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. 2017 Mar 8;50(1):118–128. doi: 10.4143/crt.2016.575

Table 4.

Kaplan-Meier estimated 5-year survival rate and mean cost for gastric cancer patients who underwent gastrectomy and neoadjuvant/adjuvant treatment from 2002 to 2013, overall and subgroup by demographic characteristics and the receipt of radiation therapy

No. Cost of primary treatment ($)a),b) p-value Net medical cost ($)b),c) p-value 5-Year OS (%) 5-Year DSS (%)
Sex
 Male 1,227 8,713±216 0.339 16,097±406 0.458 65.8 71.1
 Female 592 8,351±309 15,572±574 68.2 71.3
Age (yr)
 20-49 386 7,941±294 0.263 16,175±678 0.026 72.3 72.5
 50-59 459 8,730±346 16,980±709 72.7 75.6
 60-69 581 8,688±321 16,146±638 65.8 71.2
 70-89 392 8,946±445 14,117±570 54.7 64.2
Surgery type
 TG 517 11,513±398 < 0.001 20,868±699 < 0.001 48.5 52.1
 STG 1,302 7,437±181 13,965±357 73.7 78.6
Charlson comorbidity index
 0-1 1,139 7,575±187 < 0.001 14,787±385 < 0.001 67.5 69.9
 2 327 8,892±346 16,632±715 69.3 72.7
 3 144 11,193±890 18,792±1,426 67.6 80.3
 ≥ 4 209 12,416±812 19,418±1,350 55.1 71.9
Income
 ≤ 20 percentile 277 8,621±438 0.402 14,731±763 0.040 64.7 68.3
 21-80 percentile 995 8,398±217 15,600±429 68.4 73.1
 ≥ 81 percentile 547 8,940±375 17,125±674 64.1 69.1
Health insurance type
 NHI 1,761 8,591±181 0.893 16,029±339 0.089 67.1 71.8
 Medical aid 58 8,727±766 12,814±1,421 48.5 48.5
Residential area
 Metropolitan 859 8,687±283 0.622 16,089±479 0.643 66.9 71.7
 Non-metropolitan 960 8,513±219 15,781±459 66.2 70.7
Hospital location
 Metropolitan 1,594 8,575±194 0.697 15,770±344 0.207 66.9 71.5
 Nonmetropolitan 225 8,742±382 17,045±1,120 63.9 68.4
Hospital volume (beds)
 < 1,000 765 8,892±256 0.017 14,172±507 0.034 64.6 69.6
 1,000-1,999 707 7,978±260 13,978±519 71.2 75.1
 ≥ 2,000 347 9,201±506 15,111±801 61.4 66.4
Disabled status
 No 1,654 8,422±172 0.041 15,858±346 0.511 66.9 71.1
 Yes 165 10,327±908 16,617±1,146 62.9 71.5
RT use
 No 1,741 8,441±180 < 0.001 15,642±337 < 0.001 67.1 71.4
 Yes 78 12,175±792 22,526±1,623 58.0 68.7
Death during study
 Yes 607 11,234±422 < 0.001 24,160±701 < 0.001 - -
 No 1,212 7,274±147 11,804±288 - -

OS, overall survival; DSS, disease-specific survival; TG, total gastrectomy; STG, subtotal gastrectomy; NHI, National Health Insurance; RT, radiotherapy.

a)

Defined as medical bill expenses claimed by medical service providers for primary treatment,

b)

All costs are presented in U.S. dollars, with an exchange rate of 1,103 Korean won to 1 U.S. dollar, which was the annual exchange rate in 2008,

c)

Defined as medical bill expenses claimed by medical service providers from diagnosis to death or last follow-up.