Stomach cancer elective surgery morbidity and mortality at 90-Day (Hold Study): a prospective, international collaborative cohort study
| Title: | Stomach cancer elective surgery morbidity and mortality at 90-Day (Hold Study): a prospective, international collaborative cohort study |
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| Authors: | Neves-Marques, Claudia; Abulazayem, Mohamed; Wong, Geoffrey Yuet Mun; Maldonado, Ricardo David; Viswanath, Yirupaiahgari; Boddy, Alex; Donohoe, Claire; Scarano, Juan Pablo; Martinino, Alessandro; Aamery, Amaar; Abdulkhakimov, Nuriddin; Abuobaida, Essam Eldien; Aday, Ulaş; Al-Shami, Khayry; Alhajami, Faris; Almeida, Ana; Almoshantaf, Mohammad Badr; Ahmed, Hassan; Andrada, Martín; Anwer, Abdul Wahid; Awad, Ahmed K.; Baili, Efstratia; Baraket, Oussama; Barbosa, José; Baker, Cara; Bakri, Ashraf; Boras, Zdenko; Caiado, André; Cayirci, Can; Calini, Giacomo; Cianci, Pasquale; Cinal, Esin; Chouliaras, Christos; Colak, Elif; Correia, Maria Teresa; Costeira, Beatriz; Davletshina, Viktoria; D’Acapito, Fabrizio; Donmez, Turgut; Drozdov, Evgeniy; Ercolani, Giorgio; Erdene, Sarnai; Erginöz, Ergin; Ferreira, Samantha Rocha; Fragoso, Marta; Framarini, Massimo; Galandarova, Aysuna; Genser, Laurent; Gorohov, Ilya; Grosek, Jan; Guerrero, Silvia; Hasırcı, Ismail; Ibrahimli, Arturan; Ithurralde-Argerich, Javier; Karabulut, Mehmet; Kinoshita, Takahiro; Khalid, Ibtissam Bin; Khan, Khurram; Khattak, Shahid; Khomyakov, Vladimir; Krawczyk, Wiktor; Khamees, Almu’atasim; Kostrygin, Alexander; Košir, Jurij; Lorenc, Zbigniew; Milhomem, Jorge; Marom, Gadi; Melo, Ana; Menasria, Abdelkader; Meric, Serhat; Mulita, Francesk; Muratore, Andrea; Omarov, Taryel; Palomba, Giuseppe; Paul, Negine; Pathak, Akshant; Pavone, Giovanna; Pavlov, Rostislav; Pinillla, Raul; Rasheed, Omeed; Remini, Anouar; Ryabov, Andrey; Samadov, Elgun; Samarasam, Inian; Sandag, Erdene; Santos, Jorge; Sanchez, Elio; Saroglu, Azize; Schizas, Dimitrios; Serralheiro, Pedro Azevedo; Simsek, Oguzhan; Sobolev, Dmitry; Souadka, Amine; de Sousa, José Vieira; Sousa, Fabiana; Suer, Muhammed; Surendran, Suraj; Syllaios, Athanasios; Syed, Aamir Ali; Terajima, Daiki; Tokocin, Merve; Triantafyllou, Tania; Uludağ, Server; Uprak, Tevfik; Vaz, Susan; Vecchiato, Massimo; Verras, Georgios Ioannis; Veroux, Massimiliano; Voon, Kelvin; Vovin, Kirill; Yacob, Myla; Walędziak, Maciej; Zacharenko, Alexander; Zahara, Fatima Tu; Singhal, Rishi; Mahawar, Kamal |
| Publisher Information: | Springer Berlin Heidelberg |
| Publication Year: | 2025 |
| Collection: | University of Sunderland: SUnderland REpository (SURE) |
| Subject Terms: | Health Sciences; Sciences |
| Description: | Background: Data on multinational 90-day mortality and morbidity rates after surgery for gastric cancer is limited in the literature. This study aimed to understand the 90-day mortality and morbidity outcomes among patients undergoing elective gastric cancer surgery, as in the GASTRODATA Registry, and to identify associated risk factors. Methods: We conducted an international prospective study on patients aged ≥ 18 years undergoing elective surgery for gastric cancer with curative intent from January 4 to September 30, 2022. Known metastatic disease, concurrent secondary cancers, gastrointestinal stromal tumour (GIST) and Siewert type I/II oesophagogastric junction malignancies were excluded. Univariate and multivariate logistic regression were used to identify variables associated with the 90-day outcome. Results: 380 collaborators from 47 countries submitted data on 1538 patients. Median age was 65 years (IQR: 19–94), and 58.5% were males. 90-day morbidity and mortality rates were 38.2% (n = 587) and 2.9% (n = 45), respectively. Pre-operative higher Charlson Comorbidity Index, higher ASA score, pre-operative weight loss > 10%, positive specimen margin, and post-operative pathological IV staging (p value < 0.05) were significantly associated with clinically relevant complications and mortality. Conclusion: Elective gastric cancer surgery has a 90-day morbidity of 38.2% and a 90-day mortality of 2.9% globally. This study provided the most comprehensive international 90-day prospective data to date regarding gastric cancer surgery. Several factors associated with higher morbidity were identified, highlighting the importance of a unified language on surgical morbidity, prehabilitation, and ongoing audits to enhance patient outcomes. |
| Document Type: | article in journal/newspaper |
| File Description: | application/pdf |
| Language: | English |
| ISSN: | 1435-2451 |
| Relation: | https://sure.sunderland.ac.uk/id/eprint/19655/1/423_2025_Article_3890.pdf; Neves-Marques, Claudia , Abulazayem, Mohamed , Wong, Geoffrey Yuet Mun , Maldonado, Ricardo David , Viswanath, Yirupaiahgari , Boddy, Alex , Donohoe, Claire , Scarano, Juan Pablo , Martinino, Alessandro , Aamery, Amaar , Abdulkhakimov, Nuriddin , Abuobaida, Essam Eldien , Aday, Ulaş , Al-Shami, Khayry , Alhajami, Faris , Almeida, Ana , Almoshantaf, Mohammad Badr , Ahmed, Hassan , Andrada, Martín , Anwer, Abdul Wahid , Awad, Ahmed K. , Baili, Efstratia , Baraket, Oussama , Barbosa, José , Baker, Cara , Bakri, Ashraf , Boras, Zdenko , Caiado, André , Cayirci, Can , Calini, Giacomo , Cianci, Pasquale , Cinal, Esin , Chouliaras, Christos , Colak, Elif , Correia, Maria Teresa , Costeira, Beatriz , Davletshina, Viktoria , D’Acapito, Fabrizio , Donmez, Turgut , Drozdov, Evgeniy , Ercolani, Giorgio , Erdene, Sarnai , Erginöz, Ergin , Ferreira, Samantha Rocha , Fragoso, Marta , Framarini, Massimo , Galandarova, Aysuna , Genser, Laurent , Gorohov, Ilya , Grosek, Jan , Guerrero, Silvia , Hasırcı, Ismail , Ibrahimli, Arturan , Ithurralde-Argerich, Javier , Karabulut, Mehmet , Kinoshita, Takahiro , Khalid, Ibtissam Bin , Khan, Khurram , Khattak, Shahid , Khomyakov, Vladimir , Krawczyk, Wiktor , Khamees, Almu’atasim , Kostrygin, Alexander , Košir, Jurij , Lorenc, Zbigniew , Milhomem, Jorge , Marom, Gadi , Melo, Ana , Menasria, Abdelkader , Meric, Serhat , Mulita, Francesk , Muratore, Andrea , Omarov, Taryel , Palomba, Giuseppe , Paul, Negine , Pathak, Akshant , Pavone, Giovanna , Pavlov, Rostislav , Pinillla, Raul , Rasheed, Omeed , Remini, Anouar , Ryabov, Andrey , Samadov, Elgun , Samarasam, Inian , Sandag, Erdene , Santos, Jorge , Sanchez, Elio , Saroglu, Azize , Schizas, Dimitrios , Serralheiro, Pedro Azevedo , Simsek, Oguzhan , Sobolev, Dmitry , Souadka, Amine , de Sousa, José Vieira , Sousa, Fabiana , Suer, Muhammed , Surendran, Suraj , Syllaios, Athanasios , Syed, Aamir Ali , Terajima, Daiki , Tokocin, Merve , Triantafyllou, Tania , Uludağ, Server , Uprak, Tevfik , Vaz, Susan , Vecchiato, Massimo , Verras, Georgios Ioannis , Veroux, Massimiliano , Voon, Kelvin , Vovin, Kirill , Yacob, Myla , Walędziak, Maciej , Zacharenko, Alexander , Zahara, Fatima Tu , Singhal, Rishi and Mahawar, Kamal (2025) Stomach cancer elective surgery morbidity and mortality at 90-Day (Hold Study): a prospective, international collaborative cohort study. Langenbeck's Archives of Surgery, 411 (1): 12. p. 12. ISSN 1435-2451 |
| Availability: | https://sure.sunderland.ac.uk/id/eprint/19655/; https://sure.sunderland.ac.uk/id/eprint/19655/1/423_2025_Article_3890.pdf |
| Rights: | cc_by_4 |
| Accession Number: | edsbas.7664AD38 |
| Database: | BASE |