Evidence map›Paper›PMID 29661204›Full record

ArticleWorld journal of surgical oncology2018

Surgical treatment outcomes of patients with T1-T2 gastric cancer: does the age matter when excellent treatment results are expected?

Rimantas Bausys, Augustinas Bausys, Indre Vysniauskaite, Kazimieras Maneikis, Eugenijus Stratilatovas, Kestutis Strupas

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in World journal of surgical oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.8field-weighted citation impact, top 14% of its field
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

9 citing papers in PubMed, 17 citations in OpenAlex.

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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 at 3 institutions in 2 countries.

Rimantas BausysDepartment of Abdominal Surgery and Oncology, National Cancer Institute, Santariskiu str. 1, 08660, Vilnius, Lithuania.
Augustinas BausysDepartment of Abdominal Surgery and Oncology, National Cancer Institute, Santariskiu str. 1, 08660, Vilnius, Lithuania. abpelikanas@gmail.com.
Indre VysniauskaiteSchool of Medicine, Georgetown University, Washington, D.C., USA.
Kazimieras ManeikisFaculty of Medicine, Vilnius University, Ciurlionio str. 21, 03101, Vilnius, Lithuania.
Eugenijus StratilatovasDepartment of Abdominal Surgery and Oncology, National Cancer Institute, Santariskiu str. 1, 08660, Vilnius, Lithuania.
Kestutis StrupasFaculty of Medicine, Vilnius University, Ciurlionio str. 21, 03101, Vilnius, Lithuania.
Vilnius University · LTNational Cancer Institute · LTGeorgetown University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe proportion of early gastric cancer stages is increasing, as is the incidence of gastric cancer among the elderly population. Therefore, this study was designed to analyze surgical treatment outcomes of T1-T2 gastric cancer in elderly patients.

methodsA total of 457 patients with T1-T2 gastric cancer who underwent gastrectomy between 2005 and 2015 were enrolled in this retrospective study. Patients were classified into two groups according to age (< 70 years versus ≥ 70 years). Clinicopathological features, surgical treatment results, and clinical outcomes were compared between the groups.

resultsHigher ASA score (ASA 3/4), differentiated cancer, and intestinal-type tumors were more common in elderly patients. Postoperative complication rates were similar between the two groups; however, postoperative mortality rates were significantly higher in the elderly group. Higher ASA score was independently associated with postoperative complications in the elderly group. Furthermore, severe postoperative complications were found as an independent factor associated with higher 90-day mortality rate. Elderly patients had a significantly poorer 5-year overall survival rate. Two surgery-related factors-total gastrectomy and complicated postoperative course-were revealed as independent prognostic factors for poor overall survival in the elderly group.

conclusionsDespite higher postoperative mortality rate and poorer overall survival results, elderly patients with gastric cancer should be considered for radical surgery. ASA score may be useful for predicting surgical treatment outcomes in elderly patients undergoing surgery for GC and hence assists clinicians in planning treatment strategies for each individual patient.

Indexed as

Postoperative ComplicationsAdenocarcinomaAgedFemaleFollow-Up StudiesGastrectomyHumansLymphatic MetastasisMaleMiddle AgedNeoplasm InvasivenessNeoplasm StagingRetrospective StudiesRisk FactorsStomach NeoplasmsSurvival RateEarly invasionElderly patientsGastric cancerT1T2

Identifiers

PMID29661204
PMCPMC5902993
OpenAlexW2803659569

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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.