{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T07:46:25Z","timestamp":1791963985888,"version":"4.3.4"},"reference-count":20,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:00:00Z","timestamp":1789516800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:00:00Z","timestamp":1789516800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>TO is a composite parameter used to assess surgical care quality. In oncologic gastric surgery, TO includes the following criteria: complete potentially curative resection during operation, no intraoperative complications, resection of at least 15 lymph nodes, absence of severe postoperative complications, no prolonged hospital stay, no reoperation, no postoperative mortality, and achievement of R0 resection. The objective of the study is to investigate the achievement of textbook outcome (TO) and its association with overall survival in patients treated for gastric cancer and to identify factors that contribute to the failure to meet TO criteria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>This multicenter French\u2010speaking center retrospective study, based on data from the French Association of Surgery database, analyzed 2131 patients treated for gastric cancer between 2007 and 2017. Patients who met the TO criteria were compared with those who did not.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among the 958 eligible patients, TO was achieved in 398 (41.5%) patients. TO achievement was significantly associated with improved overall survival (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.01) and disease\u2010free survival (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.01). In the univariate analysis, factors associated with failure to achieve TO included age, body mass index, tumor location and stage, neoadjuvant treatment, and type of gastrectomy. In the multivariate analysis, only BMI &gt;\u00a030 and tumor of the lesser curvature treatment remained significantly associated with failure to achieve TO.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>TO is associated with improved overall and disease\u2010free survival in patients undergoing surgery for gastric cancer. BMI &lt;\u00a030 and tumor of the lesser curvature were independently associated with a higher rate of TO.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/wjs.70577","type":"journal-article","created":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T11:36:02Z","timestamp":1789558562000},"page":"3037-3046","source":"Crossref","is-referenced-by-count":0,"title":["Textbook Outcomes and Survival in Gastric Cancer Surgery: Results of a French\u2010Speaking Multicenter Study"],"prefix":"10.1002","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4352-5854","authenticated-orcid":false,"given":"Oph\u00e9lie","family":"Bacoeur\u2010Ouzillou","sequence":"first","affiliation":[{"name":"Oeso\u2010Gastric Surgery Unit Department of Digestive Surgery Magellan Center Bordeaux University Hospital  Bordeaux France"},{"name":"Department of Digestive Surgery CHU Clermont\u2010Ferrand  Clermont\u2010Ferrand France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3965-2391","authenticated-orcid":false,"given":"Florian","family":"Martinet\u2010Kosinski","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery CHU Clermont\u2010Ferrand  Clermont\u2010Ferrand France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Veziant","sequence":"additional","affiliation":[{"name":"Department of Digestive and Oncological Surgery Claude Huriez University Hospital  Lille France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0783-8688","authenticated-orcid":false,"given":"Gilles","family":"Manceau","sequence":"additional","affiliation":[{"name":"Department of Digestive and Hepato\u2010Pancreato\u2010Biliary Surgery Piti\u00e9\u2010Salpetri\u00e8re Hospital  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00e9rome","family":"Guiramand","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology Institut Paoli\u2010Calmettes  Marseille France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3236-5373","authenticated-orcid":false,"given":"Thibault","family":"Voron","sequence":"additional","affiliation":[{"name":"Department of General and Digestive Surgery Sorbonne Universit\u00e9 Saint\u2010Antoine Hospital AP\u2010HP Hopital Saint\u2010Antoine  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johan","family":"Gagni\u00e8re","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery CHU Clermont\u2010Ferrand  Clermont\u2010Ferrand France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Gronnier","sequence":"additional","affiliation":[{"name":"Oeso\u2010Gastric Surgery Unit Department of Digestive Surgery Magellan Center Bordeaux University Hospital  Bordeaux France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"French Association of Surgery","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,16]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2020.02.024"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.10486"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10120\u2010019\u201001015\u2010w"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2022.05.025"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000133083.54934.ae"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2021.10.025"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2024.108280"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.10729"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2021.08.005"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2024.07.022"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2024.108002"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000003520"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/jso.27750"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000006054"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dld.2018.04.025"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12957\u2010023\u201003166\u20108"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2018.07.064"},{"key":"e_1_2_10_19_1","unstructured":"J. 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Early Initiation of Fluorouracil\u2010based Adjuvant Chemotherapy Improves Survival in Patients with Resectable Gastric Cancer."},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2018.08.015"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000006890"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/wjs.70577","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/wjs.70577","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/wjs.70577","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T07:02:40Z","timestamp":1791961360000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/wjs.70577"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,16]]},"references-count":20,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1002\/wjs.70577"],"URL":"https:\/\/doi.org\/10.1002\/wjs.70577","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,16]]}}}