Gastrectomies for the treatment of gastric cancer in a reference cancer center present better pathological results and survival compared to non‐specialized hospitals

Background Some studies have shown that gastrectomy performed by experienced surgeons in high‐volume specialized hospitals with the possibility of complete treatment has better results. This study aimed to compare the results of patients who underwent surgery at a reference center with non‐specializ...

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Published in:Journal of surgical oncology 2024-09, Vol.130 (4), p.750-756
Main Authors: Ramos, Marcus F. K. P., Pereira, Marina A., Santos, Sarah Moreira, Dias, Andre R., Ribeiro‐Junior, Ulysses
Format: Article
Language:English
Subjects:
Adenocarcinoma - mortality
Adenocarcinoma - pathology
Adenocarcinoma - surgery
Adenocarcinoma - therapy
Aged
Cancer Care Facilities - statistics & numerical data
centralized hospital services
Chemotherapy
Chemotherapy, Adjuvant
Female
Follow-Up Studies
gastrectomy
Gastrectomy - mortality
gastric cancer
Gastrointestinal surgery
high volume hospitals
Humans
Male
Middle Aged
outcome assessment
Prognosis
Retrospective Studies
Stomach Neoplasms - mortality
Stomach Neoplasms - pathology
Stomach Neoplasms - surgery
Stomach Neoplasms - therapy
Survival Rate
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Summary:Background Some studies have shown that gastrectomy performed by experienced surgeons in high‐volume specialized hospitals with the possibility of complete treatment has better results. This study aimed to compare the results of patients who underwent surgery at a reference center with non‐specialized centers. Methods Patients with gastric adenocarcinoma stage as pTNM II and III who underwent curative gastrectomy and were referred for adjuvant chemotherapy between 2009 and 2018 were included. Patients were divided into two groups: patients operated on in a reference center with complete oncological treatment (Reference Group); and those operated on in an external Hospital and referred for adjuvant treatment at the reference center (External Group). Results A total of 643 patients were evaluated, 307 in the external group and 336 in the reference group. Patients in the external group were younger (58.9 vs. 62.6 years; p 
ISSN:0022-4790
1096-9098
1096-9098
DOI:10.1002/jso.27746