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Table 6 Medical decision making on advanced treatment

From: Clinical management of gastric cancer: results of a multicentre survey

Advanced practice

Recommendation of the Guidelines

Oncological surgeons

Medical oncologists

Radiation oncologists

p

  

N

%

N

%

N

%

 

adenocarcinoma with solitary liver metastases

Systemic chemotherpy

      

0.443

Systemic chemotherpy

 

4

3.96

7

4.35

5

5.21

 

Liver lesion resection

 

8

7.92

16

9.94

5

5.21

 

TACE

 

10

9.90

21

13.04

15

15.63

 

Liver lesion resection + systemic chemotherpy

 

79

78.22

117

72.67

68

70.83

 

Other

 

0

0

0

0

3

3.13

 

adenocarcinoma with large quantity of ascites

Systemic chemotherpy

      

0.210

Systemic chemotherapy

 

3

2.97

2

1.24

2

2.08

 

intraperitoneal chemotherapy(IP)

 

4

3.96

6

3.73

5

5.21

 

Systemic chemotherapy+IP

 

94

93.07

153

95.03

89

92.71

0.254

Other

 

0

0

0

0

0

0

 

lungs metastases

Paclitaxel or docetaxel based regime or ECF(EPI+DDP+5FU)

      

0.070

CF(DDP+5FU)

 

2

1.98

3

1.86

1

1.04

 

ECF(EPI+DDP+5FU)

 

17

16.83

23

14.29

9

9.38

 

Fluoropyrimidine(5Fu or Capecitabine)

 

13

12.87

12

7.45

14

14.58

 

Oxaliplatin based regimen

 

33

32.67

51

31.68

25

26.04

 

Irinotecan based regimen

 

9

8.91

22

13.66

15

15.63

 

Paclitaxel or docetaxel based regime

 

25

24.75

46

28.57

29

30.21

 

Combination of above or other

 

2

1.98

4

2.48

3

3.13

 

lungs metastases, failure after ECF(EPI+DDP+5FU)

Change regimen and continue chemotherapy

       

Change regimen and continue chemotherapy

 

101

100

156

96.89

83

86.46

0.137

Best supportive care

 

0

0

2

1.24

9

9.38

 

Other

 

0

0

3

1.86

4

4.17

 

lungs metastases, failure after both ECF and Paclitaxel+DDP

Change regimen and continue chemotherapy

      

0.351

Change regimen and continue chemotherapy

 

86

85.15

122

75.78

60

62.50

 

Best supportive care

 

13

12.87

35

21.74

31

32.29

 

Other

 

2

1.98

4

2.48

5

5.21

 

lungs metastases, failure after both ECF and Paclitaxel+DDP, PS 3

Best supportive care

      

0.222

Change regimen and continue chemotherapy

 

18

17.82

15

9.32

9

9.38

 

Best supportive care

 

79

78.22

136

84.47

81

84.38

 

Other

 

4

3.96

10

6.21

6

6.25

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