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©The Author(s) 2024.
World J Gastrointest Surg. Sep 27, 2024; 16(9): 2878-2892
Published online Sep 27, 2024. doi: 10.4240/wjgs.v16.i9.2878
Published online Sep 27, 2024. doi: 10.4240/wjgs.v16.i9.2878
Table 2 Baseline clinicopathologic characteristics of patients with diffuse gastric adenocarcinoma receiving neoadjuvant chemotherapy or adjuvant chemotherapy before and after inverse probability of treatment weighting, n (%)
Characteristic | Before IPTW | After IPTW | ||||
Adjuvant chemotherapy (n = 576) | Neoadjuvant chemotherapy (n = 872) | P value | Adjuvant chemotherapy (n = 1458.4) | Neoadjuvant chemotherapy (n = 1445.0) | P value | |
Age | 0.026 | 0.916 | ||||
≤ 45 | 87 (15.1) | 154 (17.7) | 232.9 (16.0) | 243.1 (16.8) | ||
45-70 | 328 (56.9) | 527 (60.4) | 882.9 (60.5) | 861.9 (59.7) | ||
≥ 70 | 161 (28.0) | 191 (21.9) | 342.6 (23.5) | 339.9 (23.5) | ||
Sex | 0.347 | 0.823 | ||||
Male | 268 (46.5) | 429 (49.2) | 694.4 (47.6) | 697.4 (48.3) | ||
Female | 308 (53.5) | 443 (50.8) | 764.0 (52.4) | 747.6 (51.7) | ||
Race | 0.170 | 0.314 | ||||
White | 347 (60.2) | 568 (65.1) | 897.2 (61.5) | 938.7 (65.0) | ||
Black | 66 (11.5) | 86 (9.9) | 144.3 (9.9) | 140.4 (9.7) | ||
Asian | 154 (26.7) | 199 (22.8) | 394.7 (27.1) | 332.9 (23.0) | ||
Other | 9 (1.6) | 19 (2.2) | 22.2 (1.5) | 32.9 (2.3) | ||
Diagnosis period | < 0.001 | 0.942 | ||||
2004-2010 | 151 (26.2) | 124 (14.2) | 270.0 (18.5) | 269.8 (18.7) | ||
2010-2020 | 425 (73.8) | 748 (85.8) | 1188.4 (81.5) | 1175.1 (81.3) | ||
Tumor location | < 0.001 | 0.988 | ||||
Upper one-third | 45 (7.8) | 143 (16.4) | 202.5 (13.9) | 189.4 (13.1) | ||
Middle one-third | 198 (34.4) | 283 (32.5) | 500.2 (34.3) | 488.8 (33.8) | ||
Lower one-third | 198 (34.4) | 230 (26.4) | 417.2 (28.6) | 418.5 (29.0) | ||
Overlapping | 72 (12.5) | 124 (14.2) | 181.0 (12.4) | 191.2 (13.2) | ||
Unknown | 63 (10.9) | 92 (10.6) | 157.5 (10.8) | 157.0 (10.9) | ||
Histology type | 0.753 | 0.999 | ||||
Diffuse | 159 (27.6) | 251 (28.8) | 400.3 (27.4) | 397.9 (27.5) | ||
Signet-ring cell carcinoma | 406 (70.5) | 608 (69.7) | 1034.4 (70.9) | 1023.9 (70.9) | ||
Linitis plastica | 11 (1.9) | 13 (1.5) | 23.7 (1.6) | 23.2 (1.6) | ||
Grade | 0.179 | 0.056 | ||||
Well/moderately differentiated | 16 (2.8) | 14 (1.6) | 48.1 (3.3) | 22.2 (1.5) | ||
Poorly/undifferentiated | 560 (97.2) | 858 (98.4) | 1410.3 (96.7)) | 1422.8 (98.5) | ||
T stage | < 0.001 | 0.996 | ||||
1 | 40 (6.9) | 46 (5.3) | 91.7 (6.3) | 87.8 (6.1) | ||
2 | 60 (10.4) | 100 (11.5) | 155.9 (10.7)) | 158.6 (11.0) | ||
3 | 223 (38.7) | 455 (52.2) | 683.8 (46.9) | 671.7 (46.5) | ||
4 | 253 (43.9) | 271 (31.1) | 527.1 (36.1) | 526.8 (36.5) | ||
N stage | < 0.001 | 0.963 | ||||
0 | 126 (21.9) | 262 (30.0) | 418.2 (28.7) | 395.0 (27.3) | ||
1 | 121 (21.0) | 241 (27.6) | 351.0 (24.1) | 356.3 (24.7) | ||
2 | 132 (22.9) | 160 (18.3) | 283.7 (19.5) | 282.6 (19.6) | ||
3 | 197 (34.2) | 209 (24.0) | 405.6 (27.8) | 411.1 (28.4) | ||
D2 surgery | < 0.001 | 0.996 | ||||
No | 310 (53.8) | 357 (40.9) | 672.7 (46.1) | 666.7 (46.1) | ||
Yes | 266 (46.2) | 515 (59.1) | 785.7 (53.9) | 778.3 (53.9) | ||
OS (95%CI) | ||||||
1-year | 79.4 (76.1, 82.9) | 88.0 (85.8, 90.3) | 83.5 (80.5, 86.6) | 86.2 (83.6, 88.9) | ||
3-year | 48.7 (44.5, 53.4) | 54.6 (51.0, 58.5) | 53.0 (48.3, 58.1) | 51.6 (47.8, 55.6) | ||
5-year | 37.9 (33.7. 42.6) | 41.2 (37.4, 45.4) | 42.7 (37.9, 48.1) | 37.8 (34.0, 42.2) | ||
Median OS (95%CI), month | 34.0 (31.0, 42.0) | 42.0 (38.0, 48.0) | 42.0 (35.0, 53.0) | 38.0 (35.0, 44.0) | ||
CSS (95%CI) | ||||||
1-year | 81.2 (78.0, 84.6) | 89.6 (87.5, 91.8) | 85.0 (82.1, 88.0) | 87.8 (85.3, 90.4) | ||
3-year | 52.4 (48.1, 57.1) | 59.0 (55.3, 62.9) | 56.5 (51.8, 61.7) | 56.0 (52.1, 60.1) | ||
5-year | 43.3 (38.8, 48.2) | 46.4 (42.4, 50.9) | 47.8 (42.8, 53.3) | 43.1 (39.0, 47.4) | ||
Median CSS (95%CI), month | 42.0 (33.0, 53.0) | 52.0 (43.0, 64.0) | 53.0 (42.0, 80.0) | 45.0 (39.0, 54.0) |
- Citation: Li ZF, Li Z, Zhang XJ, Sun CY, Fei H, Du CX, Guo CG, Zhao DB. Perioperative chemotherapy improves survival of patients with locally advanced diffuse gastric cancer. World J Gastrointest Surg 2024; 16(9): 2878-2892
- URL: https://www.wjgnet.com/1948-9366/full/v16/i9/2878.htm
- DOI: https://dx.doi.org/10.4240/wjgs.v16.i9.2878