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The effect of the gastrectomy on survival in patients with metastatic gastric cancer: A study of ASMO

  • Ozan Yazici
  • , Nuriye Özdemir
  • , Ayşe Ocak Duran
  • , Serkan Menekşe
  • , Mehmet Ali Nahit Şendur
  • , Halit Karaca
  • , Gamze Göksel
  • , Erkan Arpaci
  • , Ilhan Hacibekiroʇlu
  • , Irem Bilgetekin
  • , Turgut Kaçan
  • , Metin Özkan
  • , Sercan Aksoy
  • , Asude Aksoy
  • , Suna Çokmert
  • , Mükremin Uysal
  • , Emin Tamer Elkiran
  • , Irfan Çiçin
  • , Süleyman Büyükberber
  • , Nurullah Zengin
  • Ankara Numune Education and Research Hospital
  • Yildirim Beyazit Universitesi
  • Erciyes University
  • Manisa Celal Bayar University
  • Sakarya University
  • Trakya University
  • Gazi University
  • Cumhuriyet University
  • Inonu University
  • Özel Kent Hospital
  • Afyon Kocatepe University

Research output: Contribution to journalArticlepeer-review

10 Citations (Scopus)

Abstract

Aim: To investigate the role of surgical resection of primary tumor on overall survival (OS) in advanced gastric cancer patients at the time of diagnosis. Patients & methods: The survival rates of metastatic gastric cancer patients whose gastric primary tumor was resected at time of diagnosis were compared with metastatic gastric cancer patients whose primary tumor was nonresected. Results: The median progression-free survival and OS in operated and nonoperated group were 10 versus 6, 14 versus 9 months, respectively (p < 0.001). In multivariate analysis, gastric resection of primary tumor, Eastern Cooperative Oncology Group performance status, second-line chemotherapy had a significant effect on OS (hazard ratio [HR]: 0.52 [95% CI: 0.38-0.71], HR: 0.57 [95% CI: 0.42-0.78], HR: 1.48 [1.09-2.01]; p ≤ 0.001, p = 0.001 and p = 0.012, respectively). Conclusion: Subpopulations of patients with metastatic gastric cancer might benefit from surgical removal of primary tumor.

Original languageEnglish
Pages (from-to)343-354
Number of pages12
JournalFuture Oncology
Volume12
Issue number3
DOIs
Publication statusPublished - Feb 2016
Externally publishedYes

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords

  • advanced gastric cancer
  • gastrectomy
  • resection
  • survival

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