ArticleGastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association2020
Identification of the clinically most relevant postoperative complications after gastrectomy: a population-based cohort study.
Article in Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed.
- Postoperative Complications and Long-Term Cardiovascular Risk After Gastrectomy for Gastric Cancer.Annals of surgical oncology · 2026Article
- ASO Author Reflections: Centralizing Esophagogastric Cancer Surgery: Beyond Volume Thresholds.Annals of surgical oncology · 2026Article
- Intraoperative complications during gastrectomy for gastric cancer - incidence, treatment, and effect on postoperative complications and survival in a population-based nationwide study.Langenbeck's archives of surgery · 2025Article
- Stage-dependent survival in gastric cancer: a Danish nationwide cohort study.Langenbeck's archives of surgery · 2025Article
- Impact of Anastomotic Leak on Long-Term Survival After Gastrectomy: Results from an Individual Patient Data Meta-Analysis.Cancers · 2025Review
- Impact of postoperative complications on clinical outcomes after gastrectomy for cancer: multicentre study.The British journal of surgery · 2025Article
- Summary of best evidence for prevention of postoperative pulmonary complications after surgery for patients undergoing gastric cancer operations.Frontiers in oncology · 2025Review
- A retrospective study of provisional outcomes of intracorporeal esophagojejunostomy versus extracorporeal anastomosis during laparoscopic total gastrectomy for gastric cancer. a single -center.World journal of surgical oncology · 2024Article
- Article
- Outcomes after gastrectomy according to the Gastrectomy Complications Consensus Group (GCCG) in the Dutch Upper GI Cancer Audit (DUCA).Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2024Article
- Impact ofAnnals of surgical oncology · 2024Article
- Population-based nationwide incidence of complications after gastrectomy for gastric adenocarcinoma in Finland.BJS open · 2023Article
- Surgical starting time of the day and survival in gastric cancer.Scientific reports · 2023Article
- Clinical outcomes of patients with complicated post-operative course after gastrectomy for cancer: a GIRCG study using the GASTRODATA registry.Updates in surgery · 2023Article
- Analysis of postoperative pulmonary complications after gastrectomy for gastric cancer: development and validation of a nomogram.Frontiers in surgery · 2023Article
- Does postoperative pulmonary infection correlate with intestinal flora following gastric cancer surgery? - a nested case-control study.Frontiers in microbiology · 2023Article
- Risk factors and conservative therapy outcomes of anastomotic leakage after gastrectomy: Experience of 3,926 patients from a single gastric surgical unit.Frontiers in oncology · 2023Article
- Impact of sarcopenia on postoperative pulmonary complications after gastric cancer surgery: A retrospective cohort study.Frontiers in surgery · 2022Article
- Article
- Survival outcomes of adjuvant taxanes, platinum plus fluoropyrimidines versus platinum and fluoropyrimidines for gastric cancer patients after D2 gastrectomy: a retrospective propensity score-matched analysis.World journal of surgical oncology · 2021Article
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6 authors.
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Abstract
backgroundPostoperative complications frequently occur after gastrectomy for gastric cancer and are associated with poor clinical outcomes, such as mortality and reoperations. The aim of study was to identify the clinically most relevant complications after gastrectomy, using the population-attributable fraction (PAF).
methodsBetween 2011 and 2017, all patients who underwent potentially curative gastrectomy for gastric adenocarcinoma were included from the Dutch Upper GI Cancer Audit. Postoperative outcomes (morbidity, mortality, recovery and hospitalization) were evaluated. The prevalence of postoperative complications (e.g., anastomotic leakage and pneumonia) and of the study outcomes were calculated. The adjusted relative risk and Confidence Interval (CI) for each complication-outcome pair were calculated. Subsequently, the PAF was calculated, which represents the percentage of a given outcome occurring in the population, caused by individual complications, taking both the relative risk and the frequency in which a complication occurs into account.
resultsIn total, 2176 patients were analyzed. Anastomotic leakage and pulmonary complications had the greatest overall impact on postoperative mortality (PAF 29.2% [95% CI 19.3-39.1] and 21.6% [95% CI 10.5-32.7], respectively) and prolonged hospitalization (PAF 12.9% [95% CI 9.7-16.0] and 14.7% [95% CI 11.0-18.8], respectively). Anastomotic leakage had the greatest overall impact on re-interventions (PAF 25.1% [95% CI 20.5-29.7]) and reoperations (PAF 30.3% [95% CI 24.3-36.3]). Intra-abdominal abscesses had the largest impact on readmissions (PAF 7.0% [95% CI 3.2-10.9]). Other complications only had a small effect on these outcomes.
conclusionSurgical improvement programs should focus on preventing or managing anastomotic leakage and pulmonary complications, since these complications have the greatest overall impact on clinical outcomes after gastrectomy.
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