Accès ouvert déclaré2025article
Stomach cancer elective surgery morbidity and mortality at 90-Day (Hold Study): a prospective, international collaborative cohort study
C Neves-Marques, Mohamed Abulazayem, Geoffrey Yuet Mun Wong, Ricardo David Maldonado, Y K S Viswanath, Alex Boddy, Claire L. Donohoe, Juan Pablo Scarano, Alessandro Martinino, Amaar Aamery, N.M. Abdulkhakimov, Essam Eldien Abuobaida, Ulaş Aday, Khayry Al‐Shami, Faris Alhajami, Ana C. Almeida, Mohammad Badr Almoshantaf, Hassan Ahmed, Martín Andrada, Abdul Wahid Anwer, Ahmed K. Awad, Efstratia Baili, Oussama Baraket, José Pedro Barbosa, Cara Baker, Ashraf Bakri, Zdenko Boras, André Caiado, Can Ertug Cayirci, Giacomo Calini, Pasquale Cianci, Esin Cinal, Christos Chouliaras, Elif Çolak, Beatriz Costeira, Viktoria Davletshina, Fabrizio D’Acapito, Turgut Dönmez, E. S. Drozdov, Giorgio Ercolani, Sarnai Erdene, Ergin Erginöz, S. Ferreira, Marta Fragoso, Massimo Framarini, Aysuna Galandarova, Laurent Genser, Ilya Gorohov, Jan Grosek, Sílvia Guerrero, İsmail Hasırcı, Arturan İbrahimli, Javier Ithurralde-Argerich, Mehmet Karabulut, Takahiro Kinoshita, Ibtissam Bin Khalid, Khurram Khan, Shahid Khattak, V. M. Khomyakov, Wiktor Krawczyk, Almu’atasim Khamees, А. К. Кострыгин, Jurij Aleš Košir, Zbigniew Lorenc, Jorge Milhomem, Gadi Marom, Ana Melo, A. Menasria, Serhat Meric, Francesk Mulita, Andrea Muratore, Taryel Omarov, Giuseppe Palomba, Negine Paul, Akshant Pathak, Giovanna Pavone, Rostislav Pavlov, Raul Pinillla, Omeed Rasheed, Anouar Remini, Andrey Ryabov, Elgun Samadov, Inian Samarasam, Erdene Sandag, Jorge Santos, Elio Sanchez, Azize Saroglu, Dimitrios Schizas, Pedro Azevedo Serralheiro, Oguzhan Simsek, D. D. Sobolev, Amine Souadka, Fabiana Sousa, Muhammed Salih Süer, Suraj Surendran, Athanasios Syllaios, Aamir Ali Syed, Daiki Terajima, Merve Tokoçin, Tania Triantafyllou, Server Sezgin Uludağ, Tevfik Kıvılcım Uprak, Susan Vaz, Massimo Vecchiato, Georgios Ioannis Verras, Massimiliano Veroux, Kelvin Voon, Kirill Vovin, Myla Yacob, Maciej Wałędziak, Alexander Zacharenko, Fatima Tu Zahara, Rishi Singhal, Kamal Mahawar, Ahmed Abbas, Imed Abbassi, Ibrahim Younouss Abdelhamid, Federico Cuenca Abente, Haider Abid, Ayman Abouleid, Hans Débora Acín-Gándara, Ademola Adeyeye, Alaa Mohamed Ads, Nezih Akkapulu, Talar Vartanoğlu Aktokmakyan, Sergei Aksenov, Peter Agbonrofo, Mosheer Al-Dahdouh, Nigar Allahverdiyeva, Manar Al-Shami, Zaid Al-Sheikh Ali, Rawan Mohammed Al-Sallal, Ahmad Malek Alsheikh, Hamza Al-Naggar, Aiman Nuri Allawgalli, Subhi Al-Issawi, Sief-Addeen Al-Tahayneh, Michele Ammendola, Ahmed Y Ammar, Laïla Amrani, Mario Annecchiarico, Εlissavet Anestiadou, Luciano Antozzi, Giovanni Aprea, Giulio Argenio, Akif Enes Arıkan, Alan Askari, Alberto Assisi, Nora Ra’ed Atiah, Selmy Awad, Karim Ayed, Kemal Arslan, Jean‐Baptiste Bachet, Juan Balcazar, Guillermo Ponce de León‐Ballesteros, Christina Bali, Andrea Balla, Stefano Bartolomeo, Raffaele Basile, Nuru Bayramov, Aparna Govil Bhasker, Usman Mohammed Bello, Zakaria Belkhadir, Mahesh Bendemagal, Amine Benkabbou, António Bernardes, Patrícia Bernardo, Federica Bianco, Stefanos Bitsianis, Joana Bolota, Alessandro Bonomi, Nuno Borges, Haktan Övül Bozkır, El Ahmadi Brahim, Vittorio Bresàdola, Marcos Bruna, Virginia Cano Busnelli, Rasika Bulathsinhela, Francisco Cabral, Marcello Calabrò, Emir Capkinoglu, Marianna Capuano, Constantino Fondevila Campo, S Carrabetta, Clifford Caruana, Rui Casaca, Federico del Castillo-Diez, Fausto Catena, Danilo Centonze, Anna Chaika, Alexandros Charalabopoulos, Aishwarya Chokshi, Lynn Chong, Christian Cotsoglou, Daniel M. Chircop, Sharfuddin Chowdhury, Beatriz Chumbinho, Sudhakar Chandran, Leonardo Luca Chiarella, Ivana Conversano, Paulo Costa, Gangalakshmi Chokkalingam, Liliana Cuevas, Jan Giuseppe Currò, N. Chadli, V Cuk, Giovanni Dapri, Dragomir Dardanov, Anuj Dash, Gabriel Mihail Dimofte, Andrew Davies, Agron Dogjani, Onur Dülgeroğlu, Agustín Duro, Anne Sophie Dulac, Marwa M. Eid, Hosam Elghadban, Nagm Eldin Abu Elnga, Mohamad Hayssam ElFawal, H. Eric, Giuseppe Evola, Sarah K. Fahmi, Alice Filippelli, Yuri Fishman, Muratcan Fırat, Matthew Forshaw, Aakash Fouzdar, Francesco Frattini, Lewis Gall, Ioannis Gerogiannis, Mohamed Hedi Ghalloussi, Elliot R. Goodman, James Gossage, Stefano Granieri, Amit Gupta, Ashok Gunawardene, Rahul Gupta, Hytham K. S. Hamid, Abdul Rahman Hammadieh, Joshua N. Hammerschlag, Francisco Henao, Michael W. Hii, Joshua Hong, Nikolaos Intzes, Omorodion Irowa, Ivaylo Ivanov, Periyathambi Jambulingam, Mustafa Abu Jayyab, Alexander Julianov, Т. С. Калинина, Ahmad Amir H. Kayali, Mohd Yasser Kayyal, Vijay Kumar, Mandeep Kaur, Mark Kelly, Mohammad Kermansaravi, Guowei Kim, Michał Kisielewski, Mohamad Klib, Archana Khanduri, Mansoor A. Khan, Cheng Jing Khaw, Malak Khaled Khlouf, K. G. Koreshkova, Patrícia Lages, Oumaima Lahnaoui, Pedro Laranjo, Konstantinos Lasithiotakis, Lazarou Lazaros, Pasquale Lepiane, Georgios D. Lianos, Alessio Licciardello, Corrado Da Lio, Gordon Liu, Sorinel Luncă, Andrea‐Pierre Luzzi, Daniele Macchini, Annalisa Mancin, R Martins, Alexander Mahendran, Mohammed Anass Majbar, M. P. Makurina, Mustafa Sabri Massadi, Ruqaya Masri, Jean Claude Mbonicura, Isabel Mesquita, Milica Milentijević, Lourenço Moniz, Paolo Morgagni, Federico Moser, Adnan Mohammed, Raouf Mohsine, Cecília Monteiro, Isabella Mondi, Daniele Morezzi, Ana-Maria Mușină, Areej Esam Aish Nadeesh, Carlo Nagliati, Eddy Lincango-Naranjo, Ayman Naser, Pueya Nashidengo, А. Е. Неймарк, Ionuţ Negoi, P.N. Nesargikar, Chiara Nessi, Elena Herranz van Nood, Lucio Ricardo Obeide, Stefano Olmi, Susana Onofre, Steve-Nation Nehiweze Oriakhi, Mouaqit Ouadii, Mehmet Faik Özçelık, Zeynep Tuğba Özdemir, Mehmet Mahir Özmen, Giovanni Domenico De Palma, Anshuman Pandey, Hugo Palmieri, Çağhan Pekşen, Plamen Petkov, Enrico Pinotti, G. S. Pogosyan, Alexandra Pupo, Chenxi Quan, Paulo Ramos, Deepak Rajput, Shiv Rajan, Muhammad Haseeb Raza, Matthew Read, Sofia F. Reis, João G. Ribeiro, C. Righetti, Cristian-Ene Roată, Emanuele Romairone, Homayoon Roshan, Laura Rosner, Elena Ruiz‐Úcar, A Santangelo, Catarina Rolo Santos, Amira Said, Alpaslan Şahin, Nasser Sakran, K.I. Salimzyanov, Federica Saraceno, Hitesh Sarda, Marah Ahmad Sawaftah, Mohammad Ahmad Sawaftah, Khaled Ahmad Sawaftah, Ahsan Shafiq, Azhar Shabbir, Amir Hafeez Shariff, Franco Signorini, Theodoros Sidiropoulos, Sílvia Silva, Jimmy Bok Yan So, João Pinto-de-Sousa, Leonardo Solaini, Μichael Spartalis, Konstantinos Stratoulias, Duminda Subasinghe, Shankar Subbarayan, Aziz Sümer, Fjorenta Sulo, Savvas Symeonidis, Kimutai Sylvester, Safwan Taha, Flávio Roberto Takeda, Athanasios Tampakis, Nicola Tartaglia, Abdallah Rashad Temerik, Nilanjana Tewari, Anisse Tidjane, O. Tilioua, Charalampos Theodoropoulos, Aleš Tomažič, Carlos J. Toro‐Huamanchumo, Alexandra Triantafyllou, Ioannis Tsikritzakis, Tyseer Median Tyseer, F Tuminello, Fara Uccelli, Matteo Uccelli, Mehmet Eşref Ulutaş, Cihan Uras, Michail Vailas, Jean Christophe Vaillant, José Ignacio Valenzuela, Carlo Vallicelli, Natalia Velenciuc, Daunia Verdi, Marlon A. Vesga, Nakul Viswanath Ivan Vlahovic, Samuel Wanjara, Ishaan Wazir, Zhuoqi Wei, Cácio Ricardo Wietzycoski, Wojciech M. Wysocki, Bara’ Sami Yacoub, Wah Yang, Raghad Yousef Yassin, Ayşegül Yılmaz, D Yordanov, Kağan Zengin, Valentina Zucchini, Mauricio Zuluaga
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81Institutions associées
32Pays d’affiliation
Résumé fourni par la source
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.
Sujets associés
Gastric Cancer Management and OutcomesEnhanced Recovery After SurgeryHelicobacter pylori-related gastroenterology studies