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The survival impact of postoperative complications after curative resection in patients with esophageal squamous cell carcinoma: propensity score-matching analysis
Purpose The relationship between postoperative complications and long-term survival after surgery for esophageal squamous cell carcinoma (ESCC) is controversial. Method A total of 210 patients with ESCC who underwent subtotal esophagectomy with a reconstructed gastric tube were investigated accordin...
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| Published in: | Journal of cancer research and clinical oncology 2020-05, Vol.146 (5), p.1351-1360 |
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| container_end_page | 1360 |
| container_issue | 5 |
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| container_title | Journal of cancer research and clinical oncology |
| container_volume | 146 |
| creator | Yamamoto, Manabu Shimokawa, Mototsugu Yoshida, Daisuke Yamaguchi, Shohei Ohta, Mitsuhiko Egashira, Akinori Ikebe, Masahiko Morita, Masaru Toh, Yasushi |
| description | Purpose
The relationship between postoperative complications and long-term survival after surgery for esophageal squamous cell carcinoma (ESCC) is controversial.
Method
A total of 210 patients with ESCC who underwent subtotal esophagectomy with a reconstructed gastric tube were investigated according to the development of postoperative complications. The associations of age, gender, T and N factors, and pStage with grade 0–2 complications (NSC) and grade 3 and higher complications (SC) were compared by propensity score-matching analysis. Fifty-one pairs of NSC and SC groups were selected for the final analysis. We divided 102 patients between the NSC and SC groups or between the no pulmonary complication (NPC) and the pulmonary complication (PC) groups. The overall survival (OS) and disease-free survival (DFS) were determined by the Kaplan–Meier method and were compared by log-rank tests. Possible predictors of OS and DFS were subjected to univariate analysis and multivariate Cox proportional hazard regression analysis.
Results
The propensity score matching revealed that the 5-year OS and DFS of the NSC group were not different from those of the SC group. However, the 5-year OS of the PC group was significantly worse than that of the NPC group, while no significant differences were observed in the DFS between the PC and NPC groups. In the multivariate analysis, UICC pStage, pulmonary complication, and American Heart Association (AHA) classification for OS and UICC pStage for DFS were significant prognostic factors.
Conclusion
The OS and DFS did not differ in patients with or without severe postoperative complications. However, postoperative pulmonary complications were independent predictors of poorer OS, but not DFS, in patients who underwent R0 resection for ESCC. |
| doi_str_mv | 10.1007/s00432-020-03173-2 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2378900337</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2378900337</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-10139b1b91bc872d8f2a506e8b285f5227f281d70a3d22424010b5bb09882eb13</originalsourceid><addsrcrecordid>eNp9kcFuEzEQhi1ERUPgBTggS1y4LIztOHa4oQooUiUu7XnldWYTV7vrrcebKs_TF8VLAkgcOI1m5pt_fuln7I2ADwLAfCSAlZIVSKhACaMq-YwtxDwSSunnbAHCiEpLsb5kL4nuofTayBfsUklh9craBXu63SOnKR3CwXU89KPzmceWj5FyHDG5HA7IfezHLvjSxIG4azMm7qfzMiGhnzc8DHwsMxwy8ceQ9xwpjnu3wyJND5Pr40TcY9dx75IPQ-zdJz6m8megkI-cfExY9S77fRh23A2uO1KgV-yidR3h63NdsruvX26vrqubH9--X32-qbwyOlcChNo0otmIxlsjt7aVTsMabSOtbrWUppVWbA04tZVyJVcgoNFNAxtrJTZCLdn7k26x9DAh5boPNNt1AxbntVTGbgCUMgV99w96H6dU_M6UNVoruZ4peaJ8ikQJ23pMoXfpWAuo5wjrU4R1ibD-FWG5XrK3Z-mp6XH75-R3ZgVQJ4DKathh-vv7P7I_AQ1Dqiw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2387553267</pqid></control><display><type>article</type><title>The survival impact of postoperative complications after curative resection in patients with esophageal squamous cell carcinoma: propensity score-matching analysis</title><source>Springer Nature</source><creator>Yamamoto, Manabu ; Shimokawa, Mototsugu ; Yoshida, Daisuke ; Yamaguchi, Shohei ; Ohta, Mitsuhiko ; Egashira, Akinori ; Ikebe, Masahiko ; Morita, Masaru ; Toh, Yasushi</creator><creatorcontrib>Yamamoto, Manabu ; Shimokawa, Mototsugu ; Yoshida, Daisuke ; Yamaguchi, Shohei ; Ohta, Mitsuhiko ; Egashira, Akinori ; Ikebe, Masahiko ; Morita, Masaru ; Toh, Yasushi</creatorcontrib><description>Purpose
The relationship between postoperative complications and long-term survival after surgery for esophageal squamous cell carcinoma (ESCC) is controversial.
Method
A total of 210 patients with ESCC who underwent subtotal esophagectomy with a reconstructed gastric tube were investigated according to the development of postoperative complications. The associations of age, gender, T and N factors, and pStage with grade 0–2 complications (NSC) and grade 3 and higher complications (SC) were compared by propensity score-matching analysis. Fifty-one pairs of NSC and SC groups were selected for the final analysis. We divided 102 patients between the NSC and SC groups or between the no pulmonary complication (NPC) and the pulmonary complication (PC) groups. The overall survival (OS) and disease-free survival (DFS) were determined by the Kaplan–Meier method and were compared by log-rank tests. Possible predictors of OS and DFS were subjected to univariate analysis and multivariate Cox proportional hazard regression analysis.
Results
The propensity score matching revealed that the 5-year OS and DFS of the NSC group were not different from those of the SC group. However, the 5-year OS of the PC group was significantly worse than that of the NPC group, while no significant differences were observed in the DFS between the PC and NPC groups. In the multivariate analysis, UICC pStage, pulmonary complication, and American Heart Association (AHA) classification for OS and UICC pStage for DFS were significant prognostic factors.
Conclusion
The OS and DFS did not differ in patients with or without severe postoperative complications. However, postoperative pulmonary complications were independent predictors of poorer OS, but not DFS, in patients who underwent R0 resection for ESCC.</description><identifier>ISSN: 0171-5216</identifier><identifier>EISSN: 1432-1335</identifier><identifier>DOI: 10.1007/s00432-020-03173-2</identifier><identifier>PMID: 32185488</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Cancer Research ; Esophageal cancer ; Esophageal Neoplasms - mortality ; Esophageal Neoplasms - pathology ; Esophageal Neoplasms - surgery ; Esophageal Squamous Cell Carcinoma - mortality ; Esophageal Squamous Cell Carcinoma - pathology ; Esophageal Squamous Cell Carcinoma - surgery ; Esophagectomy - adverse effects ; Esophagectomy - statistics & numerical data ; Esophagus ; Female ; Hematology ; Humans ; Internal Medicine ; Kaplan-Meier Estimate ; Male ; Medical prognosis ; Medicine ; Medicine & Public Health ; Middle Aged ; Multivariate analysis ; Oncology ; Original Article – Clinical Oncology ; Postoperative Complications - etiology ; Postoperative Complications - mortality ; Propensity Score ; Squamous cell carcinoma ; Surgery ; Survival Rate</subject><ispartof>Journal of cancer research and clinical oncology, 2020-05, Vol.146 (5), p.1351-1360</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2020</rights><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-10139b1b91bc872d8f2a506e8b285f5227f281d70a3d22424010b5bb09882eb13</citedby><cites>FETCH-LOGICAL-c375t-10139b1b91bc872d8f2a506e8b285f5227f281d70a3d22424010b5bb09882eb13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32185488$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yamamoto, Manabu</creatorcontrib><creatorcontrib>Shimokawa, Mototsugu</creatorcontrib><creatorcontrib>Yoshida, Daisuke</creatorcontrib><creatorcontrib>Yamaguchi, Shohei</creatorcontrib><creatorcontrib>Ohta, Mitsuhiko</creatorcontrib><creatorcontrib>Egashira, Akinori</creatorcontrib><creatorcontrib>Ikebe, Masahiko</creatorcontrib><creatorcontrib>Morita, Masaru</creatorcontrib><creatorcontrib>Toh, Yasushi</creatorcontrib><title>The survival impact of postoperative complications after curative resection in patients with esophageal squamous cell carcinoma: propensity score-matching analysis</title><title>Journal of cancer research and clinical oncology</title><addtitle>J Cancer Res Clin Oncol</addtitle><addtitle>J Cancer Res Clin Oncol</addtitle><description>Purpose
The relationship between postoperative complications and long-term survival after surgery for esophageal squamous cell carcinoma (ESCC) is controversial.
Method
A total of 210 patients with ESCC who underwent subtotal esophagectomy with a reconstructed gastric tube were investigated according to the development of postoperative complications. The associations of age, gender, T and N factors, and pStage with grade 0–2 complications (NSC) and grade 3 and higher complications (SC) were compared by propensity score-matching analysis. Fifty-one pairs of NSC and SC groups were selected for the final analysis. We divided 102 patients between the NSC and SC groups or between the no pulmonary complication (NPC) and the pulmonary complication (PC) groups. The overall survival (OS) and disease-free survival (DFS) were determined by the Kaplan–Meier method and were compared by log-rank tests. Possible predictors of OS and DFS were subjected to univariate analysis and multivariate Cox proportional hazard regression analysis.
Results
The propensity score matching revealed that the 5-year OS and DFS of the NSC group were not different from those of the SC group. However, the 5-year OS of the PC group was significantly worse than that of the NPC group, while no significant differences were observed in the DFS between the PC and NPC groups. In the multivariate analysis, UICC pStage, pulmonary complication, and American Heart Association (AHA) classification for OS and UICC pStage for DFS were significant prognostic factors.
Conclusion
The OS and DFS did not differ in patients with or without severe postoperative complications. However, postoperative pulmonary complications were independent predictors of poorer OS, but not DFS, in patients who underwent R0 resection for ESCC.</description><subject>Cancer Research</subject><subject>Esophageal cancer</subject><subject>Esophageal Neoplasms - mortality</subject><subject>Esophageal Neoplasms - pathology</subject><subject>Esophageal Neoplasms - surgery</subject><subject>Esophageal Squamous Cell Carcinoma - mortality</subject><subject>Esophageal Squamous Cell Carcinoma - pathology</subject><subject>Esophageal Squamous Cell Carcinoma - surgery</subject><subject>Esophagectomy - adverse effects</subject><subject>Esophagectomy - statistics & numerical data</subject><subject>Esophagus</subject><subject>Female</subject><subject>Hematology</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Kaplan-Meier Estimate</subject><subject>Male</subject><subject>Medical prognosis</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Multivariate analysis</subject><subject>Oncology</subject><subject>Original Article – Clinical Oncology</subject><subject>Postoperative Complications - etiology</subject><subject>Postoperative Complications - mortality</subject><subject>Propensity Score</subject><subject>Squamous cell carcinoma</subject><subject>Surgery</subject><subject>Survival Rate</subject><issn>0171-5216</issn><issn>1432-1335</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp9kcFuEzEQhi1ERUPgBTggS1y4LIztOHa4oQooUiUu7XnldWYTV7vrrcebKs_TF8VLAkgcOI1m5pt_fuln7I2ADwLAfCSAlZIVSKhACaMq-YwtxDwSSunnbAHCiEpLsb5kL4nuofTayBfsUklh9craBXu63SOnKR3CwXU89KPzmceWj5FyHDG5HA7IfezHLvjSxIG4azMm7qfzMiGhnzc8DHwsMxwy8ceQ9xwpjnu3wyJND5Pr40TcY9dx75IPQ-zdJz6m8megkI-cfExY9S77fRh23A2uO1KgV-yidR3h63NdsruvX26vrqubH9--X32-qbwyOlcChNo0otmIxlsjt7aVTsMabSOtbrWUppVWbA04tZVyJVcgoNFNAxtrJTZCLdn7k26x9DAh5boPNNt1AxbntVTGbgCUMgV99w96H6dU_M6UNVoruZ4peaJ8ikQJ23pMoXfpWAuo5wjrU4R1ibD-FWG5XrK3Z-mp6XH75-R3ZgVQJ4DKathh-vv7P7I_AQ1Dqiw</recordid><startdate>20200501</startdate><enddate>20200501</enddate><creator>Yamamoto, Manabu</creator><creator>Shimokawa, Mototsugu</creator><creator>Yoshida, Daisuke</creator><creator>Yamaguchi, Shohei</creator><creator>Ohta, Mitsuhiko</creator><creator>Egashira, Akinori</creator><creator>Ikebe, Masahiko</creator><creator>Morita, Masaru</creator><creator>Toh, Yasushi</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><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>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20200501</creationdate><title>The survival impact of postoperative complications after curative resection in patients with esophageal squamous cell carcinoma: propensity score-matching analysis</title><author>Yamamoto, Manabu ; Shimokawa, Mototsugu ; Yoshida, Daisuke ; Yamaguchi, Shohei ; Ohta, Mitsuhiko ; Egashira, Akinori ; Ikebe, Masahiko ; Morita, Masaru ; Toh, Yasushi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-10139b1b91bc872d8f2a506e8b285f5227f281d70a3d22424010b5bb09882eb13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Cancer Research</topic><topic>Esophageal cancer</topic><topic>Esophageal Neoplasms - mortality</topic><topic>Esophageal Neoplasms - pathology</topic><topic>Esophageal Neoplasms - surgery</topic><topic>Esophageal Squamous Cell Carcinoma - mortality</topic><topic>Esophageal Squamous Cell Carcinoma - pathology</topic><topic>Esophageal Squamous Cell Carcinoma - surgery</topic><topic>Esophagectomy - adverse effects</topic><topic>Esophagectomy - statistics & numerical data</topic><topic>Esophagus</topic><topic>Female</topic><topic>Hematology</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Kaplan-Meier Estimate</topic><topic>Male</topic><topic>Medical prognosis</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Multivariate analysis</topic><topic>Oncology</topic><topic>Original Article – Clinical Oncology</topic><topic>Postoperative Complications - etiology</topic><topic>Postoperative Complications - mortality</topic><topic>Propensity Score</topic><topic>Squamous cell carcinoma</topic><topic>Surgery</topic><topic>Survival Rate</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yamamoto, Manabu</creatorcontrib><creatorcontrib>Shimokawa, Mototsugu</creatorcontrib><creatorcontrib>Yoshida, Daisuke</creatorcontrib><creatorcontrib>Yamaguchi, Shohei</creatorcontrib><creatorcontrib>Ohta, Mitsuhiko</creatorcontrib><creatorcontrib>Egashira, Akinori</creatorcontrib><creatorcontrib>Ikebe, Masahiko</creatorcontrib><creatorcontrib>Morita, Masaru</creatorcontrib><creatorcontrib>Toh, Yasushi</creatorcontrib><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>Oncogenes and Growth Factors Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Research Library (ProQuest Database)</collection><collection>Research Library (Corporate)</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>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of cancer research and clinical oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yamamoto, Manabu</au><au>Shimokawa, Mototsugu</au><au>Yoshida, Daisuke</au><au>Yamaguchi, Shohei</au><au>Ohta, Mitsuhiko</au><au>Egashira, Akinori</au><au>Ikebe, Masahiko</au><au>Morita, Masaru</au><au>Toh, Yasushi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The survival impact of postoperative complications after curative resection in patients with esophageal squamous cell carcinoma: propensity score-matching analysis</atitle><jtitle>Journal of cancer research and clinical oncology</jtitle><stitle>J Cancer Res Clin Oncol</stitle><addtitle>J Cancer Res Clin Oncol</addtitle><date>2020-05-01</date><risdate>2020</risdate><volume>146</volume><issue>5</issue><spage>1351</spage><epage>1360</epage><pages>1351-1360</pages><issn>0171-5216</issn><eissn>1432-1335</eissn><abstract>Purpose
The relationship between postoperative complications and long-term survival after surgery for esophageal squamous cell carcinoma (ESCC) is controversial.
Method
A total of 210 patients with ESCC who underwent subtotal esophagectomy with a reconstructed gastric tube were investigated according to the development of postoperative complications. The associations of age, gender, T and N factors, and pStage with grade 0–2 complications (NSC) and grade 3 and higher complications (SC) were compared by propensity score-matching analysis. Fifty-one pairs of NSC and SC groups were selected for the final analysis. We divided 102 patients between the NSC and SC groups or between the no pulmonary complication (NPC) and the pulmonary complication (PC) groups. The overall survival (OS) and disease-free survival (DFS) were determined by the Kaplan–Meier method and were compared by log-rank tests. Possible predictors of OS and DFS were subjected to univariate analysis and multivariate Cox proportional hazard regression analysis.
Results
The propensity score matching revealed that the 5-year OS and DFS of the NSC group were not different from those of the SC group. However, the 5-year OS of the PC group was significantly worse than that of the NPC group, while no significant differences were observed in the DFS between the PC and NPC groups. In the multivariate analysis, UICC pStage, pulmonary complication, and American Heart Association (AHA) classification for OS and UICC pStage for DFS were significant prognostic factors.
Conclusion
The OS and DFS did not differ in patients with or without severe postoperative complications. However, postoperative pulmonary complications were independent predictors of poorer OS, but not DFS, in patients who underwent R0 resection for ESCC.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>32185488</pmid><doi>10.1007/s00432-020-03173-2</doi><tpages>10</tpages></addata></record> |
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| language | eng |
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| source | Springer Nature |
| subjects | Cancer Research Esophageal cancer Esophageal Neoplasms - mortality Esophageal Neoplasms - pathology Esophageal Neoplasms - surgery Esophageal Squamous Cell Carcinoma - mortality Esophageal Squamous Cell Carcinoma - pathology Esophageal Squamous Cell Carcinoma - surgery Esophagectomy - adverse effects Esophagectomy - statistics & numerical data Esophagus Female Hematology Humans Internal Medicine Kaplan-Meier Estimate Male Medical prognosis Medicine Medicine & Public Health Middle Aged Multivariate analysis Oncology Original Article – Clinical Oncology Postoperative Complications - etiology Postoperative Complications - mortality Propensity Score Squamous cell carcinoma Surgery Survival Rate |
| title | The survival impact of postoperative complications after curative resection in patients with esophageal squamous cell carcinoma: propensity score-matching analysis |
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