Gastric cancer treatment in Japan: 2008 annual report of the JGCA nationwide registry.

Gastric cancer treatment in Japan: 2008 annual report of the JGCA nationwide registry.
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DOI:
10.1007/s10120-011-0085-6
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发表时间:
2011-10
期刊:
影响因子:
7.4
通讯作者:
Kaminishi, Michio
Kaminishi, Michio
中科院分区:
医学1区
文献类型:
--
作者:
Isobe, Yoh;Nashimoto, Atsushi;Akazawa, Kohei;Oda, Ichiro;Hayashi, Kenichi;Miyashiro, Isao;Katai, Hitoshi;Tsujitani, Shunichi;Kodera, Yasuhiro;Seto, Yasuyuki;Kaminishi, Michio

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日本胃癌协会(JGCA)于2008年启动了一项新的全国性胃癌登记。从187家参与医院回顾性收集了2001年治疗的12004例原发性胃癌患者的大约50项数据,包括手术操作、病理诊断和生存结局。根据JGCA胃癌分类(第13版)和国际抗癌联合会(UICC)恶性肿瘤TNM分类(第5版),通过电子数据收集系统将数据输入JGCA数据库。最后对11261例胃切除术患者的资料进行分析。5年随访率为83.5%。直接死亡率为0.6%。IA期TNM 5年生存率(5 YSR)/JGCA 5年生存率为91.8/91.9%,IB期为84.6/85.1%,II期为70.5/73.1%,IIIA期为46.6/51.0%,IIIB期为29.9/33.4%,IV期为16.6/15.8%。80岁以上患者占7.0%,5 YSR占48.7%。与JGCA存档数据相比,尽管随访率需要提高,但这些数据表明,日本晚期疾病和老年人群中原发性胃癌患者的术后结果有所改善。
The Japanese Gastric Cancer Association (JGCA) started a new nationwide gastric cancer registry in 2008. Approximately 50 data items, including surgical procedures, pathological diagnoses, and survival outcomes, for 12004 patients with primary gastric cancer treated in 2001 were collected retrospectively from 187 participating hospitals. Data were entered into the JGCA database according to the JGCA Classification of gastric carcinoma, 13th edition and the International Union Against Cancer (UICC) TNM Classification of malignant tumors, 5th edition by using an electronic data collecting system. Finally, data of 11261 patients with gastric resection were analyzed. The 5-year follow-up rate was 83.5%. The direct death rate was 0.6%. TNM 5-year survival rates (5YSRs)/JGCA 5YSRs were 91.8/91.9% for stage IA, 84.6/85.1% for stage IB, 70.5/73.1% for stage II, 46.6/51.0% for stage IIIA, 29.9/33.4% for stage IIIB, and 16.6/15.8% for stage IV. The proportion of patients more than 80 years old was 7.0%, and their 5YSR was 48.7%. Compared to the JGCA archived data, though the follow-up rate needs to be improved, these data suggest that the postoperative results of patients with primary gastric carcinoma have improved in those with advanced disease and in the aged population in Japan.
DOI: 10.1093/jjco/hym112
发表时间: 2007-11-01
影响因子: 2.4
作者:
Marugame, Tomomi;Matsuda, Tomohiro;Sobue, Tomotaka
通讯作者: Sobue, Tomotaka