Is it beneficial to perform surgical resection in elderly patients more than 80 years old with advanced gastric cancer?

Objectives: With the aging population, the number of elderly patients diagnosed with gastric cancer is increasing. However, determining treatment strategies for elderly patients with gastric cancer is controversial. The aim of this study is to evaluate the usefulness of surgical treatment on elderly...

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Published in:Scandinavian journal of gastroenterology 2017-10, Vol.52 (10), p.1057-1064
Main Authors: Choo, Jin Woo, Ju, Yeonmi, Lim, Hyun, Youn, Sung Hee, Soh, Jae Seung, Park, Ji Won, Kang, Ho Suk, Kim, Sung Eun, Moon, Sung Hoon, Kim, Jong Hyeok, Park, Choong Kee, Ha, Hong Il, Kim, Min-Jeong, Kim, Kab-Choong, Cho, Ji Woong
Format: Article
Language:English
Subjects:
Age Factors
Aged, 80 and over
elderly patients
Female
gastrectomy
Gastrectomy - mortality
Gastric cancer
Humans
Lymph Node Excision
Male
postoperative complications
Prognosis
Retrospective Studies
Risk Factors
Stomach Neoplasms - surgery
Stomach Neoplasms - therapy
survival
Survival Rate
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Summary:Objectives: With the aging population, the number of elderly patients diagnosed with gastric cancer is increasing. However, determining treatment strategies for elderly patients with gastric cancer is controversial. The aim of this study is to evaluate the usefulness of surgical treatment on elderly patients aged ≥80 years with advanced gastric cancer. Methods: A total of 147 elderly patients who were diagnosed with advanced gastric cancer from August 2001 to December 2015 were retrospectively analyzed. We compared the clinicopathological features and prognoses of 94 elderly patients (80-85 years) and 53 extreme-elderly patients (≥86 years) according to treatment modalities. Results: In the elderly group, the 3-year overall survival (OS) rates of the surgical resection group and supportive care group were 42.1% and 4.0%, respectively (p 
ISSN:0036-5521
1502-7708
DOI:10.1080/00365521.2017.1339828