Zhang YH, Ma C, Huang XM, Liu Y. Influence factors of clinical effects on patients with early gastric cancer: A retrospective study. World J Gastrointest Surg 2025; 17(1): 94873 [PMID: 39872760 DOI: 10.4240/wjgs.v17.i1.94873]
Corresponding Author of This Article
Yang Liu, Associate Chief Physician, Digestive Endoscopy Center, Chonggang General Hospital, No. 1 Dayan Sancun Road, Dadukou District, Chongqing 400080, China. cqliuyang008@163.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Table 2 Clinical characteristics of early gastric cancer patients
Characteristics
Number of patients
CRG (n = 143)
NCRG (n = 30)
χ2
P value
Gender
Male
126
108
18
3.020
0.082
Female
47
35
12
Age (years)
≥ 65
66
53
13
0.413
0.520
< 65
107
90
17
Family history of stomach cancer
Yes
41
36
5
0.993
0.319
No
132
107
25
Tumor diameter (mm)
≥ 20
59
42
17
8.221
0.004
< 20
114
101
13
Tumor location
Upper and middle part of stomach
119
93
26
5.404
0.020
Lower part of stomach
54
50
4
Ulcer formation
Yes
66
47
19
9.755
0.002
No
107
96
11
Depth of infiltration
Mucous membrane layer
97
88
9
10.014
0.002
Submucosa
76
55
21
History of Helicobacter pylori infection
Yes
44
36
8
0.029
0.865
No
129
107
22
Pathological type
Differentiation type
85
78
7
9.666
0.002
Undifferentiated type
88
65
23
Consolidation of depressed lesions
Yes
106
91
15
1.943
0.163
No
67
52
15
Consolidation of mucosal lesions
Yes
118
98
20
0.040
0.842
No
55
45
10
Lymph node metastasis
Yes
77
55
22
12.209
0.001
No
96
88
8
Table 3 Comparison of clinical efficacy in the study population
Group
Curative resection rate (%)
En bloc resection rate (%)
ESD group (n = 87)
80.46
94.25
Surgical group (n = 86)
84.88
100
χ2
0.591
3.248
P value
0.442
0.072
Table 4 Multivariate logistic regression analysis of factors affecting non-curative resection in early gastric cancer patients
Factors
Regression coefficient
Standard error
Z value
Wald χ2
P value
OR value
95%CI
Diameter of tumor
1.146
0.412
2.783
7.746
0.005
3.15
1.40-7.05
Tumor location
1.251
0.565
2.215
4.904
0.027
3.50
1.16-10.58
Ulcer formation
1.261
0.419
3.012
9.071
0.003
3.53
1.55-8.01
Depth of penetration
1.317
0.434
3.036
9.217
0.002
3.73
1.60-8.74
Pathological type
1.317
0.434
3.036
9.217
0.002
3.73
1.60-8.74
Lymph node metastasis
1.482
0.447
3.313
10.976
0.001
4.40
1.83-10.57
Table 5 Predictive value of each factor for non-curative resection in early gastric cancer patients
Characteristic
AUC value
Sensitivity
Specificity
Diameter of tumor
0.636
0.567
0.706
Tumor location
0.608
0.867
0.35
Ulcer formation
0.652
0.633
0.671
Depth of infiltration
0.658
0.7
0.615
Pathological type
0.656
0.767
0.545
Lymph node metastasis
0.674
0.733
0.615
Citation: Zhang YH, Ma C, Huang XM, Liu Y. Influence factors of clinical effects on patients with early gastric cancer: A retrospective study. World J Gastrointest Surg 2025; 17(1): 94873