| Overall cohort | Propensity-matched cohort | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
No chemotherapy (n = 70) | Adjuvant chemotherapy (n = 109) | P-value | SMD | No chemotherapy (n = 50) | Adjuvant chemotherapy (n = 50) | P-value | SMD | |||||
Age, median (IQR) | 81.5 | (76.75-85) | 77 | (73–81) | < 0.001 | 0.663 | 79.5 | (75–84) | 79.5 | (75–83) | 0.920 | 0.004 |
Sex, n (%) | Â | Â | Â | Â | 0.620 | 0.076 | Â | Â | Â | Â | 0.509 | 0.133 |
Female | 23 | (32.9%) | 32 | (29.4%) | Â | Â | 16 | (32.0%) | 13 | (26.0%) | Â | Â |
Male | 47 | (67.1%) | 77 | (70.6%) | Â | Â | 34 | (68.0%) | 37 | (74.0%) | Â | Â |
BMI, n/total n (%) |  |  |  |  | 0.945 | 0.051 |  |  |  |  | 1.000 | < 0.001 |
< 18.5 | 6/69 | (8.7%) | 8/108 | (7.4%) |  |  | 3/49 | (6.1%) | 3/49 | (6.1%) |  |  |
18.5–23.9 | 34/69 | (49.3%) | 55/108 | (50.9%) |  |  | 23/49 | (46.9%) | 23/49 | (46.9%) |  |  |
≥ 24.0 | 29/69 | (42.0%) | 45/108 | (41.7%) |  |  | 23/49 | (46.9%) | 23/49 | (46.9%) |  |  |
ECOG performance status, n (%) |  |  |  |  | < 0.001 | 0.680 |  |  |  |  | 0.839 | 0.041 |
0–1 | 20 | (28.6%) | 66 | (60.6%) |  |  | 20 | (40.0%) | 21 | (42.0%) |  |  |
2–4 | 50 | (71.4%) | 43 | (39.4%) |  |  | 30 | (60.0%) | 29 | (58.0%) |  |  |
aCCI, n (%) | Â | Â | Â | Â | 0.015 | 0.392 | Â | Â | Â | Â | 0.603 | 0.104 |
0–3 | 9 | (12.9%) | 31 | (28.4%) |  |  | 8 | (16.0%) | 10 | (20.0%) |  |  |
≥ 4 | 61 | (87.1%) | 78 | (71.6%) |  |  | 42 | (84.0%) | 40 | (80.0%) |  |  |
Year of diagnosis, n (%) |  |  |  |  | 0.255 | 0.175 |  |  |  |  | 1.000 | < 0.001 |
2009–2013 | 37 | (52.9%) | 67 | (61.5%) |  |  | 30 | (60.0%) | 30 | (60.0%) |  |  |
2014–2017 | 33 | (47.1%) | 42 | (38.5%) |  |  | 20 | (40.0%) | 20 | (40.0%) |  |  |
Histologic grade, n (%) | Â | Â | Â | Â | 0.180 | 0.202 | Â | Â | Â | Â | 0.444 | 0.153 |
well to moderate | 15 | (21.4%) | 15 | (13.8%) | Â | Â | 11 | (22.0%) | 8 | (16.0%) | Â | Â |
poor differentiation | 55 | (78.6%) | 94 | (86.2%) | Â | Â | 39 | (78.0%) | 42 | (84.0%) | Â | Â |
Signet-ring feature, n/total n (%) | Â | Â | Â | Â | 0.682 | 0.063 | Â | Â | Â | Â | 0.599 | 0.106 |
No | 55 | (78.6%) | 82/108 | (75.9%) | Â | Â | 39 | (78.0%) | 36 | (73.5%) | Â | Â |
Yes | 15 | (21.4%) | 26/108 | (24.1%) | Â | Â | 11 | (22.0%) | 13 | (26.5%) | Â | Â |
Gastrectomy type, n (%) | Â | Â | Â | Â | 0.447 | 0.116 | Â | Â | Â | Â | 0.838 | 0.041 |
Subtotal gastrectomy | 41 | (58.6%) | 70 | (64.2%) | Â | Â | 31 | (62.0%) | 30 | (60.0%) | Â | Â |
Total gastrectomy | 29 | (41.4%) | 39 | (35.8%) | Â | Â | 19 | (38.0%) | 20 | (40.0%) | Â | Â |
Lymphadenectomy type, n (%) | Â | Â | Â | Â | 0.036 | 0.322 | Â | Â | Â | Â | 0.838 | 0.041 |
< D2 dissection | 32 | (45.7%) | 33 | (30.3%) | Â | Â | 19 | (38.0%) | 30 | (60.0%) | Â | Â |
D2 dissection | 38 | (54.3%) | 76 | (69.7%) | Â | Â | 31 | (62.0%) | 20 | (40.0%) | Â | Â |
Stage, n (%) |  |  |  |  | 0.069 | 0.281 |  |  |  |  | 1.000 | < 0.001 |
Stage II | 36 | (51.4%) | 41 | (37.6%) | Â | Â | 22 | (44.0%) | 22 | (44.0%) | Â | Â |
Stage III | 34 | (48.6%) | 68 | (62.4%) | Â | Â | 28 | (56.0%) | 28 | (56.0%) | Â | Â |
Lymphovascular invasion, n/total n (%) |  |  |  |  | 0.056 | 0.290 |  |  |  |  | 1.000 | < 0.001 |
No | 23 | (32.9%) | 22 | (20.2%) | Â | Â | 13 | (26.0%) | 13 | (26.0%) | Â | Â |
Yes | 47 | (67.1%) | 87 | (79.8%) | Â | Â | 37 | (74.0%) | 37 | (74.0%) | Â | Â |
Perineural invasion, n/total n (%) | Â | Â | Â | Â | 0.463 | 0.113 | Â | Â | Â | Â | 0.841 | 0.040 |
No | 36/70 | (51.4%) | 49/107 | (45.8%) | Â | Â | 25 | (50.0%) | 26 | (52.0%) | Â | Â |
Yes | 34/70 | (48.6%) | 58/107 | (54.2%) | Â | Â | 25 | (50.0%) | 24 | (48.0%) | Â | Â |
CEA level, n/total n (%) | Â | Â | Â | Â | 0.837 | 0.033 | Â | Â | Â | Â | 0.615 | 0.104 |
Normal | 53/64 | (82.8%) | 84/103 | (81.6%) | Â | Â | 39/46 | (84.8%) | 38/47 | (80.9%) | Â | Â |
Elevated (≥ 5 U/ml) | 11/64 | (17.2%) | 19/103 | (18.4%) |  |  | 7/46 | (15.2%) | 9/47 | (19.1%) |  |  |
CA 19 − 9 level, n/total n (%) |  |  |  |  | 0.832 | 0.037 |  |  |  |  | 0.473 | 0.106 |
Normal | 41/51 | (80.4%) | 71/90 | (78.9%) | Â | Â | 31/38 | (81.6%) | 33/44 | (75.0) | Â | Â |
Elevated (≥ 34 U/ml) | 10/51 | (19.6%) | 19/90 | (21.1%) |  |  | 7/38 | (18.4%) | 11/44 | (25.0) |  |  |
NLR, n/total n (%) | Â | Â | Â | Â | 0.467 | 0.112 | Â | Â | Â | Â | 0.841 | 0.040 |
≤ 2.6 | 32/70 | (45.7%) | 43/107 | (40.2%) |  |  | 23 | (46.0%) | 22 | (44.0%) |  |  |
> 2.6 | 38/70 | (54.3%) | 64/107 | (59.8%) |  |  | 27 | (54.0%) | 28 | (56.0%) |  |  |
PLR, n/total n (%) | Â | Â | Â | Â | 0.906 | 0.018 | Â | Â | Â | Â | 0.689 | 0.080 |
≤ 166 | 34/70 | (48.6%) | 51/107 | (47.7%) |  |  | 24 | (48.0%) | 26 | (52.0%) |  |  |
> 166 | 36/70 | (51.4%) | 56/107 | (52.3%) |  |  | 26 | (52.0%) | 24 | (48.0%) |  |  |