Which is a more reliable indicator of survival after @entity356 surgery: Postoperative complication occurrence or XXXX elevation?

@entity1 @entity5 @entity260 @entity356 @entity1349 @entity1851
BACKGROUND AND OBJECTIVES: The impact of @entity260 on long-term outcome has been reported in several types of @entity5 . However, it is unclear why @entity260 affect long-term outcome. The aim of this study is evaluating whether @entity260 occurrence or @entity1851 ( @entity1851 ) elevation better reflects long-term outcome in @entity356 @entity1 . METHODS: This study included 305 @entity1 who underwent curative surgery for pT2-T4b @entity356 . @entity1 were divided into two groups based on the peak @entity1851 value (CRPmax ): low (<12   mg/dl) and high CRPmax (>= 12   mg/dl). A multivariate analysis was conducted to identify independent prognostic factors for @entity1349 ( @entity1349 ). RESULTS: @entity260 (>= Grade II) occurred in 86 of 305 @entity1 (28.2%). Although @entity1851 elevation (P   =   0.001) and @entity260 occurrence (P   =   0.045) was each significantly associated with @entity1349 in the univariate analysis, multivariate analysis identified @entity1851 elevation (P   =   0.017) but not complication occurrence (P   =   0.682) as an independent prognostic factor. Among @entity1 without complications, those in the high CRPmax group had significantly worse @entity1349 than those in the low CRPmax group (P   =   0.004). CONCLUSIONS: @entity1851 elevation is a more reliable indicator of survival after @entity356 surgery than @entity260 occurrence. Surgeons should minimize the postoperative inflammatory response to improve prognosis. J. Surg. Oncol.    2015 Wiley Periodicals, Inc.
