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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Kulig, P. Sierzega, M. Kowalczyk, T. Kolodziejczyk, P. Kulig, J. |
| Spatial Coverage | Poland |
| Description | Country affiliation: Poland Author Affiliation: Kulig P ( Department of Surgery, Jagiellonian University Medical College, 40 Kopernika Street, 31-501 Krakow, Poland. mskulig@cyf-kr.edu.pl) |
| Abstract | BACKGROUND: Metastatic gastric cancer remains a significant problem as the majority of Western patients are diagnosed with disseminated disease and no routine therapeutic regimen is accepted in such cases. METHODS: A cohort of 3141 patients with gastric cancer operated between 1990 and 2005 was evaluated using a multicenter data set held by the Polish Gastric Cancer Study Group to determine potential risks and benefits of non-curative gastrectomy for metastatic disease. Additionally, parameters of Quality of Life (QoL) were evaluated prospectively in 140 patients undergoing gastrectomy using the QLQ-C30 questionnaire. RESULTS: Gastrectomy was carried out in 2258 patients. Distant organ metastases were diagnosed in 951 patients, 415 of which underwent non-curative gastrectomy. The overall mortality rates were significantly higher in patients undergoing non-resectional surgery (10%) than either curative (3%, P < 0.001) or non-curative (4%, P = 0.002) gastrectomy. The overall median survival in patients with metastatic disease was significantly higher for non-curative gastrectomy (10.6 months, 95% confidence interval (CI) 9.3-11.9) than for non-resective operations (4.4 months, 95% CI 4.0 to 4.8, P < 0.001). The hazard ratio of death in patients subject to non-resectional surgery compared to those treated by gastrectomy was 2.923 (95% CI 2.473 to 3.454, P < 0.001). A gradual impairment in QoL parameters was found over 12 months after non-curative resections but changes did not reach statistical significance and individual parameters were similar to gastrectomy without distant metastases. CONCLUSION: Non-curative gastrectomy for metastatic gastric cancer is associated with significantly better survival compared to non-resective surgery and does not impair quality of life. |
| File Format | HTM / HTML |
| ISSN | 07487983 |
| Issue Number | 6 |
| Volume Number | 38 |
| e-ISSN | 15322157 |
| Journal | European Journal of Surgical Oncology (EJSO) |
| Language | English |
| Publisher | Elsevier |
| Publisher Date | 2012-06-01 |
| Publisher Place | Great Britain (UK) |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline General Surgery Discipline Oncology Gastrectomy Quality Of Life Stomach Neoplasms Pathology Surgery Adolescent Adult Aged Aged, 80 And Over Constipation Etiology Diarrhea Female Adverse Effects Humans Male Medical Records Middle Aged Odds Ratio Poland Proportional Hazards Models Prospective Studies Retrospective Studies Questionnaires Survival Analysis Time Factors Treatment Outcome Comparative Study Journal Article Multicenter Study Research Support, Non-u.s. Gov't |
| Content Type | Text |
| Resource Type | Article |
| Subject | Surgery Oncology |
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