2. Major toxicities and complications in gastric cancer patients with peritoneal metastasis.
| Adverse event | HIPEC-chemotherapy (n=249) [n (%)] | Chemotherapy alone (n=249) [n (%)] | P | |||||||
| Untested | Grade 1−2 | Grade 3 | Grade 4 | Untested | Grade 1−2 | Grade 3 | Grade 4 | |||
| *, Electrolyte disturbances include hypokalemia, hyperkalemia, hyponatremia, hypernatremia, hypomagnesemia, hypophosphatemia and hypercalcemia; ALT, alanine aminotransferase; AST, aspartate aminotransferase; HIPEC, hyperthermic intraperitoneal chemotherapy. | ||||||||||
| Hypoalbuminemia | 2 (0.8) | 208 (84.2) | 7 (2.8) | 0 (0) | 25 (10.0) | 119 (53.1) | 1 (0.4) | 0 (0) | <0.001 | |
| Anemia | 0 (0) | 176 (70.7) | 24 (9.6) | 0 (0) | 5 (2.0) | 143 (58.6) | 28 (11.5) | 1 (0.4) | 0.018 | |
| Lymphopenia | 2 (0.8) | 141 (57.1) | 47 (19.0) | 5 (2.0) | 5 (2.0) | 70 (28.7) | 18 (7.4) | 5 (2.0) | <0.001 | |
| Electrolyte disturbances* | 0 (0) | 133 (53.4) | 13 (5.2) | 1 (0.4) | 15 (6.0) | 82 (35.0) | 14 (6.0) | 2 (0.9) | 0.001 | |
| Fever | 0 (0) | 107 (43.0) | 4 (1.6) | 0 (0) | 0 (0) | 41 (16.5) | 1 (0.4) | 0 (0) | <0.001 | |
| Abdominal pain | 0 (0) | 88 (35.3) | 14 (5.6) | 0 (0) | 0 (0) | 39 (15.7) | 3 (1.2) | 0 (0) | <0.001 | |
| Abdominal bloating | 0 (0) | 44 (17.7) | 2 (0.8) | 0 (0) | 0 (0) | 43 (17.3) | 4 (1.6) | 0 (0) | 0.707 | |
| Nausea | 0 (0) | 71 (28.5) | 1 (0.4) | 0 (0) | 0 (0) | 117 (47.0) | 1 (0.4) | 0 (0) | <0.001 | |
| Vomiting | 0 (0) | 64 (25.7) | 2 (0.8) | 0 (0) | 0 (0) | 96 (38.6) | 1 (0.4) | 0 (0) | 0.008 | |
| AST increased | 2 (0.8) | 52 (21.1) | 4 (1.6) | 0 (0) | 15 (6.0) | 46 (19.7) | 1 (0.4) | 0 (0) | 0.370 | |
| ALT increased | 2 (0.8) | 39 (15.8) | 5 (2.0) | 0 (0) | 15 (6.0) | 47 (20.1) | 1 (0.4) | 0 (0) | 0.132 | |
| Pneumonia | 0 (0) | 33 (13.3) | 4 (1.6) | 1 (0.4) | 0 (0) | 20 (8.0) | 2 (0.8) | 0 (0) | 0.098 | |
| Leukopenia | 2 (0.8) | 24 (9.7) | 2 (0.8) | 1 (0.4) | 5 (2.0) | 37 (15.2) | 12 (4.9) | 7 (2.9) | <0.001 | |
| Fatigue | 0 (0) | 24 (9.6) | 0 (0) | 0 (0) | 0 (0) | 38 (15.3) | 1 (0.4) | 0 (0) | 0.058 | |
| Thrombocytopenia | 2 (0.8) | 22 (8.9) | 4 (1.6) | 1 (0.4) | 5 (2.0) | 21 (8.6) | 3 (1.2) | 3 (1.2) | 0.749 | |
| Neutropenia | 2 (0.8) | 19 (7.7) | 3 (1.2) | 1 (0.4) | 5 (2.0) | 41 (16.8) | 7 (2.9) | 13 (5.3) | <0.001 | |
| Creatinine increased | 1 (0.4) | 13 (5.2) | 0 (0) | 0 (0) | 14 (5.6) | 10 (4.3) | 0 (0) | 0 (0) | 0.611 | |
| Ileus | 0 (0) | 12 (4.8) | 2 (0.8) | 0 (0) | 0 (0) | 8 (3.2) | 2 (0.8) | 1 (0.4) | 0.810 | |
| Diarrhea | 0 (0) | 10 (4.0) | 0 (0) | 0 (0) | 0 (0) | 10 (4.0) | 1 (0.4) | 0 (0) | 0.999 | |
| Adhesions | 0 (0) | 2 (0.8) | 1 (0.4) | 0 (0) | 0 (0) | 0 (0) | 1 (0.4) | 0 (0) | 0.749 | |
| Rash maculopapular | 0 (0) | 2 (0.8) | 0 (0) | 0 (0) | 0 (0) | 1 (0.4) | 0 (0) | 0 (0) | 0.999 | |
| Hemorrhage | 0 (0) | 1 (0.4) | 0 (0) | 0 (0) | 0 (0) | 3 (1.2) | 0 (0) | 0 (0) | 0.616 | |
| Dyspnea | 0 (0) | 1 (0.4) | 0 (0) | 0 (0) | 0 (0) | 2 (0.8) | 2 (0.8) | 0 (0) | 0.209 | |
| Gastroplegia | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 2 (0.8) | 0 (0) | 0 (0) | 0.499 | |
| Abdominal infection | 0 (0) | 0 (0) | 7 (2.8) | 1 (0.4) | 0 (0) | 0 (0) | 3 (1.2) | 0 (0) | 0.221 | |
| Thromboembolism | 0 (0) | 0 (0) | 0 (0) | 1 (0.4) | 0 (0) | 1 (0.4) | 0 (0) | 0 (0) | 0.999 | |
| Peripheral neuritis | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 3 (1.2) | 0 (0) | 0 (0) | 0.098 | |