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Research Letter
Association of VA Surgeons
January 2016

Delays in Surgery for Patients With Coronary Stents Placed After Diagnosis of Colorectal Cancer

Author Affiliations
  • 1Section of Gastrointestinal Surgery, Department of Surgery, University of Alabama at Birmingham
  • 2Center for Surgical, Medical Acute Care Research, and Transitions, Birmingham Veterans Administration Hospital, Birmingham, Alabama
  • 3Department of Surgery, Stanford University School of Medicine, Stanford, California
JAMA Surg. 2016;151(1):86-88. doi:10.1001/jamasurg.2015.3130

Patients who received a diagnosis of colorectal cancer and who underwent a percutaneous coronary intervention represent a unique population with competing goals for timing of surgical care. The 2014 guidelines on perioperative management1 recommend delaying elective surgery for 30 days for bare metal stents and for 6 months to 1 year for drug-eluting stents. The current literature presents conflicting results regarding whether delay in the surgical treatment of colorectal cancer affects outcomes.2,3 We sought to determine whether the presence of a coronary stent affected the timing of colorectal cancer resection and the postoperative outcomes.

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