1. Association Between Waiting Time from Diagnosis to Endoscopic Submucosal Dissection and Non-curative Resection in Gastric Neoplasm
- Author
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Jin Woong Park, Gil Ho Lee, Choong-Kyun Noh, Eunyoung Lee, Sun Gyo Lim, Young Bae Kim, Kee Myung Lee, Jin Roh, and Sung Jae Shin
- Subjects
Male ,Curative resection ,Waiting time ,Cancer Research ,medicine.medical_specialty ,Endoscopic Mucosal Resection ,Time-to-Treatment ,Risk Factors ,Stomach Neoplasms ,medicine ,Humans ,Risk factor ,Watchful Waiting ,Aged ,Retrospective Studies ,Aged, 80 and over ,business.industry ,Palliative Care ,Disease Management ,Cancer ,General Medicine ,Endoscopic submucosal dissection ,Middle Aged ,medicine.disease ,Surgery ,Early Gastric Cancer ,Treatment Outcome ,Oncology ,Dysplasia ,Female ,business ,Gastric Neoplasm - Abstract
Background/aim Currently, there are no standard guidelines for the waiting time from the diagnosis of gastric neoplasms to endoscopic submucosal dissection (ESD). Patients and methods A total of 1,605 patients who had undergone ESD for early gastric cancer (EGC) or high-grade dysplasia (HGD) were enrolled. Waiting time for ESD was defined as the time from the first diagnosis to ESD. Multivariable logistic regression analysis was conducted. Results The curative resection rate was 86.8% and the mean waiting time was 36.8 days. In the multivariable model, longer waiting time did not significantly affect non-curative resection, whereas age >70 years, submucosal fibrosis, and initial cancer diagnosis were significantly associated with non-curative resection. Waiting time was still not identified as a risk factor for non-curative resection in EGC and HGD groups. Conclusion A longer waiting time from diagnosis to ESD was not associated with non-curative resection.
- Published
- 2021