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Mortality for gastric cancer in elderly patients
Author(s) -
Eguchi Teruo,
Fujii Masashi,
Takayama Tadatoshi
Publication year - 2003
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.10303
Subject(s) - medicine , concomitant , stage (stratigraphy) , gastroenterology , cancer , disease , survival rate , lymph node , mortality rate , surgery , paleontology , biology
Background The aim of this study was to clarify the surgical outcome in elderly patients with gastric cancer. Methods The clinicopathological features of elderly patients (80 (3.7%), over 80 years, elderly group) were reviewed retrospectively and compared with those of younger patients (2,095 (96.3%), 23–79 years, control group). Results The elderly group had a significantly higher prevalence of concomitant disease ( P < 0.0001), while the prevalence of T1 primary tumor, N0 lymph node metastasis, and stage I was lower ( P = 0.0125, P = 0.0004, P < 0.0001). The rates of resected cases and curative operation (R0) were significantly lower in the elderly group ( P < 0.0001, P = 0.0021). The mortality from other diseases was 16.3% in elderly patients and 4.4% in control patients ( P < 0.0001). The 5‐year survival of stage I and stage IV were not significantly different between the two groups ( P = 0.1266 and P = 0.2490). The overall survival and disease‐specific survival for all patients in the elderly group were significantly lower than those in the control group ( P < 0.0001, P = 0.0102). However, disease‐specific survival for resected cases was not significantly different between the two groups ( P = 0.0725). Conclusions In elderly patients, the reason for the poor prognosis is the high rate of advanced stage and the high rate of death from other diseases. J. Surg. Oncol. 2003;84:132–136. © 2003 Wiley‐Liss, Inc.