Short- and Long-Term Outcomes After Gastrectomy in Elderly Gastric Cancer Patients
DC Field | Value | Language |
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dc.contributor.author | Yang, Jun-Young | - |
dc.contributor.author | Lee, Hyuk-Joon | - |
dc.contributor.author | Kim, Tae Han | - |
dc.contributor.author | Huh, Yeon-Ju | - |
dc.contributor.author | Son, Young-Gil | - |
dc.contributor.author | Park, Ji-Ho | - |
dc.contributor.author | Ahn, Hye Seong | - |
dc.contributor.author | Suh, Yun-Suhk | - |
dc.contributor.author | Kong, Seong-Ho | - |
dc.contributor.author | Yang, Han-Kwang | - |
dc.date.available | 2020-02-27T19:44:00Z | - |
dc.date.created | 2020-02-07 | - |
dc.date.issued | 2017-02 | - |
dc.identifier.issn | 1068-9265 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/6432 | - |
dc.description.abstract | The number of elderly patients undergoing gastric cancer surgery has recently increased. We therefore evaluated the short- and long-term outcomes of elderly patients after curative gastrectomy. Overall, 824 patients were included in this retrospective study, which comprised of a non-elderly group (60-64 years; n = 558), an early-elderly group (75-79 years; n = 198), and a late-elderly group >= 80 years; n = 68) who underwent curative gastrectomy for gastric cancer between 2005 and 2009. Postoperative complications, according to the Clavien-Dindo classification, and survival of both elderly groups were compared with the non-elderly group. Postoperative life expectancy of the late-elderly group was compared with the corresponding aged general population. Overall and severe (grade III or higher) complications in the early-elderly group were comparable with the non-elderly group; however, those in the late-elderly group were significantly more common than in the non-elderly group (p = 0.013 and p = 0.043, respectively). Multivariable analysis revealed that age >= 80 years was an independent risk factor for severe complications (hazard ratio 3.02, 95 % confidence interval 1.12-8.17; p = 0.029), and the disease-specific survivals of both elderly groups were comparable with the non-elderly group in all TNM stages. Postoperative life expectancy of late-elderly patients eliminating death from recurrence was comparable with the corresponding aged general population eliminating death from gastric cancer. Gastric cancer surgery in elderly patients aged >= 80 years achieves reasonable long-term survival despite the increased risk of severe complications. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | SPRINGER | - |
dc.relation.isPartOf | ANNALS OF SURGICAL ONCOLOGY | - |
dc.subject | SURGICAL OUTCOMES | - |
dc.subject | POSTOPERATIVE COMPLICATIONS | - |
dc.subject | OLDER | - |
dc.subject | CLASSIFICATION | - |
dc.subject | MULTICENTER | - |
dc.subject | DISSECTION | - |
dc.subject | MORTALITY | - |
dc.subject | SURGERY | - |
dc.subject | FRAILTY | - |
dc.subject | SAFETY | - |
dc.title | Short- and Long-Term Outcomes After Gastrectomy in Elderly Gastric Cancer Patients | - |
dc.type | Article | - |
dc.type.rims | ART | - |
dc.description.journalClass | 1 | - |
dc.identifier.wosid | 000391926600023 | - |
dc.identifier.doi | 10.1245/s10434-016-5482-y | - |
dc.identifier.bibliographicCitation | ANNALS OF SURGICAL ONCOLOGY, v.24, no.2, pp.469 - 477 | - |
dc.identifier.scopusid | 2-s2.0-84982835359 | - |
dc.citation.endPage | 477 | - |
dc.citation.startPage | 469 | - |
dc.citation.title | ANNALS OF SURGICAL ONCOLOGY | - |
dc.citation.volume | 24 | - |
dc.citation.number | 2 | - |
dc.contributor.affiliatedAuthor | Yang, Jun-Young | - |
dc.type.docType | Article | - |
dc.subject.keywordPlus | SURGICAL OUTCOMES | - |
dc.subject.keywordPlus | POSTOPERATIVE COMPLICATIONS | - |
dc.subject.keywordPlus | OLDER | - |
dc.subject.keywordPlus | CLASSIFICATION | - |
dc.subject.keywordPlus | MULTICENTER | - |
dc.subject.keywordPlus | DISSECTION | - |
dc.subject.keywordPlus | MORTALITY | - |
dc.subject.keywordPlus | SURGERY | - |
dc.subject.keywordPlus | FRAILTY | - |
dc.subject.keywordPlus | SAFETY | - |
dc.relation.journalResearchArea | Oncology | - |
dc.relation.journalResearchArea | Surgery | - |
dc.relation.journalWebOfScienceCategory | Oncology | - |
dc.relation.journalWebOfScienceCategory | Surgery | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
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