Comparison of Prognostic Performance of 8th and 7th Edition of AJCC Staging System for Patients With Gallbladder Cancer Undergoing Curative Intent Surgery.

AJCC TNM gallbladder cancer prognostic performance staging

Journal

Journal of surgical oncology
ISSN: 1096-9098
Titre abrégé: J Surg Oncol
Pays: United States
ID NLM: 0222643

Informations de publication

Date de publication:
10 Sep 2024
Historique:
received: 18 06 2024
accepted: 26 06 2024
medline: 11 9 2024
pubmed: 11 9 2024
entrez: 11 9 2024
Statut: aheadofprint

Résumé

We compared the predictive performance of the 7th and 8th editions of the AJCC staging systems in stratifying disease-related survival outcomes in patients with GBC undergoing curative intent surgery. Patients that underwent curative intent surgery for GBC at our institution (2014 and 2021) were included in the study. Various clinico-pathological data were extracted to perform Kaplan-Meier survival analysis. A total of 240 patients were included in the study. Both, TNM-7, and TNM-8 staging systems can stratify patients into stages with statistically significant differences in disease-free and overall survival. Survival rates drop with stage progression. Using TNM-8, 8/240 (3.33%) patients were upstaged from Stage IIIB (TNM-7) to IVB (TNM-8) and 12/240 (5%) were down-staged from Stage IVB(TNM-7) to IIIB(TNM-8). Survival curves of the re-classified patients matched those of the corresponding TNM-8 stage. Additionally, there was statistically significant difference in their survival (p < 0.001) compared to their corresponding TNM-7 stage. There was no statistically significant difference in survival rates between stages IIA, IIB (TNM-8), and stage II (TNM-7). However, stage IIA had a slightly better survival than stage IIB. Though both TNM-7 and TNM-8 are useful for stratifying patients with GBC, TNM-8 has a better prognostic performance than TNM-7.

Sections du résumé

BACKGROUND BACKGROUND
We compared the predictive performance of the 7th and 8th editions of the AJCC staging systems in stratifying disease-related survival outcomes in patients with GBC undergoing curative intent surgery.
METHODS METHODS
Patients that underwent curative intent surgery for GBC at our institution (2014 and 2021) were included in the study. Various clinico-pathological data were extracted to perform Kaplan-Meier survival analysis.
RESULTS RESULTS
A total of 240 patients were included in the study. Both, TNM-7, and TNM-8 staging systems can stratify patients into stages with statistically significant differences in disease-free and overall survival. Survival rates drop with stage progression. Using TNM-8, 8/240 (3.33%) patients were upstaged from Stage IIIB (TNM-7) to IVB (TNM-8) and 12/240 (5%) were down-staged from Stage IVB(TNM-7) to IIIB(TNM-8). Survival curves of the re-classified patients matched those of the corresponding TNM-8 stage. Additionally, there was statistically significant difference in their survival (p < 0.001) compared to their corresponding TNM-7 stage. There was no statistically significant difference in survival rates between stages IIA, IIB (TNM-8), and stage II (TNM-7). However, stage IIA had a slightly better survival than stage IIB.
CONCLUSION CONCLUSIONS
Though both TNM-7 and TNM-8 are useful for stratifying patients with GBC, TNM-8 has a better prognostic performance than TNM-7.

Identifiants

pubmed: 39257217
doi: 10.1002/jso.27875
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024 Wiley Periodicals LLC.

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Auteurs

Sameer Gupta (S)

Department of Surgical Oncology, King George's Medical University, Lucknow, India.

Abhishek Verma (A)

Department of Surgical Oncology, King George's Medical University, Lucknow, India.

Arun Chaturvedi (A)

Department of Surgical Oncology, King George's Medical University, Lucknow, India.

Puneet Prakash (P)

Department of Surgical Oncology, King George's Medical University, Lucknow, India.

Vijay Kumar (V)

Department of Surgical Oncology, King George's Medical University, Lucknow, India.

Sanjeev Misra (S)

Department of Surgical Oncology, King George's Medical University, Lucknow, India.
Vice-Chancellor, Atal Bihari Vajpayee Medical University, Lucknow, India.

Naseem Akhtar (N)

Department of Surgical Oncology, King George's Medical University, Lucknow, India.

Shiv Rajan (S)

Department of Surgical Oncology, King George's Medical University, Lucknow, India.

Preeti Agarwal (P)

Department of Pathology, King George's Medical University, Lucknow, India.

Lynette Smith (L)

Department of Biostatistics, College of Public Health, University of Nebraska Medical Center, Omaha, Nebraska, USA.

Makayla Schissel (M)

Department of Biostatistics, College of Public Health, University of Nebraska Medical Center, Omaha, Nebraska, USA.

Chandrakanth Are (C)

Department of Surgery, Fred and Pamela Buffett Cancer Center, Division of Surgical Oncology, University of Nebraska Medical Center, Omaha, Nebraska, USA.

Classifications MeSH