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The influence of age on the surgical management of carcinoma of the stomach

Winslet, MC; Mohsen, YMA; Powell, J; Allum, WH; Fielding, JWL; (1996) The influence of age on the surgical management of carcinoma of the stomach. EUR J SURG ONCOL , 22 (3) 220 - 224.

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Abstract

The medical records of 31,808 patients with gastric cancer registered with the West-Midlands Cancer Registry between 1957-1981 were reviewed to determine the influence of age on presentation, stage assessment, management, survival and mortality rates. When analysed by stage, and excluding post-operative deaths, survival was similar in all age groups. This study confirms stage of disease to be the single most important prognostic factor, The inverse relationship between laparotomy and age implies inadequate assessment of stage in the elderly, The poor prognosis in unresected cases suggests that increased precise staging by laparotomy or laparoscopy will have minimal adverse effects, On the other hand this may result in increased resections and survival.

Type:Article
Title:The influence of age on the surgical management of carcinoma of the stomach
Keywords:age factors, aged, comparative study, epidemiology, human, mortality, prognosis, retrospective study, risk factors, stomach neoplasms, surgery, EARLY GASTRIC-CANCER, TOTAL GASTRECTOMY, POSTOPERATIVE COMPLICATIONS, CURATIVE RESECTION, PROGNOSTIC FACTORS, RISK-FACTORS, SURVIVAL, ADENOCARCINOMA, SPLENECTOMY, PATIENT
UCL classification:UCL > School of Life and Medical Sciences > Faculty of Medical Sciences > Surgery and Interventional Science (Division of)

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