Survival and adequate preoperative staging in patients undergoing gastric cancer surgery at a Peruvian Police Hospital.

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Abstrakt

Tytuł:: Survival and adequate preoperative staging in patients undergoing gastric cancer surgery at a Peruvian Police Hospital.
Autorzy:: Panduro-Correa V; Facultad de Medicina, Universidad Nacional Hermilio Valdizán, Huánuco, Peru.; Hospital Regional Hermilio Valdizán, Huánuco, Peru.
Cubas WS; Hospital Nacional Edgardo Rebagliati Martins, Lima, Peru.
Herrera-Matta JJ; Hospital Nacional 'Luis N. Saenz', Lima, Peru.
Maguiña JL; Facultad de Ciencias de la Salud, Universidad Científica del Sur, Lima, Peru.
Dámaso-Mata B; Facultad de Medicina, Universidad Nacional Hermilio Valdizán, Huánuco, Peru.
Guisasola G; Facultad de Medicina, Universidad Nacional Hermilio Valdizán, Huánuco, Peru.
Navarro-Solsol AC; Universidad Nacional de Ucayali, Pucallpa, Peru.
Pecho-Silva S; Hospital Nacional Edgardo Rebagliati Martins, Lima, Peru.; Facultad de Ciencias de la Salud, Universidad Científica del Sur, Lima, Peru.
Arteaga-Livias K; Facultad de Medicina, Universidad Nacional Hermilio Valdizán, Huánuco, Peru.; Facultad de Ciencias de la Salud, Universidad Científica del Sur, Lima, Peru.
Źródło:: Journal of surgical oncology [J Surg Oncol] 2021 Feb; Vol. 123 (2), pp. 425-431. Date of Electronic Publication: 2020 Dec 01.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Publication: <2005-> : Hoboken, NJ : Wiley-Liss
Original Publication: New York, Plenum.
MeSH Terms:: Preoperative Care*
Adenocarcinoma/*mortality
Gastrectomy/*mortality
Hospitals/*statistics & numerical data
Neoplasm Recurrence, Local/*mortality
Stomach Neoplasms/*mortality
Adenocarcinoma/pathology ; Adenocarcinoma/surgery ; Aged ; Female ; Follow-Up Studies ; Humans ; Longitudinal Studies ; Male ; Neoplasm Recurrence, Local/pathology ; Neoplasm Recurrence, Local/surgery ; Neoplasm Staging ; Peru ; Retrospective Studies ; Stomach Neoplasms/pathology ; Stomach Neoplasms/surgery ; Survival Rate
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Contributed Indexing:: Keywords: Peru; gastric cancer; staging of neoplasms; survival
Entry Date(s):: Date Created: 20201201 Date Completed: 20210304 Latest Revision: 20210304
Update Code:: 20240105
DOI:: 10.1002/jso.26315
PMID:: 33259662
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Introduction: Gastric cancer is the fifth most common malignant neoplasm and the third leading cause of cancer-related death worldwide. In Peru, its incidence is 15.8 per 100,000 population, and it is associated with high mortality rates, especially in areas with low socioeconomic status. The aim of this study was to compare preoperative, postoperative, and anatomopathological staging results and their relation to disease recurrence and survival.
Methods: We conducted a retrospective cohort study of patients undergoing surgery for gastric cancer with a definitive postoperative anatomopathological diagnosis from 2005 to 2014 at the Hospital Nacional Luis N. Sáenz. Statistical analyses included descriptive and correlation statistics using the κ index, determination of associations between preoperative and postoperative staging and surgical reintervention and recurrence using the χ 2 test, as well as Kaplan Meier survival analysis.
Results: There was little correlation between preoperative staging and final anatomopathological diagnosis, while there was a good correlation with postoperative staging. A significant association was found between preoperative staging and cancer recurrence. In the survival analysis, survival was lower among patients with underestimated staging.
Conclusions: The survival of patients with gastric cancer can be affected by an overestimation of preoperative staging, therefore improvements in preoperative staging could lengthen the survival of patients undergoing gastric cancer surgery.
(© 2020 Wiley Periodicals LLC.)

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