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.
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.
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.