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Novel Clinical Staging for Patients with End-Stage Gastrointestinal Carcinoma

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Abstract

Purpose

We created a new clinical staging system for end-stage gastrointestinal (GI) carcinoma to clarify the therapeutic goals for these patients.

Methods

Data were obtained from a retrospective review of medical charts. Based on daily clinical observation of 144 patients with end-stage GI carcinoma, we classified the terminal stages as A, B, C, and D.

Results

The mean durations of terminal stages A, B, C, and D were 19, 16.6, 6.6, and 1.8 days, respectively, in patients with end-stage gastric cancer and 28.5, 9.1, 5.4, and 1.9 days, respectively, in patients with colorectal cancer. Moreover, 88.0% of patients with gastric carcinoma and 82.6% of patients with colorectal carcinoma passed through terminal stages A, B, C, and D sequentially. The patients in terminal stage B experienced temporary relief of symptoms, but those in terminal stage C did not (P < 0.05).

Conclusions

These terminal stages can easily be judged by clinical observation and may be an effective new tool with which to manage patients with end-stage GI carcinoma and their families.

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Authors and Affiliations

  1. Department of Surgery, Isesaki Municipal Hospital, 12-1 Tsunatorihonmachi, Isesaki, Gunma, 372-0817, Japan

    Naokuni Yasuda, Osamu Nakashima, Toru Ohnaka & Koji Kamisaka

  2. Second Department of Surgery, Showa University, Tokyo, Japan

    Akira Tsunoda & Mitsuo Kusano

Authors
  1. Naokuni Yasuda
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  2. Osamu Nakashima
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  3. Toru Ohnaka
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  4. Koji Kamisaka
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  5. Akira Tsunoda
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  6. Mitsuo Kusano
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Yasuda, N., Nakashima, O., Ohnaka, T. et al. Novel Clinical Staging for Patients with End-Stage Gastrointestinal Carcinoma. Surg Today 36, 25–29 (2006). https://doi.org/10.1007/s00595-005-3091-7

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  • DOI: https://doi.org/10.1007/s00595-005-3091-7

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