Impact of Routine Follow-Ups After Curative Gastrectomy in Elderly Patients with Early Gastric Cancer.

IF 3.5 2区医学 Q2 ONCOLOGY Annals of Surgical Oncology Pub Date : 2025-04-01 Epub Date: 2024-12-29 DOI:10.1245/s10434-024-16713-8

Juno Yoo, Chang Seok Ko, Seong-A Jeong, Seul-Gi Oh, Ba Ool Seong, Jeong Hwan Yook, Moon-Won Yoo, Beom Su Kim, In-Seob Lee, Chung Sik Gong, Sa-Hong Min, Jung-Bok Lee

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Abstract

Introduction: Elderly patients with early gastric cancer exhibit a relatively shorter life expectancy and lower recurrence risk, prompting consideration of whether the regular follow-up strategy should apply to this demographic. This study was designed to determine the effect of routine postoperative follow-up on the elderly patients, specifically those pathologically diagnosed with stage I gastric cancer.

Methods and materials: This retrospective analysis was conducted at a single tertiary center and enrolled patients aged ≥ 75 years who underwent curative gastrectomy for stage I gastric cancer between January of 2007 and December of 2016. The patients were divided into routine and nonroutine follow-up groups, depending on whether the recommended follow-up examinations (endoscopy, CT, and blood tests) were complete. Propensity score matching was performed to compare the overall survival (OS) and disease-specific survival (DSS) between the two study groups.

Results: Among 385 patients enrolled, 301 (78.2%) were routine and 84 (21.8%) were nonroutine follow-up patients. After propensity score matching, each study group consisted of 83 patients. There was no significant difference in OS (85.5% vs. 83.1%, p = 0.47) and DSS (98.6% vs. 98.3%, p = 0.57) between the two study groups. There were six (1.5%) recurrences in the entire cohort: four in the routine and two in the nonroutine follow-up group.

Conclusions: Regular follow-up of elderly patients with stage I gastric cancer did not significantly impact the OS and DSS rates.

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老年早期胃癌根治性胃切除术后常规随访的影响。

老年早期胃癌患者的预期寿命相对较短，复发风险较低，这促使人们考虑是否应该对这一人群进行定期随访。本研究旨在确定常规术后随访对老年患者，特别是病理诊断为I期胃癌患者的影响。方法和材料：回顾性分析在单一三级中心进行，纳入2007年1月至2016年12月期间年龄≥75岁的I期胃癌行根治性胃切除术的患者。根据推荐的随访检查（内窥镜、CT和血液检查）是否完成，将患者分为常规随访组和非常规随访组。采用倾向评分匹配来比较两个研究组的总生存期（OS）和疾病特异性生存期（DSS）。结果：纳入的385例患者中，常规随访301例（78.2%），非常规随访84例（21.8%）。倾向评分匹配后，每个研究组由83例患者组成。两组患者的OS （85.5% vs. 83.1%, p = 0.47）和DSS （98.6% vs. 98.3%, p = 0.57）差异无统计学意义。整个队列中有6例（1.5%）复发：常规随访组4例，非常规随访组2例。结论：老年I期胃癌患者定期随访对OS和DSS发生率无显著影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annals of Surgical Oncology 医学-外科

CiteScore

5.90

自引率

10.80%

发文量

1698

审稿时长

2.8 months

期刊介绍： The Annals of Surgical Oncology is the official journal of The Society of Surgical Oncology and is published for the Society by Springer. The Annals publishes original and educational manuscripts about oncology for surgeons from all specialities in academic and community settings.