[Value of consistent after care in stomach cancer]. / Wert einer konsequenten Nachsorge beim Magenkarzinom.
Wien Klin Wochenschr
; 99(12): 420-3, 1987 Jun 12.
Article
em De
| MEDLINE
| ID: mdl-3617770
ABSTRACT
This study analyses the efficacy of a consistent, strict follow-up programme in the management of patients with gastric cancer. Between 1978 and 1986 671 patients were treated, of whom 361 (54%) had a radical operation. The data were fed into an electronic data base and patients were invited to attend the follow-up investigations. The drop-out rate was 21%. Recurrence was detected in 177 cases, 25% in the liver, 25% as carcinosis, 21% in lymph nodes, 15% locally and 14% in other localizations. 78% of the recurrences were seen two years postoperatively and 27% were asymptomatic; 10% underwent radical operation, 27% palliative operation and 63% conservative treatment. Survival rates after 3 and 5 years were 73% and 62% in patients without recurrence and 21% and 8% with recurrence, respectively (p = 0.0 Breslow and Mantel test). The survival rate 2 years after treatment of recurrence was 37% after radical surgery and 0% after palliative operations or conservative treatment (p less than 0.06 Breslow and p less than 0.002 Mantel test). Furthermore, a tight follow-up programme enables control of surgical quality and accurate follow-up during clinical trials, whilst the opportunity to advise patients after operation is an important aspect.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Neoplasias Gástricas
Tipo de estudo:
Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Adult
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Aged
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Aged80
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Female
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Humans
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Male
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Middle aged
Idioma:
De
Ano de publicação:
1987
Tipo de documento:
Article