Management and risk factors of anemia in patients with gastric cancer
10.3760/cma.j.cn113855-20211031-00622
- VernacularTitle:胃癌患者贫血诊治现状及危险因素分析
- Author:
Xin TONG
1
;
Chengguo LI
;
Xin CHEN
;
Xiong SUN
;
Chenggang ZHANG
;
Jiaxian YU
;
Xinyu ZENG
;
Weizhen LIU
;
Peng ZHANG
;
Zheng WANG
;
Kaixiong TAO
Author Information
1. 华中科技大学同济医学院附属协和医院胃肠外科，武汉 430022
- Keywords:
Stomach neoplasms;
Anemia;
Perioperative period;
Risk factors
- From:
Chinese Journal of General Surgery
2022;37(7):503-507
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To review the incidence and treatment status of perioperative anemia in patients with gastric cancer.Methods:The clinicopathological data of gastric cancer patients who underwent surgery at Department of Gastrointestinal Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology from Jan to Dec 2019 were collected. Univariate analysis and multivariate Logistic regression analysis were used to explore the risk factors of preoperative anemia in gastric cancer.Results:A total of 879 patients were included in this study. The incidence of preoperative anemia in patients with gastric cancer was 35.6%. The incidence of postoperative anemia was 63.5%. The proportion of patients with preoperative anemia receiving treatment was 17.3%, and the proportion of patients with postoperative anemia receiving treatment was 17.4%. Univariate analysis showed that age, nutritional risk screening 2002, T stage, M stage, tumor stage and lymph node metastasis were associated with preoperative anemia (all P<0.05). Multivariate Logistic regression analysis showed that age >60 years , nutritional risk screening 2002 ≥3, T 3-4 stage and M 1 stage were independent risk factors for preoperative anemia in patients with gastric cancer (all P<0.05). Conclusions:The incidence of perioperative anemia in patients with gastric cancer is high. At present, the proportion of patients with perioperative anemia receiving treatment is low. High nutritional risk, advanced age, late tumor T stage and distant metastasis are independent risk factors for preoperative anemia in patients with gastric cancer.
