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Cancer of the Stomach

Cancer of the Stomach Abstract It is obvious in a critical comparative survey of the literature on gastric carcinoma that there is a wide variation in the published five-year survival rates. Thus, the reported rates expressed in terms of five-year survivors range from a low of 0.7% to a high of 35%.1-4,6,8,9 Some of the factors causing this marked disparity, such as differences in methods of reporting results are evident. Other factors, such as the involuntary selection which occurs as a result of the inherent nature of the institution reporting its data, are subtler. The present study provides a rather unique opportunity to compare the results in patients with gastric carcinoma treated in three widely different types of institutions: a Government institution, represented by the Veterans' Administration Hospital, Dearborn, Mich.; a city institution, represented by the Receiving Hospital of the City of Detroit, and a private hospital, represented by the two units of the References 1. Guiss, L. W.: Collective Review: End Results for Gastric Cancer; 2,891 Cases , Internat. Abstr. Surg. 93:313, 1951 2. Surg. Gynec. & Obst. , (Oct.) , 1951. 3. Shahon, D. B.; Horowitz, S., and Kelly, W. D.: Cancer of the Stomach: An Analysis of 1,152 Cases , Surgery 39:204, 1956. 4. LaDue, J. S.; Murison, P. J.; McNeer, G., and Pack, G. T.: Symptomatology and Diagnosis of Gastric Cancer , Arch. Surg. 60:305, 1950.Crossref 5. Jemerin, E. E., and Colp, R.: Gastric Carcinoma: Statistical Study Based on 344 Cases from 1938 through 1947 , Surg. Gynec. & Obst. 95:99, 1952. 6. Blalock, J., and Ochsner, A.: Carcinoma of the Stomach: A Study of 18 Five Year Survivors , Ann. Surg. 145:726, 1957. 7. Beal, J. M., and Hill, M. R.: An Evaluation of the Surgical Treatment of Carcinoma of the Stomach , Surg. Gynec. & Obst. 102:271, 1956. 8. Kirschner, P. A., and Garlock, J. H.: An Appraisal of Surgical Treatment of Gastric Malignancy , Ann. Surg. 138:1, 1953. 9. Walters, W., and Berkson, J.: An Improvement of 180 Per Cent in the 5-Year Survival Rate of Patients with Carcinoma of the Stomach , Ann. Surg. 137:884, 1953. 10. Ransom, H. K.: Cancer of the Stomach , Surg. Gynec. & Obst. 96:275, 1953. 11. Moore, J. R., and Morton, H. S.: Gastric Carcinoma: Statistical Review of 427 Cases of Carcinoma of Stomach from 1941 Through 1950 , Ann. Surg. 141:185, 1955. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives Surgery American Medical Association

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References (10)

Publisher
American Medical Association
Copyright
Copyright © 1958 American Medical Association. All Rights Reserved.
ISSN
0096-6908
DOI
10.1001/archsurg.1958.01280230022004
Publisher site
See Article on Publisher Site

Abstract

Abstract It is obvious in a critical comparative survey of the literature on gastric carcinoma that there is a wide variation in the published five-year survival rates. Thus, the reported rates expressed in terms of five-year survivors range from a low of 0.7% to a high of 35%.1-4,6,8,9 Some of the factors causing this marked disparity, such as differences in methods of reporting results are evident. Other factors, such as the involuntary selection which occurs as a result of the inherent nature of the institution reporting its data, are subtler. The present study provides a rather unique opportunity to compare the results in patients with gastric carcinoma treated in three widely different types of institutions: a Government institution, represented by the Veterans' Administration Hospital, Dearborn, Mich.; a city institution, represented by the Receiving Hospital of the City of Detroit, and a private hospital, represented by the two units of the References 1. Guiss, L. W.: Collective Review: End Results for Gastric Cancer; 2,891 Cases , Internat. Abstr. Surg. 93:313, 1951 2. Surg. Gynec. & Obst. , (Oct.) , 1951. 3. Shahon, D. B.; Horowitz, S., and Kelly, W. D.: Cancer of the Stomach: An Analysis of 1,152 Cases , Surgery 39:204, 1956. 4. LaDue, J. S.; Murison, P. J.; McNeer, G., and Pack, G. T.: Symptomatology and Diagnosis of Gastric Cancer , Arch. Surg. 60:305, 1950.Crossref 5. Jemerin, E. E., and Colp, R.: Gastric Carcinoma: Statistical Study Based on 344 Cases from 1938 through 1947 , Surg. Gynec. & Obst. 95:99, 1952. 6. Blalock, J., and Ochsner, A.: Carcinoma of the Stomach: A Study of 18 Five Year Survivors , Ann. Surg. 145:726, 1957. 7. Beal, J. M., and Hill, M. R.: An Evaluation of the Surgical Treatment of Carcinoma of the Stomach , Surg. Gynec. & Obst. 102:271, 1956. 8. Kirschner, P. A., and Garlock, J. H.: An Appraisal of Surgical Treatment of Gastric Malignancy , Ann. Surg. 138:1, 1953. 9. Walters, W., and Berkson, J.: An Improvement of 180 Per Cent in the 5-Year Survival Rate of Patients with Carcinoma of the Stomach , Ann. Surg. 137:884, 1953. 10. Ransom, H. K.: Cancer of the Stomach , Surg. Gynec. & Obst. 96:275, 1953. 11. Moore, J. R., and Morton, H. S.: Gastric Carcinoma: Statistical Review of 427 Cases of Carcinoma of Stomach from 1941 Through 1950 , Ann. Surg. 141:185, 1955.

Journal

A.M.A. Archives SurgeryAmerican Medical Association

Published: May 1, 1958

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