Prognostic Factors Influencing Survival after Operations for Gastric Cancer in the Elderly
The prognostic factors influencing survival after operations for gastric cancer in the elderly were evaluated by Cox's proportional hazards model analysis. Data were obtained from 511 operations over a 10-year period, in patients with a mean age of 75.6±7.9 years. The significant prognostic fac...
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Veröffentlicht in: | Nihon Rōnen Igakkai zasshi 1994/06/25, Vol.31(6), pp.441-446 |
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creator | Takahashi, Tadao Yamashiro, Moriya Hashimoto, Hajime Noro, Toshio Hino, Yasunori Hirashima, Tokuji Kuroiwa, Kojiro |
description | The prognostic factors influencing survival after operations for gastric cancer in the elderly were evaluated by Cox's proportional hazards model analysis. Data were obtained from 511 operations over a 10-year period, in patients with a mean age of 75.6±7.9 years. The significant prognostic factors of survival out of 47 examined risk factors were, in order of standardized coefficient values, (1) stage of cancer, (2) %IBW, (3) peritoneal dissemination (P-factor), (4) multiple non-gastric cancers, (5) postoperative hepatic injury and (6) postoperative cardiac complication. No other factors, including preoperative associated diseases and postoperative pulmonary complication (the major risk factor of operative death), were significant risk factors of survival. We conclude that by giving special postoperative attention to prevent hepatic injury and cardiac complication, the length of survival of elderly patients with gastric cancer will improve. |
doi_str_mv | 10.3143/geriatrics.31.441 |
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Data were obtained from 511 operations over a 10-year period, in patients with a mean age of 75.6±7.9 years. The significant prognostic factors of survival out of 47 examined risk factors were, in order of standardized coefficient values, (1) stage of cancer, (2) %IBW, (3) peritoneal dissemination (P-factor), (4) multiple non-gastric cancers, (5) postoperative hepatic injury and (6) postoperative cardiac complication. No other factors, including preoperative associated diseases and postoperative pulmonary complication (the major risk factor of operative death), were significant risk factors of survival. We conclude that by giving special postoperative attention to prevent hepatic injury and cardiac complication, the length of survival of elderly patients with gastric cancer will improve.</description><identifier>ISSN: 0300-9173</identifier><identifier>DOI: 10.3143/geriatrics.31.441</identifier><identifier>PMID: 8078208</identifier><language>eng ; jpn</language><publisher>Japan: The Japan Geriatrics Society</publisher><subject>Aged ; Aged, 80 and over ; Cox's proportional hazards model ; Elderly ; Female ; Humans ; Male ; Middle Aged ; Operation for gastric cancer ; Prognosis ; Prognostic factors of survival ; Proportional Hazards Models ; Risk Factors ; Stomach Neoplasms - mortality ; Stomach Neoplasms - surgery ; Survival Rate</subject><ispartof>Nippon Ronen Igakkai Zasshi. 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Data were obtained from 511 operations over a 10-year period, in patients with a mean age of 75.6±7.9 years. The significant prognostic factors of survival out of 47 examined risk factors were, in order of standardized coefficient values, (1) stage of cancer, (2) %IBW, (3) peritoneal dissemination (P-factor), (4) multiple non-gastric cancers, (5) postoperative hepatic injury and (6) postoperative cardiac complication. No other factors, including preoperative associated diseases and postoperative pulmonary complication (the major risk factor of operative death), were significant risk factors of survival. We conclude that by giving special postoperative attention to prevent hepatic injury and cardiac complication, the length of survival of elderly patients with gastric cancer will improve.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Cox's proportional hazards model</subject><subject>Elderly</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Operation for gastric cancer</subject><subject>Prognosis</subject><subject>Prognostic factors of survival</subject><subject>Proportional Hazards Models</subject><subject>Risk Factors</subject><subject>Stomach Neoplasms - mortality</subject><subject>Stomach Neoplasms - surgery</subject><subject>Survival Rate</subject><issn>0300-9173</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1994</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNkEFPwjAYhnvQIKI_wINJT96G7dp129EQQAwJJurFS9OVb6NkdNhuJPx7S0bQS5sv7_s9X_Ig9EDJmFHOnitwRrXOaB_mMef0Cg0JIyTKacpu0K33W0KShIt4gAYZSbOYZEP0_e6ayja-NRrPlG4b5_HClnUHVhtb4Y_OHcxB1ViVLTi82oNTrWmsx2Xj8Fz500U8UVaH1FjcbgBP6zW4-niHrktVe7g__yP0NZt-Tl6j5Wq-mLwsI80YoRHLVMHWnJWFoJqnghLBiaaxEDxLmM55yuM8hjymCS8pB51QnhAdq1gVPKfARuip5-5d89OBb-XOeA11rSw0nZepELlIExqKtC9q13jvoJR7Z3bKHSUl8uRQ_jkMswwOw87jGd4VO1hfNs4CQ_7W51vfqgouuXLBaA3_iDQX_EQV_RPgl5LeKCfBsl8pTowO</recordid><startdate>1994</startdate><enddate>1994</enddate><creator>Takahashi, Tadao</creator><creator>Yamashiro, Moriya</creator><creator>Hashimoto, Hajime</creator><creator>Noro, Toshio</creator><creator>Hino, Yasunori</creator><creator>Hirashima, Tokuji</creator><creator>Kuroiwa, Kojiro</creator><general>The Japan Geriatrics Society</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>1994</creationdate><title>Prognostic Factors Influencing Survival after Operations for Gastric Cancer in the Elderly</title><author>Takahashi, Tadao ; Yamashiro, Moriya ; Hashimoto, Hajime ; Noro, Toshio ; Hino, Yasunori ; Hirashima, Tokuji ; Kuroiwa, Kojiro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3301-38ab3d43fb61c47610640c12664853c9474292e92154f14ec51450c2a2ab491e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng ; jpn</language><creationdate>1994</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Cox's proportional hazards model</topic><topic>Elderly</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Operation for gastric cancer</topic><topic>Prognosis</topic><topic>Prognostic factors of survival</topic><topic>Proportional Hazards Models</topic><topic>Risk Factors</topic><topic>Stomach Neoplasms - mortality</topic><topic>Stomach Neoplasms - surgery</topic><topic>Survival Rate</topic><toplevel>online_resources</toplevel><creatorcontrib>Takahashi, Tadao</creatorcontrib><creatorcontrib>Yamashiro, Moriya</creatorcontrib><creatorcontrib>Hashimoto, Hajime</creatorcontrib><creatorcontrib>Noro, Toshio</creatorcontrib><creatorcontrib>Hino, Yasunori</creatorcontrib><creatorcontrib>Hirashima, Tokuji</creatorcontrib><creatorcontrib>Kuroiwa, Kojiro</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Nihon Rōnen Igakkai zasshi</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Takahashi, Tadao</au><au>Yamashiro, Moriya</au><au>Hashimoto, Hajime</au><au>Noro, Toshio</au><au>Hino, Yasunori</au><au>Hirashima, Tokuji</au><au>Kuroiwa, Kojiro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prognostic Factors Influencing Survival after Operations for Gastric Cancer in the Elderly</atitle><jtitle>Nihon Rōnen Igakkai zasshi</jtitle><addtitle>Nippon Ronen Igakkai Zasshi</addtitle><date>1994</date><risdate>1994</risdate><volume>31</volume><issue>6</issue><spage>441</spage><epage>446</epage><pages>441-446</pages><issn>0300-9173</issn><abstract>The prognostic factors influencing survival after operations for gastric cancer in the elderly were evaluated by Cox's proportional hazards model analysis. Data were obtained from 511 operations over a 10-year period, in patients with a mean age of 75.6±7.9 years. The significant prognostic factors of survival out of 47 examined risk factors were, in order of standardized coefficient values, (1) stage of cancer, (2) %IBW, (3) peritoneal dissemination (P-factor), (4) multiple non-gastric cancers, (5) postoperative hepatic injury and (6) postoperative cardiac complication. No other factors, including preoperative associated diseases and postoperative pulmonary complication (the major risk factor of operative death), were significant risk factors of survival. We conclude that by giving special postoperative attention to prevent hepatic injury and cardiac complication, the length of survival of elderly patients with gastric cancer will improve.</abstract><cop>Japan</cop><pub>The Japan Geriatrics Society</pub><pmid>8078208</pmid><doi>10.3143/geriatrics.31.441</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Aged Aged, 80 and over Cox's proportional hazards model Elderly Female Humans Male Middle Aged Operation for gastric cancer Prognosis Prognostic factors of survival Proportional Hazards Models Risk Factors Stomach Neoplasms - mortality Stomach Neoplasms - surgery Survival Rate |
title | Prognostic Factors Influencing Survival after Operations for Gastric Cancer in the Elderly |
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