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Gastric Cancer (2017) 20:496–507 DOI 10.1007/s10120-016-0634-0 ORIGINAL ARTICLE Modeling preoperative risk factors for potentially lethal morbidities using a nationwide Japanese web-based database of patients undergoing distal gastrectomy for gastric cancer 1,5 2,4 1,2 1 • • • • Chikara Kunisaki Hiroaki Miyata Hiroyuki Konno Zenichiro Saze 2,4 1 1,2 • • • Norimichi Hirahara Hirotoshi Kikuchi Go Wakabayashi 1,2,4 3 Mitsukazu Gotoh Masaki Mori Received: 29 March 2016 / Accepted: 8 August 2016 / Published online: 23 August 2016 The International Gastric Cancer Association and The Japanese Gastric Cancer Association 2016 Abstract Results Operative mortality was 1.07 % and overall mor- Background Most risk models for mortality and morbidity bidity was 14.2 % for the development data set. We after distal gastrectomy have been created based on rela- selected eight morbidities that were closely associated with tively small retrospective studies, and a model originating postoperative mortality, and then identified between 13 and from nationwide database has been lacking. This study 25 independent preoperative risk factors for each of the aimed to identify preoperative risk factors that predict the eight morbidities. Of these, old age, female gender, and postoperative morbidities closely associated with mortality poor ADL were the factors most
Gastric Cancer – Springer Journals
Published: Aug 23, 2016
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