The Effect of Palliative Invasive Interventions on Overall Survival in the Last 3 Months of Life in Metastatic Gastric Cancer

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dc.contributor.authorEkinci F.
dc.contributor.authorErdoğan A.P.
dc.date.accessioned2024-07-22T08:04:27Z
dc.date.available2024-07-22T08:04:27Z
dc.date.issued2022
dc.description.abstractPurpose: Gastric cancer is one of the biologically aggressive and highly mortal cancers. In addition to limited treatment options, especially in advanced stages, palliative treatment methods are applied to increase patients’ quality of life with gastric cancer. This study aims to discuss the effects of paracentesis, thoracentesis, tube thoracostomy, double J catheter nephrostomy, percutaneous transhepatic cholangiography (PTC), and abscess drainage catheter placement procedures applied in the last 3 months for problems requiring palliation, in the light of literature. Method: The patient characteristics of the patients and, in addition, the history of any invasive intervention for palliative treatment in the last 3 months were questioned and recorded with the electronic medical record system. The effect of an invasive intervention on survival was examined. The data of patients with metastatic gastric cancer followed in the medical oncology clinic between February 2012 and May 2020 were reviewed retrospectively. Conclusions: In this study, in which the effect of palliative invasive intervention (PIG) stories on survival in the last 3 months of life of patients diagnosed with metastatic gastric cancer was examined, no significant difference was found between those who underwent PIG and those who did not, in terms of overall survival. However, since PIG was not included in the design of our study, the effect of PIG in terms of quality of life, mood, motivation of patient relatives, and the cost is unknown. Results: In the final analysis, it was noted that 143 (94.1%) of the 152 patients included in the study died and 9 (5.9%) were still alive. Overall survival of all patients was reported as 12.9 months (95% CI, 10.9-14.9). The mean overall survival of 36 patients who underwent palliative invasive intervention (PIG) in the last 3 months was 13.0 months (95% CI, 9.1-17.0), and a similar 13.0 months (95% CI, 10.6-15.3) of 116 patients who did not undergo PIG no significant difference was found (p: 0.887). © 2022, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
dc.identifier.DOI-ID10.1007/s12029-021-00780-1
dc.identifier.issn19416628
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/12692
dc.language.isoEnglish
dc.publisherSpringer
dc.subjectHumans
dc.subjectPalliative Care
dc.subjectQuality of Life
dc.subjectRetrospective Studies
dc.subjectSplenic Neoplasms
dc.subjectStomach Neoplasms
dc.subjectabscess
dc.subjectabscess drainage
dc.subjectadult
dc.subjectArticle
dc.subjectelectronic medical record system
dc.subjectfemale
dc.subjecthistopathology
dc.subjecthuman
dc.subjecthuman tissue
dc.subjectmajor clinical study
dc.subjectmale
dc.subjectmetastasis
dc.subjectnephrostomy
dc.subjectoverall survival
dc.subjectpalliative therapy
dc.subjectparacentesis
dc.subjectpercutaneous transhepatic cholangiography
dc.subjectperitoneal dialysis
dc.subjectprimary medical care
dc.subjectquality of life
dc.subjectsecondary health care
dc.subjectstomach cancer
dc.subjectsurvival analysis
dc.subjectthoracocentesis
dc.subjectthoracostomy
dc.subjectpalliative therapy
dc.subjectpathology
dc.subjectprocedures
dc.subjectretrospective study
dc.subjectspleen tumor
dc.subjectstomach tumor
dc.titleThe Effect of Palliative Invasive Interventions on Overall Survival in the Last 3 Months of Life in Metastatic Gastric Cancer
dc.typeArticle

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