{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T18:11:49Z","timestamp":1787508709337,"version":"build-2736575974"},"reference-count":37,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"funder":[{"DOI":"10.13039\/501100004332","name":"Seoul National University Hospital","doi-asserted-by":"publisher","award":["3020200160"],"award-info":[{"award-number":["3020200160"]}],"id":[{"id":"10.13039\/501100004332","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003625","name":"Ministry of Health and Welfare","doi-asserted-by":"publisher","award":["HA21C0036"],"award-info":[{"award-number":["HA21C0036"]}],"id":[{"id":"10.13039\/501100003625","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Sci Rep"],"DOI":"10.1038\/s41598-025-14971-4","type":"journal-article","created":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T08:45:23Z","timestamp":1759308323000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Textbook outcome of gastric cancer surgery and lymph node evaluation as its parameter to improve long-term survival"],"prefix":"10.1038","volume":"15","author":[{"given":"Yo-Seok","family":"Cho","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"SaRa","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeesun","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoonjin","family":"Kwak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yun-Suhk","family":"Suh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seong-Ho","family":"Kong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hye Seung","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Do Joong","family":"Park","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hyuk-Joon","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Woo Ho","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Han-Kwang","family":"Yang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,10,1]]},"reference":[{"key":"14971_CR1","doi-asserted-by":"publisher","first-page":"217","DOI":"10.2991\/jegh.k.191008.001","volume":"9","author":"C Mattiuzzi","year":"2019","unstructured":"Mattiuzzi, C. & Lippi, G. Current cancer epidemiology. J. Epidemiol. Glob Health. 9, 217\u2013222 (2019).","journal-title":"J. Epidemiol. Glob Health"},{"key":"14971_CR2","doi-asserted-by":"publisher","first-page":"544","DOI":"10.1177\/0272989X09357474","volume":"30","author":"J Dijs-Elsinga","year":"2010","unstructured":"Dijs-Elsinga, J. et al. Choosing a hospital for surgery: the importance of information on quality of care. Med. Decis. Mak. 30, 544\u2013555 (2010).","journal-title":"Med. Decis. Mak."},{"key":"14971_CR3","unstructured":"Lohr, K. N. (ed) Medicare: A Strategy for Quality Assurance: Volume II Sources and Methods (National Academies, 1990)."},{"key":"14971_CR4","doi-asserted-by":"publisher","first-page":"172","DOI":"10.1007\/s10120-018-0839-5","volume":"22","author":"GL Baiocchi","year":"2019","unstructured":"Baiocchi, G. L. et al. International consensus on a complications list after gastrectomy for cancer. Gastric Cancer. 22, 172\u2013189 (2019).","journal-title":"Gastric Cancer"},{"key":"14971_CR5","doi-asserted-by":"publisher","first-page":"1041","DOI":"10.1097\/MLR.0b013e3181f37d5f","volume":"48","author":"PA Learn","year":"2010","unstructured":"Learn, P. A. & Bach, P. B. A decade of mortality reductions in major oncologic surgery: the impact of centralization and quality improvement. Med. Care. 48, 1041\u20131049 (2010).","journal-title":"Med. Care"},{"key":"14971_CR6","doi-asserted-by":"publisher","first-page":"156","DOI":"10.1016\/j.ejso.2012.10.007","volume":"39","author":"NE Kolfschoten","year":"2013","unstructured":"Kolfschoten, N. E. et al. Focusing on desired outcomes of care after colon cancer resections: hospital variations in \u2018textbook outcome\u2019. Eur. J. Surg. Oncol. 39, 156\u2013163 (2013).","journal-title":"Eur. J. Surg. Oncol."},{"key":"14971_CR7","doi-asserted-by":"publisher","first-page":"155","DOI":"10.1097\/SLA.0000000000003451","volume":"271","author":"S van Roessel","year":"2020","unstructured":"van Roessel, S. et al. Textbook outcome: nationwide analysis of a novel quality measure in pancreatic surgery. Ann. Surg. 271, 155\u2013162 (2020).","journal-title":"Ann. Surg."},{"key":"14971_CR8","doi-asserted-by":"publisher","first-page":"e190571","DOI":"10.1001\/jamasurg.2019.0571","volume":"154","author":"K Merath","year":"2019","unstructured":"Merath, K. et al. A multi-institutional international analysis of textbook outcomes among patients undergoing curative-intent resection of intrahepatic cholangiocarcinoma. JAMA Surg. 154, e190571 (2019).","journal-title":"JAMA Surg."},{"key":"14971_CR9","doi-asserted-by":"publisher","first-page":"e212064","DOI":"10.1001\/jamasurg.2021.2064","volume":"156","author":"B Gorgec","year":"2021","unstructured":"Gorgec, B. et al. Assessment of textbook outcome in laparoscopic and open liver surgery. JAMA Surg. 156, e212064 (2021).","journal-title":"JAMA Surg."},{"key":"14971_CR10","doi-asserted-by":"publisher","first-page":"92","DOI":"10.1093\/ejcts\/ezaa265","volume":"59","author":"MG Ten Berge","year":"2021","unstructured":"Ten Berge, M. G. et al. Textbook outcome as a composite outcome measure in non-small-cell lung cancer surgery. Eur. J. Cardiothorac. Surg. 59, 92\u201399 (2021).","journal-title":"Eur. J. Cardiothorac. Surg."},{"key":"14971_CR11","doi-asserted-by":"publisher","first-page":"742","DOI":"10.1002\/bjs.10486","volume":"104","author":"LA Busweiler","year":"2017","unstructured":"Busweiler, L. A. et al. Textbook outcome as a composite measure in oesophagogastric cancer surgery. Br. J. Surg. 104, 742\u2013750 (2017).","journal-title":"Br. J. Surg."},{"key":"14971_CR12","doi-asserted-by":"publisher","first-page":"391","DOI":"10.1007\/s10120-019-01015-w","volume":"23","author":"J Levy","year":"2020","unstructured":"Levy, J. et al. Gastrectomy case volume and textbook outcome: an analysis of the population registry of esophageal and stomach tumours of Ontario (PRESTO). Gastric Cancer. 23, 391\u2013402 (2020).","journal-title":"Gastric Cancer"},{"key":"14971_CR13","doi-asserted-by":"publisher","first-page":"140","DOI":"10.1097\/SLA.0000000000003849","volume":"275","author":"J Levy","year":"2022","unstructured":"Levy, J. et al. Textbook outcome and survival in patients with gastric cancer: an analysis of the population registry of esophageal and stomach tumours in Ontario (PRESTO). Ann. Surg. 275, 140\u2013148 (2022).","journal-title":"Ann. Surg."},{"key":"14971_CR14","doi-asserted-by":"publisher","first-page":"768","DOI":"10.1016\/j.ejso.2021.10.025","volume":"48","author":"M Dal Cero","year":"2022","unstructured":"Dal Cero, M. et al. Textbook outcome and survival after gastric cancer resection with curative intent: a population-based analysis. Eur. J. Surg. Oncol. 48, 768\u2013775 (2022).","journal-title":"Eur. J. Surg. Oncol."},{"key":"14971_CR15","doi-asserted-by":"publisher","first-page":"356","DOI":"10.1016\/j.ejso.2021.08.005","volume":"48","author":"K Sedlak","year":"2022","unstructured":"Sedlak, K. et al. Union is strength: textbook outcome with perioperative chemotherapy compliance decreases the risk of death in advanced gastric cancer patients. Eur. J. Surg. Oncol. 48, 356\u2013361 (2022).","journal-title":"Eur. J. Surg. Oncol."},{"key":"14971_CR16","doi-asserted-by":"publisher","first-page":"8239","DOI":"10.1245\/s10434-022-12388-1","volume":"29","author":"MA Cibulas","year":"2022","unstructured":"Cibulas, M. A. et al. Impact of textbook oncologic outcome attainment on survival after gastrectomy: a review of the National cancer database. Ann. Surg. Oncol. 29, 8239\u20138248 (2022).","journal-title":"Ann. Surg. Oncol."},{"key":"14971_CR17","doi-asserted-by":"publisher","first-page":"160","DOI":"10.5230\/jgc.2022.22.e21","volume":"22","author":"SH Park","year":"2022","unstructured":"Park, S. H. et al. Epidemiology of gastric cancer in korea: trends in incidence and survival based on Korea central cancer registry data (1999\u20132019). J. Gastric Cancer. 22, 160\u2013168 (2022).","journal-title":"J. Gastric Cancer"},{"key":"14971_CR18","doi-asserted-by":"publisher","first-page":"1023","DOI":"10.1016\/S0140-6736(17)33326-3","volume":"391","author":"C Allemani","year":"2018","unstructured":"Allemani, C. et al. Global surveillance of trends in cancer survival 2000\u201314 (CONCORD-3): analysis of individual records for 37,513,025 patients diagnosed with one of 18 cancers from 322 population-based registries in 71 countries. Lancet 391, 1023\u20131075 (2018).","journal-title":"Lancet"},{"key":"14971_CR19","unstructured":"Amin, M. B. et al. AJCC Cancer Staging Manual (Springer International Publishing, 2018)."},{"key":"14971_CR20","doi-asserted-by":"publisher","first-page":"584","DOI":"10.1016\/j.ejso.2013.09.020","volume":"40","author":"T Waddell","year":"2014","unstructured":"Waddell, T. et al. Gastric cancer: ESMO-ESSO-ESTRO clinical practice guidelines for diagnosis, treatment and follow-up. Eur. J. Surg. Oncol. 40, 584\u2013591 (2014).","journal-title":"Eur. J. Surg. Oncol."},{"key":"14971_CR21","doi-asserted-by":"publisher","first-page":"3","DOI":"10.5230\/jgc.2023.23.e11","volume":"23","author":"TH Kim","year":"2023","unstructured":"Kim, T. H. et al. Korean practice guidelines for gastric cancer 2022: an evidence-based, multidisciplinary approach. J. Gastric Cancer. 23, 3\u2013106 (2023).","journal-title":"J. Gastric Cancer"},{"key":"14971_CR22","doi-asserted-by":"crossref","unstructured":"Japanese Gastric Cancer A. Japanese Gastric Cancer Treatment Guidelines 2021 (6th edition). Gastric Cancer 26, 1\u201325. (2023).","DOI":"10.1007\/s10120-022-01331-8"},{"key":"14971_CR23","unstructured":"NCC Network. Gastric Cancer. (2023). Version 1. (2023). Available from: https:\/\/www.nccn.org\/professionals\/physician_gls\/pdf\/gastric.pdf"},{"key":"14971_CR24","doi-asserted-by":"publisher","first-page":"1566","DOI":"10.1111\/jgh.13306","volume":"31","author":"W Okajima","year":"2016","unstructured":"Okajima, W. et al. Prognostic impact of the number of retrieved lymph nodes in patients with gastric cancer. J. Gastroenterol. Hepatol. 31, 1566\u20131571 (2016).","journal-title":"J. Gastroenterol. Hepatol."},{"key":"14971_CR25","doi-asserted-by":"publisher","first-page":"97","DOI":"10.1634\/theoncologist.2016-0239","volume":"22","author":"YY Liu","year":"2017","unstructured":"Liu, Y. Y. et al. Does a higher cutoff value of lymph node retrieval substantially improve survival in patients with advanced gastric cancer?\u2014Time to embrace a new digit. Oncologist 22, 97\u2013106 (2017).","journal-title":"Oncologist"},{"key":"14971_CR26","doi-asserted-by":"publisher","first-page":"779","DOI":"10.1016\/j.ejso.2015.03.227","volume":"41","author":"A Biondi","year":"2015","unstructured":"Biondi, A. et al. Does a minimum number of 16 retrieved nodes affect survival in curatively resected gastric cancer? Eur. J. Surg. Oncol. 41, 779\u2013786 (2015).","journal-title":"Eur. J. Surg. Oncol."},{"key":"14971_CR27","doi-asserted-by":"publisher","first-page":"50","DOI":"10.1097\/SLA.0b013e31821d4d75","volume":"255","author":"SH Kong","year":"2012","unstructured":"Kong, S. H. et al. Stage migration effect on survival in gastric cancer surgery with extended lymphadenectomy: the reappraisal of positive lymph node ratio as a proper N-staging. Ann. Surg. 255, 50\u201358 (2012).","journal-title":"Ann. Surg."},{"key":"14971_CR28","doi-asserted-by":"publisher","first-page":"1269","DOI":"10.1007\/s11605-014-2525-1","volume":"18","author":"KG Lee","year":"2014","unstructured":"Lee, K. G. et al. Risk factors associated with complication following gastrectomy for gastric cancer: retrospective analysis of prospectively collected data based on the Clavien-Dindo system. J. Gastrointest. Surg. 18, 1269\u20131277 (2014).","journal-title":"J. Gastrointest. Surg."},{"key":"14971_CR29","doi-asserted-by":"publisher","first-page":"171","DOI":"10.1007\/s10120-017-0728-3","volume":"21","author":"TH Kim","year":"2018","unstructured":"Kim, T. H. et al. The comprehensive complication index (CCI) is a more sensitive complication index than the conventional Clavien-Dindo classification in radical gastric cancer surgery. Gastric Cancer. 21, 171\u2013181 (2018).","journal-title":"Gastric Cancer"},{"key":"14971_CR30","doi-asserted-by":"publisher","first-page":"2141","DOI":"10.1016\/j.ejso.2022.05.025","volume":"48","author":"JY Chen","year":"2022","unstructured":"Chen, J. Y. et al. Textbook outcome, chemotherapy compliance, and prognosis after radical gastrectomy for gastric cancer: a large sample analysis. Eur. J. Surg. Oncol. 48, 2141\u20132148 (2022).","journal-title":"Eur. J. Surg. Oncol."},{"key":"14971_CR31","doi-asserted-by":"publisher","first-page":"15394","DOI":"10.1038\/s41598-021-95017-3","volume":"11","author":"CK Roh","year":"2021","unstructured":"Roh, C. K. et al. Textbook outcome and survival of robotic versus laparoscopic total gastrectomy for gastric cancer: a propensity score matched cohort study. Sci. Rep. 11, 15394 (2021).","journal-title":"Sci. Rep."},{"key":"14971_CR32","doi-asserted-by":"publisher","first-page":"807","DOI":"10.1097\/SLA.0000000000004341","volume":"272","author":"GL Baiocchi","year":"2020","unstructured":"Baiocchi, G. L. et al. Incidence and grading of complications after gastrectomy for cancer using the GASTRODATA registry: a European retrospective observational study. Ann. Surg. 272, 807\u2013813 (2020).","journal-title":"Ann. Surg."},{"key":"14971_CR33","doi-asserted-by":"publisher","first-page":"66","DOI":"10.1002\/jso.27107","volume":"127","author":"A Watanabe","year":"2023","unstructured":"Watanabe, A. et al. Intraoperative frozen section analysis of margin status as a quality indicator in gastric cancer surgery. J. Surg. Oncol. 127, 66\u201372 (2023).","journal-title":"J. Surg. Oncol."},{"key":"14971_CR34","doi-asserted-by":"publisher","first-page":"871","DOI":"10.1097\/SLA.0000000000004266","volume":"272","author":"F Berlth","year":"2020","unstructured":"Berlth, F. et al. Prognostic impact of frozen section investigation and extent of proximal safety margin in gastric cancer resection. Ann. Surg. 272, 871\u2013878 (2020).","journal-title":"Ann. Surg."},{"key":"14971_CR35","doi-asserted-by":"publisher","first-page":"488","DOI":"10.1016\/j.ejso.2011.03.005","volume":"37","author":"VE Lemmens","year":"2011","unstructured":"Lemmens, V. E. et al. Lymph node examination among patients with gastric cancer: variation between departments of pathology and prognostic impact of lymph node ratio. Eur. J. Surg. Oncol. 37, 488\u2013496 (2011).","journal-title":"Eur. J. Surg. Oncol."},{"key":"14971_CR36","doi-asserted-by":"publisher","first-page":"983","DOI":"10.1097\/SLA.0000000000003217","volume":"270","author":"HJ Lee","year":"2019","unstructured":"Lee, H. J. et al. Short-term outcomes of a multicenter randomized controlled trial comparing laparoscopic distal gastrectomy with D2 lymphadenectomy to open distal gastrectomy for locally advanced gastric cancer (KLASS-02-RCT). Ann. Surg. 270, 983\u2013991 (2019).","journal-title":"Ann. Surg."},{"key":"14971_CR37","doi-asserted-by":"publisher","first-page":"1983","DOI":"10.1001\/jama.2019.5359","volume":"321","author":"J Yu","year":"2019","unstructured":"Yu, J. et al. Effect of laparoscopic vs open distal gastrectomy on 3-year disease-free survival in patients with locally advanced gastric cancer: the CLASS-01 randomized clinical trial. JAMA 321, 1983\u20131992 (2019).","journal-title":"JAMA"}],"container-title":["Scientific Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.nature.com\/articles\/s41598-025-14971-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41598-025-14971-4","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41598-025-14971-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T08:45:29Z","timestamp":1759308329000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.nature.com\/articles\/s41598-025-14971-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,1]]},"references-count":37,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["14971"],"URL":"https:\/\/doi.org\/10.1038\/s41598-025-14971-4","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.3.rs-6655177\/v1","asserted-by":"object"}]},"ISSN":["2045-2322"],"issn-type":[{"value":"2045-2322","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,1]]},"assertion":[{"value":"13 May 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 August 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 October 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"34159"}}