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Effect of Time (Season, Surgical Starting Time, Waiting Time) on Patients with Gastric Cancer
PURPOSE: The purpose of the present study was to evaluate the effect of time (season, surgical starting time in the daytime, preoperative waiting time) on patients with gastric cancer. METHODS: A retrospective collection of medical records of patients who underwent gastrectomy at a single clinical c...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8018433/ https://www.ncbi.nlm.nih.gov/pubmed/33824610 http://dx.doi.org/10.2147/RMHP.S294141 |
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author | Peng, Dong Zou, Ying-Ying Cheng, Yu-Xi Tao, Wei Zhang, Wei |
author_facet | Peng, Dong Zou, Ying-Ying Cheng, Yu-Xi Tao, Wei Zhang, Wei |
author_sort | Peng, Dong |
collection | PubMed |
description | PURPOSE: The purpose of the present study was to evaluate the effect of time (season, surgical starting time in the daytime, preoperative waiting time) on patients with gastric cancer. METHODS: A retrospective collection of medical records of patients who underwent gastrectomy at a single clinical center from January 2013 to December 2018 was performed. Medical records were collected, and short-term outcomes and long-term survival were analyzed by different time groups. RESULTS: A total of 586 patients were included in this study. In terms of surgical starting time, the midday group had a shorter operation time (p=0.017) but more complications (p=0.048) than the non-midday group. No significant difference was found based on the season of gastrectomy. The long preoperative waiting group had a shorter postoperative hospital stay than the short waiting group (p=0.026). No significant difference was found between the short-waiting group and long-waiting group in overall survival for all clinical stages. Age (p=0.040, HR=1.017, 95% CI=1.001–1.033), BMI (p<0.001, HR=0.879, 95% CI=0.844–0.953) and clinical stage (p<0.001, HR=2.053, 95% CI=1.619–2.603) were independent prognostic factors predicting overall survival; however, season of gastrectomy, surgical starting time and preoperative waiting time were not identified as independent prognostic factors. CONCLUSION: Surgical starting time at the midday could cause more complications, and surgeons should be careful when the surgical starting time is midday. |
format | Online Article Text |
id | pubmed-8018433 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Dove |
record_format | MEDLINE/PubMed |
spelling | pubmed-80184332021-04-05 Effect of Time (Season, Surgical Starting Time, Waiting Time) on Patients with Gastric Cancer Peng, Dong Zou, Ying-Ying Cheng, Yu-Xi Tao, Wei Zhang, Wei Risk Manag Healthc Policy Original Research PURPOSE: The purpose of the present study was to evaluate the effect of time (season, surgical starting time in the daytime, preoperative waiting time) on patients with gastric cancer. METHODS: A retrospective collection of medical records of patients who underwent gastrectomy at a single clinical center from January 2013 to December 2018 was performed. Medical records were collected, and short-term outcomes and long-term survival were analyzed by different time groups. RESULTS: A total of 586 patients were included in this study. In terms of surgical starting time, the midday group had a shorter operation time (p=0.017) but more complications (p=0.048) than the non-midday group. No significant difference was found based on the season of gastrectomy. The long preoperative waiting group had a shorter postoperative hospital stay than the short waiting group (p=0.026). No significant difference was found between the short-waiting group and long-waiting group in overall survival for all clinical stages. Age (p=0.040, HR=1.017, 95% CI=1.001–1.033), BMI (p<0.001, HR=0.879, 95% CI=0.844–0.953) and clinical stage (p<0.001, HR=2.053, 95% CI=1.619–2.603) were independent prognostic factors predicting overall survival; however, season of gastrectomy, surgical starting time and preoperative waiting time were not identified as independent prognostic factors. CONCLUSION: Surgical starting time at the midday could cause more complications, and surgeons should be careful when the surgical starting time is midday. Dove 2021-03-29 /pmc/articles/PMC8018433/ /pubmed/33824610 http://dx.doi.org/10.2147/RMHP.S294141 Text en © 2021 Peng et al. http://creativecommons.org/licenses/by-nc/3.0/ This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). |
spellingShingle | Original Research Peng, Dong Zou, Ying-Ying Cheng, Yu-Xi Tao, Wei Zhang, Wei Effect of Time (Season, Surgical Starting Time, Waiting Time) on Patients with Gastric Cancer |
title | Effect of Time (Season, Surgical Starting Time, Waiting Time) on Patients with Gastric Cancer |
title_full | Effect of Time (Season, Surgical Starting Time, Waiting Time) on Patients with Gastric Cancer |
title_fullStr | Effect of Time (Season, Surgical Starting Time, Waiting Time) on Patients with Gastric Cancer |
title_full_unstemmed | Effect of Time (Season, Surgical Starting Time, Waiting Time) on Patients with Gastric Cancer |
title_short | Effect of Time (Season, Surgical Starting Time, Waiting Time) on Patients with Gastric Cancer |
title_sort | effect of time (season, surgical starting time, waiting time) on patients with gastric cancer |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8018433/ https://www.ncbi.nlm.nih.gov/pubmed/33824610 http://dx.doi.org/10.2147/RMHP.S294141 |
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