Gastric Adenocarcinoma in Young Patients: a Population-Based Appraisal View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2011-10

AUTHORS

Waddah B. Al-Refaie, Chung-Yuan Hu, Peter W. T. Pisters, George J. Chang

ABSTRACT

BACKGROUND: Although international studies of young gastric cancer patients have mainly reported favorable survival outcomes compared with older patients, US-based experiences have shown a wider spectrum of outcomes. We examined the impact of young age (under 45 years) on the presentation and survival outcomes of gastric adenocarcinoma. METHODS: A total of 33,236 patients with gastric adenocarcinoma were identified within the 1988-2006 Surveillance, Epidemiology, and End Results (SEER) registry. Multivariate regression analysis of relative survival was performed to adjust for covariate effects using generalized linear models. RESULTS: Young patients were more likely than older patients to have advanced nodal and distant metastatic disease at presentation (P < 0.001 for both). Unadjusted relative survival analysis demonstrated younger patients to have favorable stage-stratified survival when compared with middle-aged and older patients. These findings persisted after adjusting for covariates. After stratifying for receipt of cancer-directed surgery, younger age was associated with more favorable stage-stratified relative survival. CONCLUSIONS: This is the largest US population-based study of age-related gastric cancer outcomes. Although young patients with gastric cancer present with more advanced disease, their adjusted stage-stratified relative survival is more favorable than that of older patients. This study supports a stage-dependent treatment approach in younger populations. More... »

PAGES

2800-2807

Identifiers

URI

http://scigraph.springernature.com/pub.10.1245/s10434-011-1647-x

DOI

http://dx.doi.org/10.1245/s10434-011-1647-x

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1017098015

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/21424881


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