, Volume 14, Issue 2, pp 362-364
Date: 02 Dec 2006

Prognostic Score in Gastric Cancer Patients

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We read with great interest the article by Dr. Costa and coworkers,1 entitled “Prognostic score in gastric cancer: the importance of a conjoint analysis of clinical, pathologic, and therapeutic factors”. The utility of a prognostic score consists in the possibility to consider simultaneously all potential prognostic variables, thus assigning a percentage of risk to each patient. For this reason, the use of prognostic indexes is increasing in clinical oncology. The authors have conducted a retrospective analysis of a large number of potential prognostic factors on 230 consecutive patients. By multivariate analysis, six independent risk factors were identified, and the corresponding beta-coefficients were used to obtain a risk score for each patient. We have some comments about the methods used and the results obtained in this study:

  1. About 20% of patients were submitted to non-curative surgery. The prognosis of gastric cancer in the patients with residual tumor is generally poor, indepe