胃癌治愈性胃切除术后的随访损失:发生率,促成因素和生存影响
Tae-Han Kim1,2, Ji-Ho Park3,4, Sang-Ho Jeong2,4
1Department of Surgery, Seoul National University Bundang Hospital, Seongnam, Korea.
The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi
|January 23, 2026
概括
胃癌手术后的随访损失很常见,与老年和缺乏支持有关. 这种损失与较差的生存结果有关,特别是在早期患者中.
科学领域:
- 在瘤学瘤学.
- 外科胃肠道外科手术
- 临床流行病学临床流行病学
背景情况:
- 胃癌手术 (胃切除术) 需要持续的随访 (FU) 以获得最佳的患者结果.
- 随访损失 (FUL) 是治疗胃切除术后患者的一个重大挑战.
- 了解FUL发病率及其影响对于改善胃癌护理至关重要.
研究的目的:
- 为了确定胃癌的胃切除术后随访损失 (FUL) 的发生率和原因.
- 在这个患者群体中确定与FUL相关的预测因素.
- 评估FUL对整体生存 (OS) 结果的影响.
主要方法:
- 对435名接受治疗性胃切除术 (2016-2019) 的患者进行了回顾性队列研究.
- 患者分为FU组 (定期出席) 和FUL组 (>12个月错过的访问).
- 电话采访以确定FUL原因和生存状况;预测因素和结果的统计分析.
主要成果:
- 31.5%的患者患有FUL;主要原因是非胃癌死亡 (40.1%).
- 预测FUL的因素包括年龄较大,BMI较低,缺乏家庭支持和全胃切除术.
- FUL与较差的整体存活率 (OS) 有显著的关联,特别是在I期胃癌患者中.
结论:
- 胃切除术后的随访损失受到患者人口统计学和手术因素的影响.
- FUL是减少整体存活率的独立预测指标,特别是在早期的胃癌.
- 改善随访遵守的策略对于提高胃癌幸存者的生存率至关重要.
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