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Perioperative, short-, and long-term outcomes of gastric cancer surgery: Propensity score-matched analysis of patients with or without prior solid organ transplantation
DC Field | Value | Language |
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dc.contributor.author | 김명수 | - |
dc.contributor.author | 김유민 | - |
dc.contributor.author | 김형일 | - |
dc.contributor.author | 정재호 | - |
dc.contributor.author | 조민아 | - |
dc.contributor.author | 허규하 | - |
dc.contributor.author | 형우진 | - |
dc.date.accessioned | 2021-12-31T01:18:40Z | - |
dc.date.available | 2021-12-31T01:18:40Z | - |
dc.date.issued | 2021-12 | - |
dc.identifier.issn | 0748-7983 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/187344 | - |
dc.description.abstract | Background: Details of perioperative outcomes and survival after gastric cancer surgery in prior transplant recipients have received minimal research attention. Methods: We performed an observational cohort study using the database of 20,147 gastric cancer patients who underwent gastrectomy at a single gastric cancer center in Korea. Forty-one solid organ recipients [kidney (n = 35), liver (n = 5), or heart (n = 1)] were matched with 205 controls using propensity score matching. Results: Operation time, blood loss, and postoperative pain were similar between groups. Short-term complication rates were similar between transplantation and control groups (22.0% vs. 20.1%, P = 0.777). Transplantation group patients with stage 1 gastric cancer experienced no recurrence, while those with stage 2/3 cancer had significantly higher recurrence risk compared to the controls (P = 0.049). For patients with stage 1 cancer, the transplantation group had a significantly higher rate of non-gastric cancer-related deaths compared to the controls (19.2% vs. 1.4%, P = 0.001). For those with stage 2/3 cancer, significantly lower proportion of the transplantation group received adjuvant chemotherapy compared to the control group (26.7% vs. 80.3%, P < 0.001). The transplantation group had a higher (albeit not statistically significant) rate of gastric cancer-related deaths compared to the controls (40.0% vs. 18.0%, P = 0.087). Conclusion: Transplant recipients and non-transplant recipients exhibited similar perioperative and short-term outcomes after gastric cancer surgery. From long-term outcome analyses, we suggest active surveillance for non-gastric cancer-related deaths in patients with early gastric cancer, as well as strict oncologic care in patients with advanced cancer, as effective strategies for transplant recipients. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Elsevier | - |
dc.relation.isPartOf | EJSO | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | Perioperative, short-, and long-term outcomes of gastric cancer surgery: Propensity score-matched analysis of patients with or without prior solid organ transplantation | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Surgery (외과학교실) | - |
dc.contributor.googleauthor | Deok Gie Kim | - |
dc.contributor.googleauthor | Won Jun Seo | - |
dc.contributor.googleauthor | Minah Cho | - |
dc.contributor.googleauthor | Yoo-Min Kim | - |
dc.contributor.googleauthor | Kyu Ha Huh | - |
dc.contributor.googleauthor | Jae-Ho Cheong | - |
dc.contributor.googleauthor | Woo Jin Hyung | - |
dc.contributor.googleauthor | Myoung Soo Kim | - |
dc.contributor.googleauthor | Hyoung-Il Kim | - |
dc.identifier.doi | 10.1016/j.ejso.2021.04.017 | - |
dc.contributor.localId | A00424 | - |
dc.contributor.localId | A00782 | - |
dc.contributor.localId | A01154 | - |
dc.contributor.localId | A05628 | - |
dc.contributor.localId | A03717 | - |
dc.contributor.localId | A05418 | - |
dc.contributor.localId | A04344 | - |
dc.contributor.localId | A04382 | - |
dc.relation.journalcode | J00847 | - |
dc.identifier.eissn | 1532-2157 | - |
dc.identifier.pmid | 33906787 | - |
dc.identifier.url | https://www.sciencedirect.com/science/article/pii/S0748798321004455? | - |
dc.subject.keyword | Gastric cancer | - |
dc.subject.keyword | Organ transplantation | - |
dc.subject.keyword | Transplant recipients | - |
dc.contributor.alternativeName | Kim, Myoung Soo | - |
dc.contributor.affiliatedAuthor | 김명수 | - |
dc.contributor.affiliatedAuthor | 김유민 | - |
dc.contributor.affiliatedAuthor | 김형일 | - |
dc.contributor.affiliatedAuthor | 정재호 | - |
dc.contributor.affiliatedAuthor | 조민아 | - |
dc.contributor.affiliatedAuthor | 허규하 | - |
dc.contributor.affiliatedAuthor | 형우진 | - |
dc.citation.volume | 47 | - |
dc.citation.number | 12 | - |
dc.citation.startPage | e3105 | - |
dc.citation.endPage | e3112 | - |
dc.identifier.bibliographicCitation | EJSO, Vol.47(12) : e3105-e3112, 2021-12 | - |
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