BACKGROUND AND OBJECTIVES: Gastric cancer (GC) outcomes differ between Asian and Western countries, even when controlling for contributing factors, but whether this difference holds true for China remains inadequately studied. We sought to compare the presentation, treatment, and outcomes of patients with GC undergoing curative intent (R0) resection between the US and China, and to ascertain whether geography/ institution is an independent predictor of disease-specific survival (DSS). METHODS: Data were analyzed from patients with GC undergoing R0 resection at high-volume cancer centers in the US (Memorial Sloan Kettering Cancer Center [MSKCC], n = 1378) and China (Fujian Medical University Union Hospital [FMUUH], n = 4262) between 2000 and 2014. Factors associated with DSS were examined by multivariate analysis. RESULTS: The 5-year DSS ( P < 0.001) for all patients was better at MSKCC than at FMUUH, even among patients not receiving preoperative chemotherapy ( P < 0.001), but stratification by substage eliminated this difference ( P > 0.05). Factors independently associated with DSS included age, histology, tumor size, T category, N category, gastrectomy type, and preoperative chemotherapy, but not institution. CONCLUSIONS: Although the presentation of patients with GC between MSKCC and FMUUH differs, survival of patients with curatively resected GC, when matched for clinical stage, is comparable.
BACKGROUND AND OBJECTIVES:Gastric cancer (GC) outcomes differ between Asian and Western countries, even when controlling for contributing factors, but whether this difference holds true for China remains inadequately studied. We sought to compare the presentation, treatment, and outcomes of patients with GC undergoing curative intent (R0) resection between the US and China, and to ascertain whether geography/ institution is an independent predictor of disease-specific survival (DSS). METHODS: Data were analyzed from patients with GC undergoing R0 resection at high-volume cancer centers in the US (Memorial Sloan Kettering Cancer Center [MSKCC], n = 1378) and China (Fujian Medical University Union Hospital [FMUUH], n = 4262) between 2000 and 2014. Factors associated with DSS were examined by multivariate analysis. RESULTS: The 5-year DSS ( P < 0.001) for all patients was better at MSKCC than at FMUUH, even among patients not receiving preoperative chemotherapy ( P < 0.001), but stratification by substage eliminated this difference ( P > 0.05). Factors independently associated with DSS included age, histology, tumor size, T category, N category, gastrectomy type, and preoperative chemotherapy, but not institution. CONCLUSIONS: Although the presentation of patients with GC between MSKCC and FMUUH differs, survival of patients with curatively resected GC, when matched for clinical stage, is comparable.
Authors: Gian Luca Baiocchi; Guido A Tiberio; Anna Maria Minicozzi; Paolo Morgagni; Daniele Marrelli; Lorenzo Bruno; Fausto Rosa; Alberto Marchet; Arianna Coniglio; Luca Saragoni; Marco Veltri; Fabio Pacelli; Franco Roviello; Donato Nitti; Stefano M Giulini; Giovanni De Manzoni Journal: Ann Surg Date: 2010-07 Impact factor: 12.969
Authors: Vivian E Strong; Kyo Young Song; Cho Hyun Park; Lindsay M Jacks; Mithat Gonen; Manish Shah; Daniel G Coit; Murray F Brennan Journal: Ann Surg Date: 2010-04 Impact factor: 12.969
Authors: M T Redaniel; A Laudico; M R Mirasol-Lumague; A Gondos; D Pulte; C Mapua; H Brenner Journal: Br J Cancer Date: 2009-02-24 Impact factor: 7.640
Authors: Elvira L Vos; Masaya Nakauchi; Mithat Gönen; Jason A Castellanos; Alberto Biondi; Daniel G Coit; Johan L Dikken; Domenico D'Ugo; Henk Hartgrink; Ping Li; Makoto Nishimura; Mark Schattner; Kyo Young Song; Laura H Tang; Ichiro Uyama; Santosha Vardhana; Rob H A Verhoeven; Bas P L Wijnhoven; Vivian E Strong Journal: Ann Surg Date: 2021-12-14 Impact factor: 13.787