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Complication After Gastrectomy for Gastric Cancer According to Hospital Volume: Based on Korean Gastric Cancer Association-Led Nationwide Survey Data
This study aimed to analyze the incidence and risk factors of complications following gastric cancer surgery in Korea and to compare the correlation between hospital complications based on the annual number of gastrectomies performed. A retrospective analysis was conducted using data from 12,244 pat...
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Published in: | Journal of gastric cancer 2023, 23(3), , pp.462-475 |
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creator | Jeong, Sang-Ho Yoo, Moon-Won Park, Miyeong Seo, Kyung Won Min, Jae-Seok |
description | This study aimed to analyze the incidence and risk factors of complications following gastric cancer surgery in Korea and to compare the correlation between hospital complications based on the annual number of gastrectomies performed.
A retrospective analysis was conducted using data from 12,244 patients from 64 Korean institutions. Complications were classified using the Clavien-Dindo classification (CDC). Univariate and multivariate analyses were performed to identify the risk factors for severe complications.
Postoperative complications occurred in 14% of the patients, severe complications (CDC IIIa or higher) in 4.9%, and postoperative death in 0.2%. The study found that age, stage, American Society of Anesthesiologists (ASA) score, Eastern Cooperative Oncology Group (ECOG) score, hospital stay, approach methods, and extent of gastric resection showed statistically significant differences depending on hospital volumes (P |
doi_str_mv | 10.5230/jgc.2023.23.e24 |
format | article |
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A retrospective analysis was conducted using data from 12,244 patients from 64 Korean institutions. Complications were classified using the Clavien-Dindo classification (CDC). Univariate and multivariate analyses were performed to identify the risk factors for severe complications.
Postoperative complications occurred in 14% of the patients, severe complications (CDC IIIa or higher) in 4.9%, and postoperative death in 0.2%. The study found that age, stage, American Society of Anesthesiologists (ASA) score, Eastern Cooperative Oncology Group (ECOG) score, hospital stay, approach methods, and extent of gastric resection showed statistically significant differences depending on hospital volumes (P<0.05). In the univariate analysis, patient age, comorbidity, ASA score, ECOG score, approach methods, extent of gastric resection, tumor-node-metastasis (TNM) stage, and hospital volume were significant risk factors for severe complications. However, only age, sex, ASA score, ECOG score, extent of gastric resection, and TNM stage were statistically significant in the multivariate analysis (P<0.05). Hospital volume was not a significant risk factor in the multivariate analysis (P=0.152).
Hospital volume was not a significant risk factor for complications after gastric cancer surgery. The differences in the frequencies of complications based on hospital volumes may be attributed to larger hospitals treating patients with younger age, lower ASA scores, better general conditions, and earlier TNM stages.</description><identifier>ISSN: 2093-582X</identifier><identifier>EISSN: 2093-5641</identifier><identifier>DOI: 10.5230/jgc.2023.23.e24</identifier><identifier>PMID: 37553132</identifier><language>eng</language><publisher>Korea (South): The Korean Gastric Cancer Association</publisher><subject>Original ; 일반외과학</subject><ispartof>Journal of Gastric Cancer, 2023, 23(3), , pp.462-475</ispartof><rights>Copyright © 2023. Korean Gastric Cancer Association.</rights><rights>Copyright © 2023. Korean Gastric Cancer Association 2023 Korean Gastric Cancer Association</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c383t-4655a86e427464ca110e76fa1d12fcbe2accfc2f29956846492e8720a1c960d33</cites><orcidid>0000-0003-0346-9042 ; 0000-0001-9061-6236 ; 0000-0002-5798-4595</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/PMC10412979/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10412979/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,882,27905,27906,53772,53774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37553132$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://www.kci.go.kr/kciportal/ci/sereArticleSearch/ciSereArtiView.kci?sereArticleSearchBean.artiId=ART002985171$$DAccess content in National Research Foundation of Korea (NRF)$$Hfree_for_read</backlink></links><search><creatorcontrib>Jeong, Sang-Ho</creatorcontrib><creatorcontrib>Yoo, Moon-Won</creatorcontrib><creatorcontrib>Park, Miyeong</creatorcontrib><creatorcontrib>Seo, Kyung Won</creatorcontrib><creatorcontrib>Min, Jae-Seok</creatorcontrib><creatorcontrib>Information Committee of the Korean Gastric Cancer Association</creatorcontrib><title>Complication After Gastrectomy for Gastric Cancer According to Hospital Volume: Based on Korean Gastric Cancer Association-Led Nationwide Survey Data</title><title>Journal of gastric cancer</title><addtitle>J Gastric Cancer</addtitle><description>This study aimed to analyze the incidence and risk factors of complications following gastric cancer surgery in Korea and to compare the correlation between hospital complications based on the annual number of gastrectomies performed.
A retrospective analysis was conducted using data from 12,244 patients from 64 Korean institutions. Complications were classified using the Clavien-Dindo classification (CDC). Univariate and multivariate analyses were performed to identify the risk factors for severe complications.
Postoperative complications occurred in 14% of the patients, severe complications (CDC IIIa or higher) in 4.9%, and postoperative death in 0.2%. The study found that age, stage, American Society of Anesthesiologists (ASA) score, Eastern Cooperative Oncology Group (ECOG) score, hospital stay, approach methods, and extent of gastric resection showed statistically significant differences depending on hospital volumes (P<0.05). In the univariate analysis, patient age, comorbidity, ASA score, ECOG score, approach methods, extent of gastric resection, tumor-node-metastasis (TNM) stage, and hospital volume were significant risk factors for severe complications. However, only age, sex, ASA score, ECOG score, extent of gastric resection, and TNM stage were statistically significant in the multivariate analysis (P<0.05). Hospital volume was not a significant risk factor in the multivariate analysis (P=0.152).
Hospital volume was not a significant risk factor for complications after gastric cancer surgery. The differences in the frequencies of complications based on hospital volumes may be attributed to larger hospitals treating patients with younger age, lower ASA scores, better general conditions, and earlier TNM stages.</description><subject>Original</subject><subject>일반외과학</subject><issn>2093-582X</issn><issn>2093-5641</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNplkcFu1DAQhiMEolXpmRvyESFlG4_jxOGCtgu0FSuQoCBuljuZLG6TeLGdon0Q3hd3d1uBsEaasfzNP7b_LHvOi5kEUZxcr3AGBYhZCoLyUXYIRSNyWZX88X2t4PtBdhzCdZGWrDgv4Gl2IGopBRdwmP1euGHdWzTRupHNu0ienZkQPWF0w4Z1br-3yBZmxHQ8R3S-teOKRcfOXVjbaHr2zfXTQK_ZqQnUsqT1wXky43_NITi022n5MoEft-Uv2xL7Mvlb2rC3Jppn2ZPO9IGO9_ko-_r-3eXiPF9-OrtYzJc5CiViXlZSGlVRCXVZlWjS66iuOsNbDh1eERjEDqGDppGVSkgDpGooDMemKlohjrJXO93Rd_oGrXbGbvPK6Ruv558vL3T6MZVoleA3O3g9XQ3UIo3Rm16vvR2M32xb_z0Z7Y8kdJsUSg5N3SSFl3sF735OFKIebEDqezOSm4IGVSqAugGZ0JMdit6F4Kl7mMMLfee-Tu7rO_d1iuR-6njx9_Ue-HuvxR9dPq0O</recordid><startdate>20230701</startdate><enddate>20230701</enddate><creator>Jeong, Sang-Ho</creator><creator>Yoo, Moon-Won</creator><creator>Park, Miyeong</creator><creator>Seo, Kyung Won</creator><creator>Min, Jae-Seok</creator><general>The Korean Gastric Cancer Association</general><general>대한위암학회</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>ACYCR</scope><orcidid>https://orcid.org/0000-0003-0346-9042</orcidid><orcidid>https://orcid.org/0000-0001-9061-6236</orcidid><orcidid>https://orcid.org/0000-0002-5798-4595</orcidid></search><sort><creationdate>20230701</creationdate><title>Complication After Gastrectomy for Gastric Cancer According to Hospital Volume: Based on Korean Gastric Cancer Association-Led Nationwide Survey Data</title><author>Jeong, Sang-Ho ; Yoo, Moon-Won ; Park, Miyeong ; Seo, Kyung Won ; Min, Jae-Seok</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c383t-4655a86e427464ca110e76fa1d12fcbe2accfc2f29956846492e8720a1c960d33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Original</topic><topic>일반외과학</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jeong, Sang-Ho</creatorcontrib><creatorcontrib>Yoo, Moon-Won</creatorcontrib><creatorcontrib>Park, Miyeong</creatorcontrib><creatorcontrib>Seo, Kyung Won</creatorcontrib><creatorcontrib>Min, Jae-Seok</creatorcontrib><creatorcontrib>Information Committee of the Korean Gastric Cancer Association</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Korean Citation Index</collection><jtitle>Journal of gastric cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jeong, Sang-Ho</au><au>Yoo, Moon-Won</au><au>Park, Miyeong</au><au>Seo, Kyung Won</au><au>Min, Jae-Seok</au><aucorp>Information Committee of the Korean Gastric Cancer Association</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Complication After Gastrectomy for Gastric Cancer According to Hospital Volume: Based on Korean Gastric Cancer Association-Led Nationwide Survey Data</atitle><jtitle>Journal of gastric cancer</jtitle><addtitle>J Gastric Cancer</addtitle><date>2023-07-01</date><risdate>2023</risdate><volume>23</volume><issue>3</issue><spage>462</spage><epage>475</epage><pages>462-475</pages><issn>2093-582X</issn><eissn>2093-5641</eissn><abstract>This study aimed to analyze the incidence and risk factors of complications following gastric cancer surgery in Korea and to compare the correlation between hospital complications based on the annual number of gastrectomies performed.
A retrospective analysis was conducted using data from 12,244 patients from 64 Korean institutions. Complications were classified using the Clavien-Dindo classification (CDC). Univariate and multivariate analyses were performed to identify the risk factors for severe complications.
Postoperative complications occurred in 14% of the patients, severe complications (CDC IIIa or higher) in 4.9%, and postoperative death in 0.2%. The study found that age, stage, American Society of Anesthesiologists (ASA) score, Eastern Cooperative Oncology Group (ECOG) score, hospital stay, approach methods, and extent of gastric resection showed statistically significant differences depending on hospital volumes (P<0.05). In the univariate analysis, patient age, comorbidity, ASA score, ECOG score, approach methods, extent of gastric resection, tumor-node-metastasis (TNM) stage, and hospital volume were significant risk factors for severe complications. However, only age, sex, ASA score, ECOG score, extent of gastric resection, and TNM stage were statistically significant in the multivariate analysis (P<0.05). Hospital volume was not a significant risk factor in the multivariate analysis (P=0.152).
Hospital volume was not a significant risk factor for complications after gastric cancer surgery. The differences in the frequencies of complications based on hospital volumes may be attributed to larger hospitals treating patients with younger age, lower ASA scores, better general conditions, and earlier TNM stages.</abstract><cop>Korea (South)</cop><pub>The Korean Gastric Cancer Association</pub><pmid>37553132</pmid><doi>10.5230/jgc.2023.23.e24</doi><tpages>14</tpages><orcidid>https://orcid.org/0000-0003-0346-9042</orcidid><orcidid>https://orcid.org/0000-0001-9061-6236</orcidid><orcidid>https://orcid.org/0000-0002-5798-4595</orcidid><oa>free_for_read</oa></addata></record> |
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title | Complication After Gastrectomy for Gastric Cancer According to Hospital Volume: Based on Korean Gastric Cancer Association-Led Nationwide Survey Data |
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