Majano SB, et al. - Using national colorectal cancer registries, researchers investigated if differences in the proportion of patients receiving resectional surgery could contribute to international differences in colorectal cancer survival. For this purpose, they analyzed data from 139,457 adult patients aged 18–99 years diagnosed with primary, invasive, colorectal adenocarcinoma from Jan 1, 2010, to Dec 31, 2012, in Denmark, England, Norway, and Sweden. Compared with Norway and Sweden, lower survival from colon cancer and rectal cancer in England and colon cancer in Denmark was reported. In these countries, survival paralleled the relative provision of resectional surgery. The partial explanation for the observed differences in international colorectal cancer survival could be differences in patient selection for surgery, especially in patients older than 75 years or individuals with advanced disease.