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Multivariate Cox regression analysis identified a higher degree of abdominal aortic calcification as an independent risk factor for poor OS (hazard ratio, 2.57; 95% confidence interval, 1.56\u20134.22;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001), DSS (hazard ratio, 4.32; 95% confidence interval, 1.84\u201310.12;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001) and RFS (hazard ratio, 2.63; 95% confidence interval, 1.60\u20134.33;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001). High abdominal aortic calcification was also a risk factor for peritoneal dissemination recurrence in gastric cancer.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A high degree of abdominal aortic calcification was linked to poor prognosis and might increase peritoneal dissemination recurrence following curative resection for gastric cancer. Thus, abdominal aortic calcification may serve as a novel clinical tool for predicting the prognosis of patients with gastric cancer.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s12029-025-01339-0","type":"journal-article","created":{"date-parts":[[2025,11,15]],"date-time":"2025-11-15T13:47:01Z","timestamp":1763214421000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact of Abdominal Aortic Calcification on Long-Term Outcome after Gastric Cancer Surgery: a Retrospective Study"],"prefix":"10.1007","volume":"56","author":[{"given":"Akihiro","family":"Kohata","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuaki","family":"Tanabe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hidetoshi","family":"Shidahara","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shoko","family":"Kohata","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nozomi","family":"Karakuchi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuki","family":"Takemoto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emi","family":"Chikuie","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroshi","family":"Ota","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshihiro","family":"Saeki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hideki","family":"Ohdan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,11,15]]},"reference":[{"key":"1339_CR1","doi-asserted-by":"publisher","first-page":"167","DOI":"10.6004\/jnccn.2022.0008","volume":"20","author":"JA Ajani","year":"2022","unstructured":"Ajani JA, D\u2019Amico TA, Bentrem DJ, Chao J, Cooke D, Corvera C, et al. 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The requirement for individual consent to publish was waived by the Institutional Review Board of Hiroshima University due to the retrospective design and the use of anonymized data.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent To Publish"}},{"value":"The authors declare no competing interests.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"221"}}