Stomach Cancer Outcomes at KFSYSCC

Between 2013-2017, the five-year survival rate for stomach cancer at KFSYSCC was 48% vs 32% for other hospitals in Taiwan.

Basic Information and Stage Distribution of 1,797 Stomach Cancer Patients at KFSYSCC from 1990-2019

Total 1990-1994 1995-1999 2000-2004 2005-2009 2010-2014 2015-2019
n 1,797 56 (3%) 181 (10%) 434 (24%) 377 (21%) 436 (24%) 313 (17%)
Gender (%)
Male 1,027 (57%) 30 (54%) 112 (62%) 258 (59%) 205 (54%) 250 (57%) 172 (55%)
Female 770 (43%) 26 (46%) 69 (38%) 176 (41%) 172 (46%) 186 (43%) 141 (45%)
Age
Mean/Median 59/60 62/64 59/61 58/59 58/58 59/59 60/61
Range 19-94 27-86 22-87 21-90 26-89 19-92 24-94
Q1-Q3 49-69 56-72 52-69 47-69 48-69 51-69 52-69
Stage (%)
0 11 (1%) 1 (2%) 1 (1%) 5 (1%) 1 (0.3%) 3 (1%) 0 (0%)
I 409 (23%) 8 (14%) 32 (18%) 96 (22%) 100 (27%) 92 (21%) 81 (26%)
II 233 (13%) 4 (7%) 231 (3%) 44 (10%) 62 (16%) 65 (15%) 35 (11%)
III 392 (22%) 5 (9%) 241 (3%) 63 (15%) 65 (17%) 140 (32%) 95 (30%)
IV 588 (33%) 21 (38%) 553 (50%) 139 (32%) 135 (36%) 136 (31%) 102 (33%)
Unknown 164 (9%) 17 (30%) 46 (25%) 87 (20%) 14 (4%) 0 (0%) 0 (0%)

Based on KFSYSCC's cancer registry from 1990 to 2019, there were 1,797 analytic stomach cancer cases, with 1,027 males (57%) and 770 females (43%). The average and median ages were 59 and 60 years old, respectively; the youngest patient was 19 years old, and the oldest was 94 years old; the interquartile range (Q1-Q3) was 49-69. By stage, there were 11 stage 0 stomach cancer patients (1%), 409 stage I patients (23%), 233 stage II patients (13%), 392 stage III patients (22%), and 588 stage IV patients (33%). The table below presents the basic patient information and stage distribution, categorized by the year of diagnosis.

Line graph showing survival curves for stomach cancer patients, stratified by year of diagnosis, over a 10-year period, with decreasing probability of survival over time.

Survival Curves for 1,797 Stomach Cancer Patients (1990-2019), Stratified by Year of Diagnosis

From 1990 to 2019, the chart illustrates the five-year observed survival rates for 1,797 stomach cancer patients at KFSYSCC, stratified by the year of diagnosis. The graph shows the five-year survival rate for stomach cancer increased from 21% in 1990-1994 to 46% in 2015-2019, while the ten-year survival rate rose from 15% in 1990-1994 to 35% in 2010-2014.

Treatment Methods and Stages for 313 Stomach Cancer Patients at KFSYSCC (2015-2019)

Treatment Type Total Stage I Stage II Stage III Stage IV
Total 313 81 35 95 102
Surgical Treatment 221 (71%) 79 (98%) 33 (94%) 86 (91%) 23 (23%)
Radiation Therapy 20 (6%) 0 (0%) 2 (6%) 10 (11%) 8 (8%)
Chemotherapy 193 (62%) 10 (12%) 25 (71%) 74 (78%) 84 (82%)
Targeted Therapy 19 (6%) 0 (0%) 1 (3%) 3 (3%) 15 (15%)
Hormone Therapy 1 (0.3%) 0 (0%) 1 (3%) 0 (0%) 0 (0%)
Immunotherapy 3 (1%) 0 (0%) 0 (0%) 3 (3%) 0 (0%)
Palliative Care 48 (15%) 0 (0%) 1 (3%) 6 (6%) 41 (40%)
Bone Marrow/
Stem Cell Transplant 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%)
No Record of Initial Treatment Reported 3 (1%) 2 (2%) 0 (0%) 0 (0%) 1 (1%)

Between 2015 and 2019, there were a total of 313 analytic stomach cancer cases, including 81 patients in stage I, 35 in stage II, 95 in stage III, and 102 in stage IV. In terms of treatment methods, 221 patients (71%) underwent surgical treatment, 20 (6%) received radiation therapy, 193 (62%) underwent chemotherapy, 19 (6%) received targeted therapy, 1 (0.3%) received hormone therapy, 3 (1%) received immunotherapy, 48 (15%) underwent palliative care, and 3 (1%) had no record of initial treatment reported.

A survival rate graph showing five-year survival rates of gastric cancer patients by stage, with stage I at 96%, stage II at 90%, stage III at 34%, and stage IV at 8%. The x-axis represents years after diagnosis, and the y-axis shows the probability of overall survival.

Five-Year Survival Rates of 313 Stomach Cancer Patients by Stage (2015-2019)

KFSYSCC’s 2015-2019 five-year observed survival rates for 313 stomach cancer patients, stratified by stage, are presented in the following chart. As shown in the graph, the five-year survival rate is 96% for stage 1, 90% for stage 2, 34% for stage 3, and 8% for stage 4.