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Article

Significance of the Glasgow Prognostic Score in Predicting the Postoperative Outcome of Patients with Stage III Gastric Cancer

by
Shun-Wen Hsueh
1,2,
Keng-Hao Liu
2,3,
Chia-Yen Hung
4,5,
Yung-Chia Kuo
2,4,
Chun-Yi Tsai
2,3,
Jun-Te Hsu
2,3,
Yu-Shin Hung
2,4,
Ngan-Ming Tsang
2,6 and
Wen-Chi Chou
2,4,*
1
Department of Hematology-Oncology, Chang Gung Memorial Hospital at Keelung, Keelung 204, Taiwan
2
College of Medicine, Chang Gung University, Taoyaun 333, Taiwan
3
Department of Surgery, Chang Gung Memorial Hospital at Linkou, Taoyuan 333, Taiwan
4
Department of Hematology-Oncology, Chang Gung Memorial Hospital at Linkou, Taoyuan 333, Taiwan
5
Department of Hematology-Oncology, Mackay General Hospital, Taipei 104, Taiwan
6
Department of Radiation Oncology, Chang Gung Memorial Hospital at Linkou, Taoyuan 333, Taiwan
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2019, 8(9), 1448; https://doi.org/10.3390/jcm8091448
Submission received: 19 July 2019 / Revised: 2 September 2019 / Accepted: 10 September 2019 / Published: 12 September 2019
(This article belongs to the Special Issue Surgical Management of Gastric Cancer)
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Abstract

This study aimed at investigating the ability of a preoperative Glasgow prognostic score (GPS) to predict postoperative complications and survival outcomes in patients with stage III gastric cancer undergoing D2 gastrectomy. We retrospectively reviewed data from 272 such patients, treated between 2010 and 2016, at a Taiwanese medical center. The patients were categorized according to their GPS. In total, 36.8%, 48.5%, and 14.7% of the patients were assigned to groups with a GPS of 0, 1, and 2, respectively. Overall surgical complication rates in these groups were 30%, 45.5%, and 52.5% (p = 0.016); postoperative intensive care unit admission rates were 10%, 14.4%, and 22.5% (p = 0.15); postoperative 30-day re-admission rates were 6%, 15.2%, and 20% (p = 0.034); and the in-hospital mortality rates were 1.0%, 1.5%, and 10.0%, respectively (p = 0.006). The median survival times of the patients were 42.9 months (95% confidence interval [CI], 29.1–56.6), 22.6 months (95% CI, 19.3–25.8), and 16.6 months (95% CI, 7.8–25.4), respectively (p< 0.001). A significant correlation was observed between the preoperative GPS, short-term postoperative complications, and long-term survival outcomes in patients with gastric cancer undergoing D2 gastrectomy. These findings recommend the usage of the GPS as a predictive and prognostic factor in patients with gastric cancer considering surgical resection.
Keywords: gastric cancer; Glasgow prognostic score; gastrectomy; complication; survival gastric cancer; Glasgow prognostic score; gastrectomy; complication; survival

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MDPI and ACS Style

Hsueh, S.-W.; Liu, K.-H.; Hung, C.-Y.; Kuo, Y.-C.; Tsai, C.-Y.; Hsu, J.-T.; Hung, Y.-S.; Tsang, N.-M.; Chou, W.-C. Significance of the Glasgow Prognostic Score in Predicting the Postoperative Outcome of Patients with Stage III Gastric Cancer. J. Clin. Med. 2019, 8, 1448. https://doi.org/10.3390/jcm8091448

AMA Style

Hsueh S-W, Liu K-H, Hung C-Y, Kuo Y-C, Tsai C-Y, Hsu J-T, Hung Y-S, Tsang N-M, Chou W-C. Significance of the Glasgow Prognostic Score in Predicting the Postoperative Outcome of Patients with Stage III Gastric Cancer. Journal of Clinical Medicine. 2019; 8(9):1448. https://doi.org/10.3390/jcm8091448

Chicago/Turabian Style

Hsueh, Shun-Wen, Keng-Hao Liu, Chia-Yen Hung, Yung-Chia Kuo, Chun-Yi Tsai, Jun-Te Hsu, Yu-Shin Hung, Ngan-Ming Tsang, and Wen-Chi Chou. 2019. "Significance of the Glasgow Prognostic Score in Predicting the Postoperative Outcome of Patients with Stage III Gastric Cancer" Journal of Clinical Medicine 8, no. 9: 1448. https://doi.org/10.3390/jcm8091448

APA Style

Hsueh, S.-W., Liu, K.-H., Hung, C.-Y., Kuo, Y.-C., Tsai, C.-Y., Hsu, J.-T., Hung, Y.-S., Tsang, N.-M., & Chou, W.-C. (2019). Significance of the Glasgow Prognostic Score in Predicting the Postoperative Outcome of Patients with Stage III Gastric Cancer. Journal of Clinical Medicine, 8(9), 1448. https://doi.org/10.3390/jcm8091448

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