%)
|
Abdominal mass
|
No
|
11,414 (96.6%)
|
8431 (96.8%)
|
2983 (96.1%)
|
Yes
|
400 (3.4%)
|
279 (3.2%)
|
121 (3.9%)
|
Abdominal distension
|
No
|
11,624 (98.4%)
|
8574 (98.4%)
|
3050 (98.3%)
|
Yes
|
190 (1.6%)
|
136 (1.6%)
|
54 (1.7%)
|
Ascites
|
No
|
11,712 (99.1%)
|
8630 (99.1%)
|
3082 (99.3%)
|
Yes
|
102 (0.9%)
|
80 (0.9%)
|
22 (0.7%)
|
Anemia
|
No
|
10,688 (90.5%)
|
7803 (89.6%)
|
2885 (92.9%)
|
Yes
|
1126 (9.5%)
|
907 (10.4%)
|
219 (7.1%)
|
Nutritional deficiency
|
No
|
11,152 (94.4%)
|
8153 (93.6%)
|
2999 (96.6%)
|
Yes
|
662 (5.6%)
|
557 (6.4%)
|
105 (3.4%)
|
Cachexia
|
No
|
11,742 (99.4%)
|
8649 (99.3%)
|
3093 (99.6%)
|
Yes
|
72 (0.6%)
|
61 (0.7%)
|
11 (0.4%)
|
Change of bowel habits
|
No
|
11,394 (96.4%)
|
8395 (96.4%)
|
2999 (96.6%)
|
Yes
|
420 (3.6%)
|
315 (3.6%)
|
105 (3.4%)
|
Change of character of stool
|
No
|
9536 (80.7%)
|
7064 (81.1%)
|
2472 (79.6%)
|
Yes
|
2278 (19.3%)
|
1646 (18.9%)
|
632 (20.4%)
|
Hemorrhage
|
No
|
9366 (79.3%)
|
6859 (78.7%)
|
2507 (80.8%)
|
Yes
|
2448 (20.7%)
|
1851 (21.3%)
|
597 (19.2%)
|
Diarrhea
|
No
|
10,899 (92.3%)
|
8022 (92.1%)
|
2877 (92.7%)
|
Yes
|
915 (7.7%)
|
688 (7.9%)
|
227 (7.3%)
|
Gatism
|
No
|
11,728 (99.3%)
|
8640 (99.2%)
|
3088 (99.5%)
|
Yes
|
86 (0.7%)
|
70 (0.8%)
|
16 (0.5%)
|
Loss of appetite
|
No
|
11,569 (97.9%)
|
8501 (97.6%)
|
3068 (98.8%)
|
Yes
|
245 (2.1%)
|
209 (2.4%)
|
36 (1.2%)
|
Vomiting
|
No
|
11,066 (93.7%)
|
8142 (93.5%)
|
2924 (94.2%)
|
Yes
|
748 (6.3%)
|
568 (6.5%)
|
180 (5.8%)
|
Weight loss
|
No
|
10,672 (90.3%)
|
7838 (90.0%)
|
2834 (91.3%)
|
Yes
|
1142 (9.7%)
|
872 (10.0%)
|
270 (8.7%)
|
- Abbreviations: CRC colorectal cancer, BO bowel obstruction, HCC the Centers for Medicare and Medicaid Service’s Hierarchical Condition Category, 5-FU 5-fluorouracil, FOLFOX 5-FU + oxaliplatin, CapeOX capecitabine + oxaliplatin, FOLFIRI 5-FU + irinotecan, and XELIRI capecitabine + irinotecan. *variable has missing data