Evidence map›Paper›PMID 22610266›Full record

ArticleWorld journal of surgery2012

Severity of complications after gastrectomy in elderly patients with gastric cancer.

Tsutomu Hayashi, Takaki Yoshikawa, Toru Aoyama, Takashi Ogata, Haruhiko Cho, Akira Tsuburaya

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in World journal of surgery, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03909997 (Severe Complications After Gastrectomy for Esophagogastric Junction and Gastric Cancer), which is not on this map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03909997 unknown statusnot on this mapstarted 2019, after this paper: background citation

Severe Complications After Gastrectomy for Esophagogastric Junction and Gastric Cancer: Perioperative Results and Long Term Survival

TypeobservationalSponsorHospital Dr Sotero del RioRan2019 to 2022Enrolled300ConditionsGastric Cancer, Esophagogastric Junction Disorder
3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Predictive Value of Preoperative Sarcopenia in Patients with Gastric Cancer: a Meta-analysis and Systematic Review.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2018
    Pooled it
  2. Trial
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  13. Preoperative risk factors for postoperative intra-abdominal infectious complication after gastrectomy for gastric cancer using a Japanese web-based nationwide database.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2021
    Article
  14. Article
  15. RISK FACTORS FOR SEVERE POSTOPERATIVE COMPLICATIONS AFTER GASTRECTOMY FOR GASTRIC AND ESOPHAGOGASTRIC JUNCTION CANCERS.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2019
    Article
  16. Article
  17. The impact of advanced age on short-term outcomes following gastric cancer resection: an ACS-NSQIP analysis.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2018
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Tsutomu HayashiDepartment of Gastrointestinal Surgery, Kanagawa Cancer Center, 1-1-2 Nakao, Asahi-ku, Yokohama 241-0815, Japan.
Takaki Yoshikawa
Toru Aoyama
Takashi Ogata
Haruhiko Cho
Akira Tsuburaya

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe risk of surgery for gastric cancer has not been fully evaluated, and this study aimed to assess the severity of postoperative complications after D2 or modified D2 gastrectomy in elderly patients.

methodsEligible patients were retrospectively selected from the Kanagawa Cancer Center database between 1990 and 2009 based on the following criteria: age ≥80 years and D2 or modified D2 gastrectomy as a primary treatment for gastric cancer. The severity of complications was evaluated using the Clavien-Dindo classification.

resultsA total of 83 patients with a median age of 82 years (range 80-88 years) were entered in this study. Sixty (72 %) had at least one co-morbid condition. American Society of Anesthesiologists scores were 2 in 66 patients and 3 in 17 patients. The extent of gastrectomy was distal in 65 (78 %) and total in 18 (22 %) patients. The procedure used for lymphadenectomy was modified D2 in 38 (46 %) and D2 in 45 (54 %) patients. Altogether, 18 complications were observed in 15 patients. The overall morbidity rate was 18 % [95 % confidence interval (CI) 9.7-26.2 %], and the mortality rate was 3.6 % (95 % CI 0-7.6 %). Complications were classified as grade 2 (n = 9), grade 3a (n = 1), grade 3b (n = 4), grade 4 (n = 1), and grade 5 (n = 3). Severe complications (≥ grade 3) occurred in 8.4 % (95 % CI 2.4-14.4 %).

conclusionsThe morbidity rate was acceptable, but that of severe complications was high, suggesting that surgery for gastric cancer in elderly patients is risky and should be limited.

Indexed as

AdenocarcinomaAged, 80 and overFemaleGastrectomyHumansLymph Node ExcisionMalePostoperative ComplicationsRetrospective StudiesStomach Neoplasms

Identifiers

PMID22610266

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.