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
Hauptverfasser: Takahashi, Tadao, Yamashiro, Moriya, Hashimoto, Hajime, Noro, Toshio, Hino, Yasunori, Hirashima, Tokuji, Kuroiwa, Kojiro
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container_end_page 446
container_issue 6
container_start_page 441
container_title Nihon Rōnen Igakkai zasshi
container_volume 31
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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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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