Evidence map›Paper›PMID 39759983›Full record

ArticleAnnals of gastroenterological surgery2025

Risk factors for serious postoperative complications following gastrectomy in super-elderly patients ≥85-years-old with gastric cancer: A National Clinical Database study in Japan.

Yoshitake Ueda, Shiori Nishimura, Masafumi Inomata, Tomonori Akagi, Hidefumi Shiroshita, Tsuyoshi Etoh, Shuji Takiguchi, Yoshiharu Sakai, Hiraku Kumamaru, Hideki Ueno and 1 more

Abstract read
In one paragraph

Article in Annals of gastroenterological surgery, 2025. 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
–field-weighted citation impact
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.

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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

11 authors.

Yoshitake UedaAcademic Committee of Japan Society for Endoscopic Surgery Tokyo Japan.ORCID https://orcid.org/0000-0002-1454-2033
Shiori NishimuraDepartment of Healthcare Quality Assessment The University of Tokyo Graduate School of Medicine Tokyo Japan.ORCID https://orcid.org/0000-0003-1319-3158
Masafumi InomataAcademic Committee of Japan Society for Endoscopic Surgery Tokyo Japan.ORCID https://orcid.org/0000-0002-8475-3688
Tomonori AkagiAcademic Committee of Japan Society for Endoscopic Surgery Tokyo Japan.ORCID https://orcid.org/0000-0002-0722-0343
Hidefumi ShiroshitaAcademic Committee of Japan Society for Endoscopic Surgery Tokyo Japan.ORCID https://orcid.org/0000-0003-2800-8314
Tsuyoshi EtohAcademic Committee of Japan Society for Endoscopic Surgery Tokyo Japan.ORCID https://orcid.org/0000-0003-4093-816X
Shuji TakiguchiAcademic Committee of Japan Society for Endoscopic Surgery Tokyo Japan.
Yoshiharu SakaiAcademic Committee of Japan Society for Endoscopic Surgery Tokyo Japan.
Hiraku KumamaruDepartment of Healthcare Quality Assessment The University of Tokyo Graduate School of Medicine Tokyo Japan.
Hideki UenoDatabase Committee The Japanese Society of Gastroenterological Surgery Tokyo Japan.ORCID https://orcid.org/0000-0002-8600-1199
Yuko KitagawaThe Japanese Society of Gastroenterological Surgery Tokyo Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: This study aimed to evaluate the technical safety and feasibility of gastrectomy for super-elderly patients ≥85-y-old with gastric cancer and to clarify the risk factors for serious postoperative complications in these patients. Methods: Between 2017 and 2020, 10,203 patients who underwent distal gastrectomy (DG) and 2580 patients who underwent total gastrectomy (TG) were reviewed from the Japanese National Clinical Database. All possible preoperative factors were used to explore the risk factors for serious postoperative complications in the super-elderly patients with gastric cancer. Results: For DG, the operative mortality rate was 1.6% (162 patients), and the rate of serious postoperative complications was 7.8% (796 patients). Similarly, the mortality rate was 2.6% (67 patients), and the rate of serious complications was 11.3% (292 patients) for TG. Based on multivariate analysis, body mass index (≥25 kg/m Conclusions: The study findings suggest that gastrectomy for super-elderly gastric cancer patients is relatively safe and feasible. Surgeons need to pay special attention to physical status and past medical history than tumor factors for preventing serious postoperative complications in super-elderly gastric cancer patients.

Indexed as

elderly patientsgastrectomyNational Clinical Databasepostoperative complicationsrisk factors

Identifiers

PMID39759983
PMCPMC11693583

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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.