Evidence map›Paper›PMID 29536199›Full record

ArticleSurgery today2018

Surgical outcomes after gastrectomy in very elderly patients with gastric cancer.

Makoto Hikage, Masanori Tokunaga, Rie Makuuchi, Tomoyuki Irino, Yutaka Tanizawa, Etsuro Bando, Taiichi Kawamura, Masanori Terashima

Abstract read
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In one paragraph

Article in Surgery today, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

  1. Article
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  5. Article
  6. Review
  7. Observational
  8. Is surgery the best treatment for elderly gastric cancer patients?World journal of gastrointestinal surgery · 2021
    Review
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  10. Article
  11. Article
  12. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Makoto HikageDivision of Gastric Surgery, Shizuoka Cancer Center, Shizuoka, Japan.
Masanori TokunagaDivision of Gastric Surgery, Shizuoka Cancer Center, Shizuoka, Japan. mtokunag@east.ncc.go.jp.
Rie MakuuchiDivision of Gastric Surgery, Shizuoka Cancer Center, Shizuoka, Japan.
Tomoyuki IrinoDivision of Gastric Surgery, Shizuoka Cancer Center, Shizuoka, Japan.
Yutaka TanizawaDivision of Gastric Surgery, Shizuoka Cancer Center, Shizuoka, Japan.
Etsuro BandoDivision of Gastric Surgery, Shizuoka Cancer Center, Shizuoka, Japan.
Taiichi KawamuraDivision of Gastric Surgery, Shizuoka Cancer Center, Shizuoka, Japan.
Masanori TerashimaDivision of Gastric Surgery, Shizuoka Cancer Center, Shizuoka, Japan.

Funding

The National Cancer Center Research and Development Fund of Japan 26-A-4
6 · The paper itself

Abstract

purposeWhether or not gastrectomy is feasible for very elderly gastric cancer patients is unclear. This study aimed to clarify the feasibility and safety of surgical treatment for patients in this age group.

methodThe study included 55 very elderly patients with resectable gastric cancer who underwent gastrectomy (≥ 85 years of age; very-E group). The surgical outcomes were compared with those of 611 elderly patients (75-84 years old; E group).

resultsFemale sex, a poor physical and performance status, and a low serum albumin level patients were more frequent in the very-E group than in the E group. Lymphadenectomy was less aggressive in the very-E group than in the E group (P < 0.001). The overall postoperative complication rate was not significantly different between the groups (46 vs 33%; P = 0.073). A multivariate analysis to predict the overall survival identified male sex (hazard ratio 1.75, 95% confidence interval 1.30-2.36), low body mass index (2.19, 1.52-3.16), poor performance status (2.14, 1.60-2.86), low serum albumin level (1.84, 1.37-2.48), and advanced tumor stage (1.71, 1.29-2.27) but not age (1.31, 0.84-2.03) as independent prognostic factors.

conclusionChronological age alone is not a contraindicative factor for gastrectomy in very elderly patients.

Indexed as

GastrectomyAged, 80 and overAge FactorsBody Mass IndexFeasibility StudiesFemaleHumansLymph Node ExcisionMaleNeoplasm StagingPostoperative ComplicationsPrognosisSerum AlbuminSex FactorsStomach NeoplasmsSurvival RateSerum AlbuminElderlyGastrectomyGastric CancerPrognostic FactorsSurvival

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Registered trials

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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.