Risk factors for postoperative complications after gastrectomy in gastric cancer patients with comorbidities

Takuya Hamakawa, Yukinori Kurokawa, Jota Mikami, Yasuhiro Miyazaki, Tsuyoshi Takahashi, Makoto Yamasaki, Hiroshi Miyata, Kiyokazu Nakajima, Shuji Takiguchi, Masaki Mori, Yuichiro Doki

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Purpose: We conducted this retrospective cohort study to evaluate which preoperative comorbidities and their combinations are most strongly associated with postoperative complications after gastrectomy. Methods: We collected data on 214 consecutive patients who underwent gastrectomy for gastric cancer. Preoperative comorbidities were placed into one of ten categories: cardiac, pulmonary, liver, renal, central nervous system, hypertension, diabetes, endocrine/metabolic, vascular, and immune/hematological. The relationship between the number of comorbidities and the incidence of postoperative complications was evaluated. Results: Among 120 patients (56.1 %) with comorbidities, 48 had a single comorbidity and 72 had multiple (≥2) comorbidities. The incidence of postoperative complications was 45.8 % (33/72) for patients with multiple comorbidities and 23.9 % (34/142) for those with 0 or 1 comorbidity (P = 0.001). Among the ten types of comorbidities, only pulmonary (P = 0.019) and vascular diseases (P = 0.007) were significantly associated with the occurrence of postoperative complications. Conclusion: Patients with multiple comorbidities had a significantly higher incidence of postoperative complications after gastrectomy. Among the comorbidities studied, pulmonary and vascular diseases had the strongest association with postoperative complications.

Original languageEnglish
Pages (from-to)224-228
Number of pages5
JournalSurgery today
Volume46
Issue number2
DOIs
Publication statusPublished - Feb 1 2016
Externally publishedYes

Fingerprint

Gastrectomy
Stomach Neoplasms
Comorbidity
Vascular Diseases
Incidence
Lung
Lung Diseases
Blood Vessels
Cohort Studies
Central Nervous System
Retrospective Studies
Hypertension
Kidney

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Hamakawa, T., Kurokawa, Y., Mikami, J., Miyazaki, Y., Takahashi, T., Yamasaki, M., ... Doki, Y. (2016). Risk factors for postoperative complications after gastrectomy in gastric cancer patients with comorbidities. Surgery today, 46(2), 224-228. https://doi.org/10.1007/s00595-015-1175-6

Risk factors for postoperative complications after gastrectomy in gastric cancer patients with comorbidities. / Hamakawa, Takuya; Kurokawa, Yukinori; Mikami, Jota; Miyazaki, Yasuhiro; Takahashi, Tsuyoshi; Yamasaki, Makoto; Miyata, Hiroshi; Nakajima, Kiyokazu; Takiguchi, Shuji; Mori, Masaki; Doki, Yuichiro.

In: Surgery today, Vol. 46, No. 2, 01.02.2016, p. 224-228.

Research output: Contribution to journalArticle

Hamakawa, T, Kurokawa, Y, Mikami, J, Miyazaki, Y, Takahashi, T, Yamasaki, M, Miyata, H, Nakajima, K, Takiguchi, S, Mori, M & Doki, Y 2016, 'Risk factors for postoperative complications after gastrectomy in gastric cancer patients with comorbidities', Surgery today, vol. 46, no. 2, pp. 224-228. https://doi.org/10.1007/s00595-015-1175-6
Hamakawa, Takuya ; Kurokawa, Yukinori ; Mikami, Jota ; Miyazaki, Yasuhiro ; Takahashi, Tsuyoshi ; Yamasaki, Makoto ; Miyata, Hiroshi ; Nakajima, Kiyokazu ; Takiguchi, Shuji ; Mori, Masaki ; Doki, Yuichiro. / Risk factors for postoperative complications after gastrectomy in gastric cancer patients with comorbidities. In: Surgery today. 2016 ; Vol. 46, No. 2. pp. 224-228.
@article{c1a9fbf6fdf84ae39b21da3c136a386a,
title = "Risk factors for postoperative complications after gastrectomy in gastric cancer patients with comorbidities",
abstract = "Purpose: We conducted this retrospective cohort study to evaluate which preoperative comorbidities and their combinations are most strongly associated with postoperative complications after gastrectomy. Methods: We collected data on 214 consecutive patients who underwent gastrectomy for gastric cancer. Preoperative comorbidities were placed into one of ten categories: cardiac, pulmonary, liver, renal, central nervous system, hypertension, diabetes, endocrine/metabolic, vascular, and immune/hematological. The relationship between the number of comorbidities and the incidence of postoperative complications was evaluated. Results: Among 120 patients (56.1 {\%}) with comorbidities, 48 had a single comorbidity and 72 had multiple (≥2) comorbidities. The incidence of postoperative complications was 45.8 {\%} (33/72) for patients with multiple comorbidities and 23.9 {\%} (34/142) for those with 0 or 1 comorbidity (P = 0.001). Among the ten types of comorbidities, only pulmonary (P = 0.019) and vascular diseases (P = 0.007) were significantly associated with the occurrence of postoperative complications. Conclusion: Patients with multiple comorbidities had a significantly higher incidence of postoperative complications after gastrectomy. Among the comorbidities studied, pulmonary and vascular diseases had the strongest association with postoperative complications.",
author = "Takuya Hamakawa and Yukinori Kurokawa and Jota Mikami and Yasuhiro Miyazaki and Tsuyoshi Takahashi and Makoto Yamasaki and Hiroshi Miyata and Kiyokazu Nakajima and Shuji Takiguchi and Masaki Mori and Yuichiro Doki",
year = "2016",
month = "2",
day = "1",
doi = "10.1007/s00595-015-1175-6",
language = "English",
volume = "46",
pages = "224--228",
journal = "Surgery Today",
issn = "0941-1291",
publisher = "Springer Japan",
number = "2",

}

TY - JOUR

T1 - Risk factors for postoperative complications after gastrectomy in gastric cancer patients with comorbidities

AU - Hamakawa, Takuya

AU - Kurokawa, Yukinori

AU - Mikami, Jota

AU - Miyazaki, Yasuhiro

AU - Takahashi, Tsuyoshi

AU - Yamasaki, Makoto

AU - Miyata, Hiroshi

AU - Nakajima, Kiyokazu

AU - Takiguchi, Shuji

AU - Mori, Masaki

AU - Doki, Yuichiro

PY - 2016/2/1

Y1 - 2016/2/1

N2 - Purpose: We conducted this retrospective cohort study to evaluate which preoperative comorbidities and their combinations are most strongly associated with postoperative complications after gastrectomy. Methods: We collected data on 214 consecutive patients who underwent gastrectomy for gastric cancer. Preoperative comorbidities were placed into one of ten categories: cardiac, pulmonary, liver, renal, central nervous system, hypertension, diabetes, endocrine/metabolic, vascular, and immune/hematological. The relationship between the number of comorbidities and the incidence of postoperative complications was evaluated. Results: Among 120 patients (56.1 %) with comorbidities, 48 had a single comorbidity and 72 had multiple (≥2) comorbidities. The incidence of postoperative complications was 45.8 % (33/72) for patients with multiple comorbidities and 23.9 % (34/142) for those with 0 or 1 comorbidity (P = 0.001). Among the ten types of comorbidities, only pulmonary (P = 0.019) and vascular diseases (P = 0.007) were significantly associated with the occurrence of postoperative complications. Conclusion: Patients with multiple comorbidities had a significantly higher incidence of postoperative complications after gastrectomy. Among the comorbidities studied, pulmonary and vascular diseases had the strongest association with postoperative complications.

AB - Purpose: We conducted this retrospective cohort study to evaluate which preoperative comorbidities and their combinations are most strongly associated with postoperative complications after gastrectomy. Methods: We collected data on 214 consecutive patients who underwent gastrectomy for gastric cancer. Preoperative comorbidities were placed into one of ten categories: cardiac, pulmonary, liver, renal, central nervous system, hypertension, diabetes, endocrine/metabolic, vascular, and immune/hematological. The relationship between the number of comorbidities and the incidence of postoperative complications was evaluated. Results: Among 120 patients (56.1 %) with comorbidities, 48 had a single comorbidity and 72 had multiple (≥2) comorbidities. The incidence of postoperative complications was 45.8 % (33/72) for patients with multiple comorbidities and 23.9 % (34/142) for those with 0 or 1 comorbidity (P = 0.001). Among the ten types of comorbidities, only pulmonary (P = 0.019) and vascular diseases (P = 0.007) were significantly associated with the occurrence of postoperative complications. Conclusion: Patients with multiple comorbidities had a significantly higher incidence of postoperative complications after gastrectomy. Among the comorbidities studied, pulmonary and vascular diseases had the strongest association with postoperative complications.

UR - http://www.scopus.com/inward/record.url?scp=84955356691&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84955356691&partnerID=8YFLogxK

U2 - 10.1007/s00595-015-1175-6

DO - 10.1007/s00595-015-1175-6

M3 - Article

VL - 46

SP - 224

EP - 228

JO - Surgery Today

JF - Surgery Today

SN - 0941-1291

IS - 2

ER -