Early and late recurrences after gastrectomy for XXXX : a multiple logistic regression analysis.

@entity1 @entity5 @entity1350 @entity3 @entity356
PURPOSE: Although many studies have focused on clinical risk factors for prognosis of @entity1 with surgically treated @entity356 , little information is available regarding the timing of recurrent @entity5 . The purpose of this study was to determine the factors that are predictive of early and late recurrences after gastrectomy. @entity1 AND METHODS: We reviewed the hospital records of @entity1 with hisotological proof of @entity356 who were admitted to Sendai National Hospital during the period from 1985 to 1995. A total of 923 records were examined, and 251 @entity1 with recurrent disease were identified. The @entity1 were divided into an "early recurrence group" consisting of 195 @entity1 (died within one year after surgery) and a "late recurrence group" of 56 @entity1 (died two years or more after surgery). Clinicopathological characteristics were examined, and independent risk factors influencing the timing of recurrence were determined by a multiple logistic regression analysis. RESULTS: The mean @entity5 size of early recurrence cases was larger than that of late recurrence cases (p=0.0294). @entity5 penetrating the serosa with direct invasion to continuous structures were found more frequently in the early recurrence group than in the late recurrence group. The @entity1 with early recurrence showed a higher tendency to have nodal involvement, lymphatic invasion and @entity1350 . The relative risks of early and late recurrences associated with different variables were estimated by a multiple logistic regression method. The following variables were found to be significant risk factors for early recurrence: male gender (p=0.0382), lymph node @entity3 (p=0.0016), and @entity1350 (p=0.0006). CONCLUSION: Male @entity1 who have node-positive @entity356 with @entity1350 have a high risk of early recurrence.
