ArticleWorld journal of surgery2019
Postoperative Long-Term Outcomes in Elderly Patients with Gastric Cancer and Risk Factors for Death from Other Diseases.
Article in World journal of surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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Who cites it
28 citing papers in PubMed.
- Comparison of long-term outcomes of robotic gastrectomy and laparoscopic gastrectomy using the modified age-adjusted Charlson Comorbidity Index.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2026Article
- Frailty assessed by comprehensive geriatric assessment and postoperative outcomes of older adults undergoing gastrectomy for gastric cancer.Surgery today · 2026Article
- Can preoperative spirometry be omitted for HBP surgery?Surgery today · 2026Article
- Association of Spirometric Lung Age with Survival Outcomes in Elderly Patients Undergoing Radical Surgery for Gastric Cancer.Journal of gastrointestinal cancer · 2025Article
- Impact of infectious complications after gastrectomy on non‑gastric cancer‑related deaths.Oncology letters · 2024Article
- Clinical significance of preoperative nutritional status in elderly gastric cancer patients undergoing radical gastrectomy: A single-center retrospective study.World journal of gastrointestinal surgery · 2024Article
- Enhancing surgical outcomes in elderly gastric cancer patients: the role of comprehensive preoperative assessment and support.World journal of surgical oncology · 2024Article
- Surgical options and survival prognosis in geriatric patients beyond average lifespan with locally advanced gastric cancer: a propensity score-matched analysis.Surgical endoscopy · 2024Article
- Geriatric prognostic scoring system predicts survival after hepatectomy for elderly patients with liver cancer.Annals of gastroenterological surgery · 2024Article
- A comprehensive study on non-cancer-related mortality risk factors in elderly gastric cancer patients post-curative surgery.BMC gastroenterology · 2024Article
- Safety and Feasibility of Gastrectomy in Super Elderly Patients (Aged ≥ 80): A Propensity Score-Matched Analysis.Cureus · 2023Article
- Laparoscopic compared to open approach for distal gastrectomy may reduce pneumonia risk for patients with gastric cancer.Surgery open science · 2023Article
- Combining nutritional status with TNM stage: a physiological update on gastric cancer staging for improving prognostic accuracy in elderly patients.International journal of clinical oncology · 2022Article
- Risk factors for non-gastric-cancer-related death after gastrectomy in elderly patients.Annals of gastroenterological surgery · 2022Article
- Association Between Ageing and Short-Term Survival Outcomes in Patients Undergoing Surgery for Primary Retroperitoneal Sarcoma.Annals of surgical oncology · 2022Article
- Prognostic risk factors for postoperative long-term outcomes in elderly stage IA gastric cancer patients.Journal of gastrointestinal oncology · 2022Article
- Survival benefits of gastrectomy compared to conservative observation for older patients with resectable gastric cancer: a propensity score matched analysis.Langenbeck's archives of surgery · 2022Observational
- Gastric Cancer in Older Patients: A Retrospective Study and Literature Review.Annals of geriatric medicine and research · 2022Article
- C-reactive protein/albumin ratio predicts survival after curative surgery in elderly patients with colorectal cancer.Updates in surgery · 2022Article
- A predictive model for postoperative cognitive dysfunction in elderly patients with gastric cancer: a retrospective study.American journal of translational research · 2022Article
Corrections and comments
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Authors and funding
13 authors.
Funding
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Abstract
backgroundElderly patients with gastric cancer are frequently treated surgically in current clinical practice. Although several studies have investigated short-term outcomes after gastrectomy in elderly patients, most did not evaluate long-term outcomes.
methodsWe analyzed 1154 consecutive patients who underwent curative gastrectomy for gastric cancer between 2001 and 2013. We classified them into two groups: the elderly group (n = 241), consisting of patients aged ≥75 years, and the non-elderly group (n = 913), consisting of patients aged <75 years, and compared the short- and long-term outcomes between the two groups. The risk factors for death from other diseases in elderly patients were also examined.
resultsAlthough the incidence of postoperative pneumonia was significantly higher in the elderly group (P < 0.001), the proportion of overall postoperative complications did not differ significantly between the two groups (P = 0.097). The disease-specific survival was similar between the two groups (P = 0.743), whereas the overall survival in the elderly group was significantly shorter than that in the non-elderly group (P < 0.001) because of a higher incidence of death from other diseases throughout all gastric cancer stages. Multivariate analysis revealed that a low preoperative prognostic nutrition index (PNI) and multiple comorbidities were significant risk factors for death from other diseases within 5 years in the elderly group.
conclusionsDespite acceptable short-term outcomes, long-term outcomes in elderly patients with gastric cancer were poor due to the high incidence of death from other diseases. Indications for surgery in elderly patients with a low PNI or multiple comorbidities should be considered carefully.
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