RESULTS OF TREATMENT OF STOMACH CANCER IN A CLOSED POPULATION FREE OF SELECTION BIAS

  • 1 January 1975
    • journal article
    • research article
    • Vol. 45  (8) , 822-829
Abstract
Results of surgery for gastric cancer differ widely in contemporary reports. This depends on criteria of selection and composition of patients. Only results of treatment without any selection can give a solid ground for rational planning of cancer control measures. There is a need for information concerning regional results of treatment of gastric cancer for planning control measures. An investigation in the district of Erfurt, German Democratic Republic [G.D.R.], gave some interesting data. The crude absolute 5 yr survival rate for all stomach cancer cases in males registered from 1960-1966 reached 4.7% (87 of 1838). Distal partial gastrectomy gave 68 of 372 (or 18.3%) 5 yr survivors. After radical total gastrectomy 8.6% (7 of 81) survived 5 yr or more. In the 1st yr following treatment 81% (1488 of 1838) were registered as dead. Survival rates depended on age: 5 yr survival rate of patients up to 65 yr was 8.1% (59 of 729) and fell drastically in patients of 65 + yr (28 of 1109 = 2.5%). Some recommendations for the development of cancer control in the G.D.R. are proposed.

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