Differences in gastric cancer survival between the U.S. and China
Background Previous comparisons of gastric cancer between the West and the East have focused predominantly on Japan and Korea, where early gastric cancer is prevalent, and have not included the Chinese experience, which accounts for approximately half the world's gastric cancer. Methods Patient...
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| Veröffentlicht in: | Journal of surgical oncology 2015-07, Vol.112 (1), p.31-37 |
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| creator | Strong, Vivian E. Wu, Ai-wen Selby, Luke V. Gonen, Mithat Hsu, Meier Song, Kyo Young Park, Cho Hyun Coit, Daniel G. Ji, Jia-fu Brennan, Murray F. |
| description | Background
Previous comparisons of gastric cancer between the West and the East have focused predominantly on Japan and Korea, where early gastric cancer is prevalent, and have not included the Chinese experience, which accounts for approximately half the world's gastric cancer.
Methods
Patient characteristics, surgical procedures, pathologic information, and survival were compared among gastric cancer patients who underwent curative intent gastrectomy at two large volume cancer centers in China and the US between 1995 and 2005.
Results
Median age and body mass index were significantly higher in US patients. The proportion of proximal gastric cancer was comparable. Gastric cancer patients in China had larger tumors and a later stage at presentation. The median number of positive lymph nodes was higher (5 vs 4, P |
| doi_str_mv | 10.1002/jso.23940 |
| format | Article |
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Previous comparisons of gastric cancer between the West and the East have focused predominantly on Japan and Korea, where early gastric cancer is prevalent, and have not included the Chinese experience, which accounts for approximately half the world's gastric cancer.
Methods
Patient characteristics, surgical procedures, pathologic information, and survival were compared among gastric cancer patients who underwent curative intent gastrectomy at two large volume cancer centers in China and the US between 1995 and 2005.
Results
Median age and body mass index were significantly higher in US patients. The proportion of proximal gastric cancer was comparable. Gastric cancer patients in China had larger tumors and a later stage at presentation. The median number of positive lymph nodes was higher (5 vs 4, P < 0.02) despite a lower lymph node retrieval (16 vs 22, P < 0.001) in Chinese patients. The probability of death due to gastric cancer in Chinese patients was 1.7 fold of that in the US (P < 0.0001) after adjusting for important prognostic factors.
Conclusions
Even after adjusting for important prognostic factors Chinese gastric cancer patients have a worse outcome than US gastric cancer patients. The differences between Chinese and US gastric cancer are a potential resource for understanding the disease. J. Surg. Oncol. 2015 111:31–37. © 2015 Wiley Periodicals, Inc.</description><identifier>ISSN: 0022-4790</identifier><identifier>EISSN: 1096-9098</identifier><identifier>DOI: 10.1002/jso.23940</identifier><identifier>PMID: 26175203</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Adenocarcinoma - epidemiology ; Adenocarcinoma - mortality ; Adenocarcinoma - pathology ; Adenocarcinoma - surgery ; Adult ; Aged ; Aged, 80 and over ; China - epidemiology ; Female ; Follow-Up Studies ; gastrectomy ; Gastrectomy - mortality ; gastric cancer ; Humans ; Male ; Middle Aged ; Neoplasm Staging ; Prognosis ; Stomach Neoplasms - epidemiology ; Stomach Neoplasms - mortality ; Stomach Neoplasms - pathology ; Stomach Neoplasms - surgery ; Survival Rate ; United States - epidemiology ; Young Adult</subject><ispartof>Journal of surgical oncology, 2015-07, Vol.112 (1), p.31-37</ispartof><rights>2015 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4470-8bce302fb5ba09b328e161438877269b1916976117df591e3c35b358d95344773</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjso.23940$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjso.23940$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,776,780,881,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26175203$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Strong, Vivian E.</creatorcontrib><creatorcontrib>Wu, Ai-wen</creatorcontrib><creatorcontrib>Selby, Luke V.</creatorcontrib><creatorcontrib>Gonen, Mithat</creatorcontrib><creatorcontrib>Hsu, Meier</creatorcontrib><creatorcontrib>Song, Kyo Young</creatorcontrib><creatorcontrib>Park, Cho Hyun</creatorcontrib><creatorcontrib>Coit, Daniel G.</creatorcontrib><creatorcontrib>Ji, Jia-fu</creatorcontrib><creatorcontrib>Brennan, Murray F.</creatorcontrib><title>Differences in gastric cancer survival between the U.S. and China</title><title>Journal of surgical oncology</title><addtitle>J. Surg. Oncol</addtitle><description>Background
Previous comparisons of gastric cancer between the West and the East have focused predominantly on Japan and Korea, where early gastric cancer is prevalent, and have not included the Chinese experience, which accounts for approximately half the world's gastric cancer.
Methods
Patient characteristics, surgical procedures, pathologic information, and survival were compared among gastric cancer patients who underwent curative intent gastrectomy at two large volume cancer centers in China and the US between 1995 and 2005.
Results
Median age and body mass index were significantly higher in US patients. The proportion of proximal gastric cancer was comparable. Gastric cancer patients in China had larger tumors and a later stage at presentation. The median number of positive lymph nodes was higher (5 vs 4, P < 0.02) despite a lower lymph node retrieval (16 vs 22, P < 0.001) in Chinese patients. The probability of death due to gastric cancer in Chinese patients was 1.7 fold of that in the US (P < 0.0001) after adjusting for important prognostic factors.
Conclusions
Even after adjusting for important prognostic factors Chinese gastric cancer patients have a worse outcome than US gastric cancer patients. The differences between Chinese and US gastric cancer are a potential resource for understanding the disease. J. Surg. Oncol. 2015 111:31–37. © 2015 Wiley Periodicals, Inc.</description><subject>Adenocarcinoma - epidemiology</subject><subject>Adenocarcinoma - mortality</subject><subject>Adenocarcinoma - pathology</subject><subject>Adenocarcinoma - surgery</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>China - epidemiology</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>gastrectomy</subject><subject>Gastrectomy - mortality</subject><subject>gastric cancer</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Neoplasm Staging</subject><subject>Prognosis</subject><subject>Stomach Neoplasms - epidemiology</subject><subject>Stomach Neoplasms - mortality</subject><subject>Stomach Neoplasms - pathology</subject><subject>Stomach Neoplasms - surgery</subject><subject>Survival Rate</subject><subject>United States - epidemiology</subject><subject>Young Adult</subject><issn>0022-4790</issn><issn>1096-9098</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkUFvEzEQhS0EoqFw4A8gS1y4bDq21_b6glQFaEClFSqlR8u7mW0cNt7W3k3pv8dpSgScbPl9782Mh5DXDKYMgB-tUj_lwpTwhEwYGFUYMNVTMskaL0pt4IC8SGkFAMao8jk54IppyUFMyPEH37YYMTSYqA_02qUh-oY2Lr9Emsa48RvX0RqHO8RAhyXSy-nFlLqwoLOlD-4leda6LuGrx_OQXH76-H02L07PTz7Pjk-Lpiw1FFXdoADe1rJ2YGrBK2SKlaKqtObK1MwwZbRiTC9aaRiKRshayGphpMgBWhyS97vcm7Fe46LBMETX2Zvo1y7e2955-68S_NJe9xtbKrUtkQPePQbE_nbENNi1Tw12nQvYj8nm-hVwLbXM6Nv_0FU_xpDH21KacwNyS735u6N9K39-NwNHO-DOd3i_1xnY7dpsXpt9WJv9cnH-cMmOYufwacBfe4eLP63SQkt7dXZi5-X821dx9cOeid_Jo5aV</recordid><startdate>201507</startdate><enddate>201507</enddate><creator>Strong, Vivian E.</creator><creator>Wu, Ai-wen</creator><creator>Selby, Luke V.</creator><creator>Gonen, Mithat</creator><creator>Hsu, Meier</creator><creator>Song, Kyo Young</creator><creator>Park, Cho Hyun</creator><creator>Coit, Daniel G.</creator><creator>Ji, Jia-fu</creator><creator>Brennan, Murray F.</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201507</creationdate><title>Differences in gastric cancer survival between the U.S. and China</title><author>Strong, Vivian E. ; Wu, Ai-wen ; Selby, Luke V. ; Gonen, Mithat ; Hsu, Meier ; Song, Kyo Young ; Park, Cho Hyun ; Coit, Daniel G. ; Ji, Jia-fu ; Brennan, Murray F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4470-8bce302fb5ba09b328e161438877269b1916976117df591e3c35b358d95344773</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adenocarcinoma - epidemiology</topic><topic>Adenocarcinoma - mortality</topic><topic>Adenocarcinoma - pathology</topic><topic>Adenocarcinoma - surgery</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>China - epidemiology</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>gastrectomy</topic><topic>Gastrectomy - mortality</topic><topic>gastric cancer</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Neoplasm Staging</topic><topic>Prognosis</topic><topic>Stomach Neoplasms - epidemiology</topic><topic>Stomach Neoplasms - mortality</topic><topic>Stomach Neoplasms - pathology</topic><topic>Stomach Neoplasms - surgery</topic><topic>Survival Rate</topic><topic>United States - epidemiology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Strong, Vivian E.</creatorcontrib><creatorcontrib>Wu, Ai-wen</creatorcontrib><creatorcontrib>Selby, Luke V.</creatorcontrib><creatorcontrib>Gonen, Mithat</creatorcontrib><creatorcontrib>Hsu, Meier</creatorcontrib><creatorcontrib>Song, Kyo Young</creatorcontrib><creatorcontrib>Park, Cho Hyun</creatorcontrib><creatorcontrib>Coit, Daniel G.</creatorcontrib><creatorcontrib>Ji, Jia-fu</creatorcontrib><creatorcontrib>Brennan, Murray F.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of surgical oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Strong, Vivian E.</au><au>Wu, Ai-wen</au><au>Selby, Luke V.</au><au>Gonen, Mithat</au><au>Hsu, Meier</au><au>Song, Kyo Young</au><au>Park, Cho Hyun</au><au>Coit, Daniel G.</au><au>Ji, Jia-fu</au><au>Brennan, Murray F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Differences in gastric cancer survival between the U.S. and China</atitle><jtitle>Journal of surgical oncology</jtitle><addtitle>J. Surg. Oncol</addtitle><date>2015-07</date><risdate>2015</risdate><volume>112</volume><issue>1</issue><spage>31</spage><epage>37</epage><pages>31-37</pages><issn>0022-4790</issn><eissn>1096-9098</eissn><abstract>Background
Previous comparisons of gastric cancer between the West and the East have focused predominantly on Japan and Korea, where early gastric cancer is prevalent, and have not included the Chinese experience, which accounts for approximately half the world's gastric cancer.
Methods
Patient characteristics, surgical procedures, pathologic information, and survival were compared among gastric cancer patients who underwent curative intent gastrectomy at two large volume cancer centers in China and the US between 1995 and 2005.
Results
Median age and body mass index were significantly higher in US patients. The proportion of proximal gastric cancer was comparable. Gastric cancer patients in China had larger tumors and a later stage at presentation. The median number of positive lymph nodes was higher (5 vs 4, P < 0.02) despite a lower lymph node retrieval (16 vs 22, P < 0.001) in Chinese patients. The probability of death due to gastric cancer in Chinese patients was 1.7 fold of that in the US (P < 0.0001) after adjusting for important prognostic factors.
Conclusions
Even after adjusting for important prognostic factors Chinese gastric cancer patients have a worse outcome than US gastric cancer patients. The differences between Chinese and US gastric cancer are a potential resource for understanding the disease. J. Surg. Oncol. 2015 111:31–37. © 2015 Wiley Periodicals, Inc.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>26175203</pmid><doi>10.1002/jso.23940</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adenocarcinoma - epidemiology Adenocarcinoma - mortality Adenocarcinoma - pathology Adenocarcinoma - surgery Adult Aged Aged, 80 and over China - epidemiology Female Follow-Up Studies gastrectomy Gastrectomy - mortality gastric cancer Humans Male Middle Aged Neoplasm Staging Prognosis Stomach Neoplasms - epidemiology Stomach Neoplasms - mortality Stomach Neoplasms - pathology Stomach Neoplasms - surgery Survival Rate United States - epidemiology Young Adult |
| title | Differences in gastric cancer survival between the U.S. and China |
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