ArticleDiscover oncology2025
Impact of seasons on elderly patients with esophageal squamous cell carcinoma following esophagectomy: a propensity score matching analysis.
Article in Discover oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundEsophageal squamous cell carcinoma (ESCC) is prevalent in East Asia, with elderly patients facing unique postoperative challenges. This study examines the impact of seasonal variations on postoperative complications and survival in elderly patients undergoing esophagectomy for ESCC.
methodsThis retrospective cohort study was conducted using data from the Sichuan Cancer Hospital & Institute Esophageal Cancer Case Management Database. Elderly patients (≥ 70 years) with thoracic ESCC who underwent esophagectomy between May 2016 and August 2021 were included. Patients were stratified into four seasonal groups: Winter (December-February), Spring (March-May), Summer (June-August), and Autumn (September-November). Primary outcomes included overall survival (OS), disease-free survival (DFS). Secondary outcomes assessed postoperative complications using the Clavien-Dindo classification.
resultsA total of 469 elderly ESCC patients were included. The median overall survival was 51.6 months, with no significant differences in OS or DFS across the four seasonal groups. Restricted Mean Survival Time (RMST) and Restricted Mean Disease-Free Survival Time (RMDFST) analyses also showed no significant seasonal variations. The Summer group had a significantly higher incidence of hydrothorax compared to other groups (p < 0.05).
conclusionsSeasonal variations influence specific short-term postoperative complications but do not significantly impact long-term survival in elderly ESCC patients undergoing esophagectomy.
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