Impact of preoperative anemia on outcomes in patients undergoing curative resection for gastric cancer: a single‐institution retrospective analysis of 2163 Chinese patients
We sought to evaluate whether preoperative anemia was an important determinant of survival in gastric cancer (GC). A single institution cohort of 2163 GC patients who underwent curative resection were retrospectively analyzed. Anemia was defined as a preoperative hemoglobin level
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| Veröffentlicht in: | Cancer medicine (Malden, MA) MA), 2018-02, Vol.7 (2), p.360-369 |
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| creator | Liu, Xuechao Qiu, Haibo Huang, Yuying Xu, Dazhi Li, Wei Li, Yuanfang Chen, Yingbo Zhou, Zhiwei Sun, Xiaowei |
| description | We sought to evaluate whether preoperative anemia was an important determinant of survival in gastric cancer (GC). A single institution cohort of 2163 GC patients who underwent curative resection were retrospectively analyzed. Anemia was defined as a preoperative hemoglobin level |
| doi_str_mv | 10.1002/cam4.1309 |
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Preoperative anemia, even mild anemia, is a useful predictor of outcomes in tumor–nodes–metastasis stage III gastric cancer.</description><identifier>ISSN: 2045-7634</identifier><identifier>EISSN: 2045-7634</identifier><identifier>DOI: 10.1002/cam4.1309</identifier><identifier>PMID: 29341506</identifier><language>eng</language><publisher>United States: John Wiley & Sons, Inc</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Anemia ; Anemia - physiopathology ; Asian People - statistics & numerical data ; Clinical Cancer Research ; Female ; Follow-Up Studies ; Gastrectomy - mortality ; Gastric cancer ; Hemoglobin ; Humans ; Male ; Metastases ; Middle Aged ; Multivariate analysis ; Original Research ; perioperative transfusions ; postoperative complications ; preoperative anemia ; Preoperative Period ; Prognosis ; Retrospective Studies ; Stomach Neoplasms - mortality ; Stomach Neoplasms - pathology ; Stomach Neoplasms - surgery ; Survival ; Survival Rate ; Tumors ; Young Adult</subject><ispartof>Cancer medicine (Malden, MA), 2018-02, Vol.7 (2), p.360-369</ispartof><rights>2018 The Authors. published by John Wiley & Sons Ltd.</rights><rights>2018 The Authors. Cancer Medicine published by John Wiley & Sons Ltd.</rights><rights>2018. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5099-1df0aef9f7fb110e874c908b9569b67867a79042c4c267be4dba7db3c419dbc3</citedby><cites>FETCH-LOGICAL-c5099-1df0aef9f7fb110e874c908b9569b67867a79042c4c267be4dba7db3c419dbc3</cites><orcidid>0000-0003-2321-5955 ; 0000-0003-1338-1220</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5806112/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5806112/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,1417,11562,27924,27925,45574,45575,46052,46476,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29341506$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Liu, Xuechao</creatorcontrib><creatorcontrib>Qiu, Haibo</creatorcontrib><creatorcontrib>Huang, Yuying</creatorcontrib><creatorcontrib>Xu, Dazhi</creatorcontrib><creatorcontrib>Li, Wei</creatorcontrib><creatorcontrib>Li, Yuanfang</creatorcontrib><creatorcontrib>Chen, Yingbo</creatorcontrib><creatorcontrib>Zhou, Zhiwei</creatorcontrib><creatorcontrib>Sun, Xiaowei</creatorcontrib><title>Impact of preoperative anemia on outcomes in patients undergoing curative resection for gastric cancer: a single‐institution retrospective analysis of 2163 Chinese patients</title><title>Cancer medicine (Malden, MA)</title><addtitle>Cancer Med</addtitle><description>We sought to evaluate whether preoperative anemia was an important determinant of survival in gastric cancer (GC). A single institution cohort of 2163 GC patients who underwent curative resection were retrospectively analyzed. Anemia was defined as a preoperative hemoglobin level <120 g/L in males and <110 g/L in females. Overall survival (OS) was analyzed using the Kaplan–Meier method, and a multivariate Cox proportional hazards model was performed to identify the independent prognostic factor. Anemic patients had a poorer OS compared with nonanemic patients after resection for tumor–nodes–metastasis (TNM) stage III tumors (5‐year OS rate: 32.2% vs. 45.7%, P < 0.001) but not stage I (P = 0.480) or stage II (P = 0.917) tumors. Multivariate analysis revealed that preoperative anemia was an independent prognostic factor in TNM stage III (hazard ratio [HR], 1.771; 95% CI, 1.040–3.015; P = 0.035). In a stage‐stratified analysis, preoperative anemia was still independently associated with OS in TNM stages IIIa through IIIc (P < 0.001, P = 0.075, and P = 0.012, respectively), though the association was only marginal in stage IIIb. Of note, preoperative mild anemia had a similar prognostic value in TNM stage III GC. Furthermore, preoperative anemia was significantly associated with more perioperative transfusions, postoperative complications and several nutritional‐based indices, including the prognostic nutritional index (PNI), preoperative weight loss and performance status (all P < 0.05). Preoperative anemia, even mild anemia, was an important predictor of postoperative survival for TNM stage III GC.
Preoperative anemia, even mild anemia, is a useful predictor of outcomes in tumor–nodes–metastasis stage III gastric cancer.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anemia</subject><subject>Anemia - physiopathology</subject><subject>Asian People - statistics & numerical data</subject><subject>Clinical Cancer Research</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Gastrectomy - mortality</subject><subject>Gastric cancer</subject><subject>Hemoglobin</subject><subject>Humans</subject><subject>Male</subject><subject>Metastases</subject><subject>Middle Aged</subject><subject>Multivariate analysis</subject><subject>Original Research</subject><subject>perioperative transfusions</subject><subject>postoperative complications</subject><subject>preoperative anemia</subject><subject>Preoperative Period</subject><subject>Prognosis</subject><subject>Retrospective Studies</subject><subject>Stomach Neoplasms - mortality</subject><subject>Stomach Neoplasms - pathology</subject><subject>Stomach Neoplasms - surgery</subject><subject>Survival</subject><subject>Survival Rate</subject><subject>Tumors</subject><subject>Young Adult</subject><issn>2045-7634</issn><issn>2045-7634</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1ks1O3DAUha0KVBBl0ReoLHVDFwN24sRxF5XQiD8JxIa95Tg3g1Fip7YDml0fgSfhoXgSnJnpiFbCG1u63z3n6vgi9JWSY0pIdqJVz45pTsQntJ8RVsx4mbOdd-89dBjCA0mHk6zk9DPay0TOaEHKffRy1Q9KR-xaPHhwA3gVzSNgZaE3CjuL3Ri16yFgY_GQimBjwKNtwC-csQusx02LhwA6mtTSOo8XKkRvNNbKavA_scIh0R28_nk2NkQTxxXqIXoXhqlx5aq6ZTBhGiejZY7n98Ym2a3xF7Tbqi7A4eY-QHfnZ3fzy9n17cXV_PR6pgsixIw2LVHQipa3NaUEKs60IFUtilLUJa9KrrggLNNMp0RqYE2teFPnmlHR1Do_QL_WssNY99DoZO1VJwdveuWX0ikj_61Ycy8X7lEWFSkpzZLA0UbAu98jhCh7EzR0XcrVjUFSUYkJFHlCv_-HPrjRpyAmSoiCkYyzRP1YUzrFFTy022EokdMeyGkP5LQHif32fvot-ffXE3CyBp5MB8uPleT89IatJN8Acc_CTA</recordid><startdate>201802</startdate><enddate>201802</enddate><creator>Liu, Xuechao</creator><creator>Qiu, Haibo</creator><creator>Huang, Yuying</creator><creator>Xu, Dazhi</creator><creator>Li, Wei</creator><creator>Li, Yuanfang</creator><creator>Chen, Yingbo</creator><creator>Zhou, Zhiwei</creator><creator>Sun, Xiaowei</creator><general>John Wiley & Sons, Inc</general><general>John Wiley and Sons Inc</general><scope>24P</scope><scope>WIN</scope><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>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M7P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-2321-5955</orcidid><orcidid>https://orcid.org/0000-0003-1338-1220</orcidid></search><sort><creationdate>201802</creationdate><title>Impact of preoperative anemia on outcomes in patients undergoing curative resection for gastric cancer: a single‐institution retrospective analysis of 2163 Chinese patients</title><author>Liu, Xuechao ; Qiu, Haibo ; Huang, Yuying ; Xu, Dazhi ; Li, Wei ; Li, Yuanfang ; Chen, Yingbo ; Zhou, Zhiwei ; Sun, Xiaowei</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5099-1df0aef9f7fb110e874c908b9569b67867a79042c4c267be4dba7db3c419dbc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anemia</topic><topic>Anemia - physiopathology</topic><topic>Asian People - statistics & numerical data</topic><topic>Clinical Cancer Research</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Gastrectomy - mortality</topic><topic>Gastric cancer</topic><topic>Hemoglobin</topic><topic>Humans</topic><topic>Male</topic><topic>Metastases</topic><topic>Middle Aged</topic><topic>Multivariate analysis</topic><topic>Original Research</topic><topic>perioperative transfusions</topic><topic>postoperative complications</topic><topic>preoperative anemia</topic><topic>Preoperative Period</topic><topic>Prognosis</topic><topic>Retrospective Studies</topic><topic>Stomach Neoplasms - mortality</topic><topic>Stomach Neoplasms - pathology</topic><topic>Stomach Neoplasms - surgery</topic><topic>Survival</topic><topic>Survival Rate</topic><topic>Tumors</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Liu, Xuechao</creatorcontrib><creatorcontrib>Qiu, Haibo</creatorcontrib><creatorcontrib>Huang, Yuying</creatorcontrib><creatorcontrib>Xu, Dazhi</creatorcontrib><creatorcontrib>Li, Wei</creatorcontrib><creatorcontrib>Li, Yuanfang</creatorcontrib><creatorcontrib>Chen, Yingbo</creatorcontrib><creatorcontrib>Zhou, Zhiwei</creatorcontrib><creatorcontrib>Sun, Xiaowei</creatorcontrib><collection>Wiley Open Access</collection><collection>Wiley Online Library Free Content</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Biological Science Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Cancer medicine (Malden, MA)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Liu, Xuechao</au><au>Qiu, Haibo</au><au>Huang, Yuying</au><au>Xu, Dazhi</au><au>Li, Wei</au><au>Li, Yuanfang</au><au>Chen, Yingbo</au><au>Zhou, Zhiwei</au><au>Sun, Xiaowei</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of preoperative anemia on outcomes in patients undergoing curative resection for gastric cancer: a single‐institution retrospective analysis of 2163 Chinese patients</atitle><jtitle>Cancer medicine (Malden, MA)</jtitle><addtitle>Cancer Med</addtitle><date>2018-02</date><risdate>2018</risdate><volume>7</volume><issue>2</issue><spage>360</spage><epage>369</epage><pages>360-369</pages><issn>2045-7634</issn><eissn>2045-7634</eissn><abstract>We sought to evaluate whether preoperative anemia was an important determinant of survival in gastric cancer (GC). A single institution cohort of 2163 GC patients who underwent curative resection were retrospectively analyzed. Anemia was defined as a preoperative hemoglobin level <120 g/L in males and <110 g/L in females. Overall survival (OS) was analyzed using the Kaplan–Meier method, and a multivariate Cox proportional hazards model was performed to identify the independent prognostic factor. Anemic patients had a poorer OS compared with nonanemic patients after resection for tumor–nodes–metastasis (TNM) stage III tumors (5‐year OS rate: 32.2% vs. 45.7%, P < 0.001) but not stage I (P = 0.480) or stage II (P = 0.917) tumors. Multivariate analysis revealed that preoperative anemia was an independent prognostic factor in TNM stage III (hazard ratio [HR], 1.771; 95% CI, 1.040–3.015; P = 0.035). In a stage‐stratified analysis, preoperative anemia was still independently associated with OS in TNM stages IIIa through IIIc (P < 0.001, P = 0.075, and P = 0.012, respectively), though the association was only marginal in stage IIIb. Of note, preoperative mild anemia had a similar prognostic value in TNM stage III GC. Furthermore, preoperative anemia was significantly associated with more perioperative transfusions, postoperative complications and several nutritional‐based indices, including the prognostic nutritional index (PNI), preoperative weight loss and performance status (all P < 0.05). Preoperative anemia, even mild anemia, was an important predictor of postoperative survival for TNM stage III GC.
Preoperative anemia, even mild anemia, is a useful predictor of outcomes in tumor–nodes–metastasis stage III gastric cancer.</abstract><cop>United States</cop><pub>John Wiley & Sons, Inc</pub><pmid>29341506</pmid><doi>10.1002/cam4.1309</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0003-2321-5955</orcidid><orcidid>https://orcid.org/0000-0003-1338-1220</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Aged Aged, 80 and over Anemia Anemia - physiopathology Asian People - statistics & numerical data Clinical Cancer Research Female Follow-Up Studies Gastrectomy - mortality Gastric cancer Hemoglobin Humans Male Metastases Middle Aged Multivariate analysis Original Research perioperative transfusions postoperative complications preoperative anemia Preoperative Period Prognosis Retrospective Studies Stomach Neoplasms - mortality Stomach Neoplasms - pathology Stomach Neoplasms - surgery Survival Survival Rate Tumors Young Adult |
| title | Impact of preoperative anemia on outcomes in patients undergoing curative resection for gastric cancer: a single‐institution retrospective analysis of 2163 Chinese patients |
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