Is surgery the best treatment for elderly gastric cancer patients?

Table 1 Short- and long-term outcomes of surgical treatments in elderly patients with gastric cancer

Variables	Gretschel et al[13]	Park etal[15]	Otowa et al[16]	Sakurai et al[17]	Takeshita et al[18]	Katai et al[19]	Yang et al[10]	Yamada et al[20]	Hikage et al[21]	Isobe et al[22]
Definition of elderly (yr)	> 75	≥ 80	≥ 80	≥ 80	≥ 80	≥ 80	≥ 80	≥ 85	≥ 85	≥ 85
No. of elderly people	48	291	39	95	104	112	68	24	55	56
BMI	ND	E < N-E	E = N-E	ND	ND	ND	ND	E = N-E	E = N-E	ND
Comorbidities	E > N-Ea	E > N-Ea	E > N-E	E > N-Ea	ND	E > N-Ea	ND	E = N-E	E = N-E	E = N-E
PS	ND	ND	ND	ND	ND	ND	ND	E = N-E	E > N-Ea	ND
ASA physical status	E > N-Ea	E > N-Ea	E > N-Ea	E > N-Ea	ND	ND	E > N-Ea	E = N-E	E > N-Ea	ND
cStage	ND	E > N-Ea	ND	ND	E > N-Ea	E = N-E	E > N-Ea	E = N-E	E = N-E	E = N-E
Rate of TG in surgery	E < N-Ea	ND	E = N-E	E = N-E	E = N-E	E = N-E	E = N-E	E = N-E	E = N-E	E < N-Ea
Percentage of TG in surgery	46	ND	35.9	29.5	24	32	20.6	37.5	23.6	8.9
Complication rate	E = N-E	ND	E = N-E	E = N-E	E = N-E	E = N-E	E > N-Ea	E = N-E	E = N-E	E < N-Ea
Respiratory complication	E = N-E	ND	E = N-E	E = N-E	E = N-E	E > N-Ea	E = N-E	E > N-Ea	E = N-E	E = N-E
Delirium rate	ND	ND	ND	ND	ND	ND	ND	ND	E > N-Ea	E = N-E
Mortality rate	E > N-Ea	ND	ND	E = N-E	E > N-E	E > N-E	E > N-Ea	ND	E = N-E	E = N-E
Adjuvant chemotherapy	ND	ND	E < N-Ea	E < N-Ea	ND	ND	E < N-Ea	ND	E < N-Ea	ND
Overall survival rate	E < N-Ea	E < N-Ea1	E < N-E(stage II)a	E < N-E(stage II, III)a	E < N-Ea	E < N-Ea	E < N-Ea	ND	E < N-Ea	E = N-E
Disease-specific mortality	E = N-E	E < N-Ea1	E < N-E(stage II)	E < N-E(stage II, III)a	E = N-E	E = N-E	E = N-E	ND	E = N-E	E = N-E

¹Curative treated patient.

^aP < 0.05. BMI: Body mass index; E: Elderly; N-E: Nonelderly; ND: Not described; PS: Performance status; ASA: American Society of Anesthesiologists; TG: Total gastrectomy.