Evidence map›Paper›PMID 37624560›Full record

ArticleAging clinical and experimental research2023

Analysis of risk factors affecting long-term survival in elderly patients with advanced gastric cancer.

Seong-A Jeong, Jeong Hwan Yook, Moon-Won Yoo, Beom Su Kim, In-Seob Lee, Sehee Kim, Chung Sik Gong, Chang Seok Ko

Abstract read
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In one paragraph

Article in Aging clinical and experimental research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 21% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

8 authors at 1 institution in 1 country.

Seong-A JeongDepartment of Surgery, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea.ORCID http://orcid.org/0000-0003-3813-4488
Jeong Hwan YookDepartment of Gastrointestinal Surgery, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro, 43-gil, Songpa-Gu, Seoul, 05505, Korea.ORCID http://orcid.org/0000-0002-7987-5808
Moon-Won YooDepartment of Gastrointestinal Surgery, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro, 43-gil, Songpa-Gu, Seoul, 05505, Korea.ORCID http://orcid.org/0000-0003-0346-9042
Beom Su KimDepartment of Gastrointestinal Surgery, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro, 43-gil, Songpa-Gu, Seoul, 05505, Korea.ORCID http://orcid.org/0000-0002-3656-2086
In-Seob LeeDepartment of Gastrointestinal Surgery, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro, 43-gil, Songpa-Gu, Seoul, 05505, Korea.ORCID http://orcid.org/0000-0003-3099-0140
Sehee KimDepartment of Clinical Epidemiology and Biostatistics, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.ORCID http://orcid.org/0000-0002-1815-6957
Chung Sik GongDepartment of Gastrointestinal Surgery, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro, 43-gil, Songpa-Gu, Seoul, 05505, Korea.ORCID http://orcid.org/0000-0002-5116-609X
Chang Seok KoDepartment of Gastrointestinal Surgery, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro, 43-gil, Songpa-Gu, Seoul, 05505, Korea. kochs815@gmail.com.ORCID http://orcid.org/0000-0002-4155-4312
Ulsan College · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFactors predicting postoperative complications after gastrectomy for elderly patients with gastric cancer have been analyzed in several previous studies. However, there is limited research available on risk factors related to long-term survival.

aimsThis study aimed to analyze factors affecting long-term survival after curative gastrectomy in elderly patients with advanced gastric cancer.

methodsThis study included patients aged > 75 years with histologically confirmed advanced gastric cancer stage II or greater. Before analysis, risk factors were categorized into four groups: baseline characteristics, underlying diseases, surgical and pathologic factors, and nutritional factors.

resultsThe mean follow-up duration was 71.0 months. The 5-year overall survival and disease-specific survival rates were 51.5% and 58.3%, respectively. Kaplan-Meier curves showed that patients who were female and overweight had significantly longer survival rates than those who were male and underweight. Elderly patients who underwent a total gastrectomy had poorer survival rates than those who underwent a distal gastrectomy. Multivariate analysis demonstrated that tumor stage, extent of gastrectomy, overweight status and overall complication were independent risk factors for overall survival. DISCUSSION: Our study show that the overweight patients, the extent of gastrectomy, tumor stage and overall complications are significant risk factors affecting long-term survival.

conclusionsTherefore, surgeons may be cautious in performing total gastrectomy in elderly gastric cancer patients. Additionally, it is important to focus on improving nutritional status and mitigating overall complications.

Indexed as

Stomach NeoplasmsAgedFemaleGastrectomyHumansMaleNeoplasm StagingOverweightPostoperative ComplicationsPrognosisRetrospective StudiesRisk FactorsSurvival RateTreatment OutcomeElderlyGastrectomyRisk factorStomach neoplasm

Identifiers

PMID37624560
OpenAlexW4386152223

What OpenQuestion holds

Textmetadata
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.