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Tan JT, Zhao C, Peng NF, Yang Y, Zhong JH, Yang T, Zheng MH, Wang YY, Gong WF, Xiang BD, Li LQ. Association between age and overall survival of patients with hepatocellular carcinoma after hepatic resection. J Surg Oncol 2016; 114:966-970. [PMID: 27633143 DOI: 10.1002/jso.24434] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2016] [Accepted: 08/19/2016] [Indexed: 01/27/2023]
Affiliation(s)
- Jun-Tao Tan
- Department of Surgical Oncology; Affiliated Tumor Hospital of Guangxi Medical University; Nanning P.R. China
| | - Chang Zhao
- Department of Surgical Oncology; Affiliated Tumor Hospital of Guangxi Medical University; Nanning P.R. China
| | - Ning-Fu Peng
- Department of Surgical Oncology; Affiliated Tumor Hospital of Guangxi Medical University; Nanning P.R. China
| | - Yang Yang
- Department of Hematology; The First Affiliated Hospital of Guangxi Medical University; Nanning P.R. China
| | - Jian-Hong Zhong
- Department of Surgical Oncology; Affiliated Tumor Hospital of Guangxi Medical University; Nanning P.R. China
| | - Tian Yang
- Department of Hepatobiliary Surgery; Eastern Hepatobiliary Surgery Hospital, Second Military Medical University; Shanghai P.R. China
| | - Ming-Hua Zheng
- Department of Hepatology; Liver Research Center, the First Affiliated Hospital of Wenzhou Medical University; Wenzhou P.R. China
| | - Yan-Yan Wang
- Department of Surgical Oncology; Affiliated Tumor Hospital of Guangxi Medical University; Nanning P.R. China
| | - Wen-Feng Gong
- Department of Surgical Oncology; Affiliated Tumor Hospital of Guangxi Medical University; Nanning P.R. China
| | - Bang-De Xiang
- Department of Surgical Oncology; Affiliated Tumor Hospital of Guangxi Medical University; Nanning P.R. China
| | - Le-Qun Li
- Department of Surgical Oncology; Affiliated Tumor Hospital of Guangxi Medical University; Nanning P.R. China
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Mazzaferro V. Squaring the circle of selection and allocation in liver transplantation for HCC: An adaptive approach. Hepatology 2016; 63:1707-17. [PMID: 26703761 PMCID: PMC5069561 DOI: 10.1002/hep.28420] [Citation(s) in RCA: 103] [Impact Index Per Article: 11.4] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/04/2015] [Accepted: 12/22/2015] [Indexed: 12/11/2022]
Affiliation(s)
- Vincenzo Mazzaferro
- Department of Surgery, G.I. Surgery and Liver TransplantationIstituto Nazionale Tumori (National Cancer Institute)MilanItaly
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Cucchetti A, Ercolani G, Taffurelli G, Serenari M, Maroni L, Pezzilli R, Del Gaudio M, Ravaioli M, Cescon M, Pinna AD. A comprehensive analysis on expected years of life lost due to pancreatic cancer. Pancreatology 2016; 16:449-53. [PMID: 26951889 DOI: 10.1016/j.pan.2016.02.005] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/30/2015] [Revised: 02/10/2016] [Accepted: 02/11/2016] [Indexed: 12/11/2022]
Abstract
BACKGROUND Pancreatic cancer represents a fatal malignancy leading to premature death and loss of life expectancy. The aim of the present study was to assess how many years of life are lost due to this cancer, in relationship with surgery and ageing. METHODS Data from 716 consecutive patients discharged from a tertiary referral hospital (2002-2012) with a diagnosis of pancreatic cancer and with complete clinical and follow-up data were used to estimate the number of years of life-lost (YLL) through a semi-parametric extrapolation having an age-, sex- and year-of-onset- matched population derived from national life tables as reference. RESULTS The mean entire lifespan estimated for the 716 patients was 1.4 years (95% C.I.:0.8-1.9) resulting in a number of YLL after diagnosis of 12 years (95% C.I.:11.5-12.6) per person. Surgical patients (147 cases; 20.5%) were younger and experienced higher post-diagnostic lifespan (3.5 years) than non-surgical older individuals (0.8 years; p < 0.001). These figures were reflected on the number of expected YLL (EYLL) that remained substantially unaffected by surgery (p = 0.821). Patients aged ≤68 years experienced the highest number of EYLL (20.8 years); whereas elderly patients had a loss of life that corresponded to only 6% of the entire life they had already lived. CONCLUSIONS In a typical pancreatic cancer cohort, surgery was not able to modify population-based statistics because of a different age at tumor onset which nullifies any benefit from a "lifespan from birth" perspective. Pancreatic cancer in younger individuals must be ranked within the very first causes of EYLL due to malignancy.
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Affiliation(s)
- Alessandro Cucchetti
- Department of Medical and Surgical Sciences - DIMEC, S.Orsola-Malpighi Hospital, Alma Mater Studiorum, University of Bologna, Bologna, Italy.
| | - Giorgio Ercolani
- Department of Medical and Surgical Sciences - DIMEC, S.Orsola-Malpighi Hospital, Alma Mater Studiorum, University of Bologna, Bologna, Italy
| | - Giovanni Taffurelli
- Department of Medical and Surgical Sciences - DIMEC, S.Orsola-Malpighi Hospital, Alma Mater Studiorum, University of Bologna, Bologna, Italy
| | - Matteo Serenari
- Department of Medical and Surgical Sciences - DIMEC, S.Orsola-Malpighi Hospital, Alma Mater Studiorum, University of Bologna, Bologna, Italy
| | - Lorenzo Maroni
- Department of Medical and Surgical Sciences - DIMEC, S.Orsola-Malpighi Hospital, Alma Mater Studiorum, University of Bologna, Bologna, Italy
| | - Raffaele Pezzilli
- Department of Medical and Surgical Sciences - DIMEC, S.Orsola-Malpighi Hospital, Alma Mater Studiorum, University of Bologna, Bologna, Italy
| | - Massimo Del Gaudio
- Department of Medical and Surgical Sciences - DIMEC, S.Orsola-Malpighi Hospital, Alma Mater Studiorum, University of Bologna, Bologna, Italy
| | - Matteo Ravaioli
- Department of Medical and Surgical Sciences - DIMEC, S.Orsola-Malpighi Hospital, Alma Mater Studiorum, University of Bologna, Bologna, Italy
| | - Matteo Cescon
- Department of Medical and Surgical Sciences - DIMEC, S.Orsola-Malpighi Hospital, Alma Mater Studiorum, University of Bologna, Bologna, Italy
| | - Antonio D Pinna
- Department of Medical and Surgical Sciences - DIMEC, S.Orsola-Malpighi Hospital, Alma Mater Studiorum, University of Bologna, Bologna, Italy
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Søreide K, Wijnhoven BPL. Surgery for an ageing population. Br J Surg 2016; 103:e7-9. [DOI: 10.1002/bjs.10071] [Citation(s) in RCA: 36] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2015] [Revised: 06/11/2015] [Accepted: 10/27/2015] [Indexed: 01/18/2023]
Abstract
The greatest surgical challenge
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Affiliation(s)
- K Søreide
- Department of Gastrointestinal Surgery, PO Box 8100, Stavanger University Hospital, N-4068 Stavanger, Norway (e-mail: )
| | - B P L Wijnhoven
- Department of Surgery, Erasmus MC, University Medical Centre, Rotterdam, The Netherlands
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