Evidence map›Paper›PMID 33503112›Full record

ArticleArquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery2021

GASTRECTOMY IN OCTOGENARIANS WITH GASTRIC CANCER: IS IT FEASIBLE?

Francisco Diogo Almeida Silva, Marina Alessandra Pereira, Marcus Fernando Kodama Pertille Ramos, Ulysses Ribeiro-Junior, Bruno Zilberstein, Ivan Cecconello, Andre Roncon Dias

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

Article in Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.5field-weighted citation impact, top 29% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. THE VALUE OF PREOPERATIVE PROGNOSTIC NUTRITIONAL INDEX IN GASTRIC CANCER AFTER CURATIVE RESECTION.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2024
    Article
  3. RATIO OF METASTATIC LYMPH NODES VS. RESECTED LYMPH NODES (N-RATIO) HAS PROGNOSTIC IMPLICATIONS IN GASTRIC CANCER.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2024
    Article
  4. Article
  5. DOES AGE INFLUENCE IN ENDOSCOPIC THERAPEUTIC SUCCESS ON THE BILIARY TRACT?Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2022
    Article
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

7 authors at 2 institutions in 1 country.

Francisco Diogo Almeida SilvaFaculty of Medical Sciences of Campina Grande, Medicine, Campina Grande, PB, Brazil.ORCID http://orcid.org/0000-0002-3290-6865
Marina Alessandra PereiraHospital de Clínicas, Faculty of Medicine, University of São Paulo, Cancer Institute, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0002-6865-0988
Marcus Fernando Kodama Pertille RamosHospital de Clínicas, Faculty of Medicine, University of São Paulo, Cancer Institute, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0003-0200-7858
Ulysses Ribeiro-JuniorHospital de Clínicas, Faculty of Medicine, University of São Paulo, Cancer Institute, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0003-1711-7347
Bruno ZilbersteinHospital de Clínicas, Faculty of Medicine, University of São Paulo, Cancer Institute, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0002-1809-8558
Ivan CecconelloHospital de Clínicas, Faculty of Medicine, University of São Paulo, Cancer Institute, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0002-3535-4170
Andre Roncon DiasHospital de Clínicas, Faculty of Medicine, University of São Paulo, Cancer Institute, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0003-3378-4916
Universidade de São Paulo · BRUniversidade Federal de Campina Grande · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe octogenarian population is expanding worldwide and demand for gastrectomy due to gastric cancer in this population is expected to grow. However, the outcomes of surgery with curative intent in this age group are poorly reported and it is unclear what matters most to survival: age, clinical status, disease´s stage, or the extent of the surgery performed.

aimEvaluate the results of gastrectomy in octogenarians with gastric cancer and to verify the factors related to survival.

methodsFrom prospective database, patients aged 80 years or older with histologically confirmed adenocarcinoma who had undergone gastrectomy with curative intent were selected. Factors related to postoperative complications and survival were studied.

resultsFifty-one patients fulfilled the inclusion criteria. A total of 70.5% received subtotal gastrectomy and in 72.5% D1 lymphadenectomy was performed. Twenty-five (49%) had complications, in eleven major complications occurred (seven of these were clinical complications). Hospital length of stay was longer (8.5 vs. 17.8 days, p=0.002), and overall survival shorter (median of 1.4 vs. 20.5 months, p=0.009) for those with complications. D2 lymphadenectomy and the presence of postoperative complications were independent factors for worse overall survival.

conclusionOctogenarians undergoing gastrectomy with curative intent have high risk for postoperative clinical complications. D1 lymphadenectomy should be the standard of care in these patients.

Indexed as

AdenocarcinomaAged, 80 and overFemaleGastrectomyHumansLength of StayLymph Node ExcisionMalePostoperative ComplicationsRetrospective StudiesStomach Neoplasms

Identifiers

PMID33503112
PMCPMC7836070
OpenAlexW3125451812

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.