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The management regarding metastatic colorectal cancer throughout Europe is not well known. To draw a European comparison of the management and prognosis of metastatic colorectal cancers. Factors associated with chemotherapy administration were identified through logistic regressions. Net survival was estimated and crude probabilities of death related to cancer and other causes using a flexible cumulative hazard model. Among the 13 227 patients with colorectal cancer diagnosed between 2010 and 2013 in cancer registries from 10 European c