{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T00:59:12Z","timestamp":1775696352097,"version":"3.50.1"},"reference-count":33,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2000,5,1]],"date-time":"2000-05-01T00:00:00Z","timestamp":957139200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/501100008582","name":"Swedish National Cancer Association","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100008582","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2000,5,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>There are indications that some features of gastric carcinoma are changing, with a possible impact on prognosis. The aim of this study was to examine any changes in type, location, stage, resection rate, postoperative mortality rate or prognosis for patients with gastric carcinoma in a well defined population.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>During 1974\u20131991, 1161 new cases of gastric adenocarcinoma were diagnosed in \u00d6sterg\u00f6tland County, Sweden. Tumour location, Laur\u00e9n histological type, tumour node metastasis (TNM) stage, radicality of tumour resection and postoperative complications were recorded after histological re-evaluation of tissue specimens and examination of all patient records. Dates of death were obtained from the Swedish Central Bureau of Statistics. Time trends were studied by comparing the intervals 1974\u20131982 (period 1) and 1983\u20131991 (period 2).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The proportion of diffuse type of adenocarcinoma increased (from 27 to 35 per cent), while that of mixed type decreased (from 16 to 9 per cent) and that of intestinal type was unchanged. The proportion of tumours located in the proximal two-thirds of the stomach increased (from 32 to 42 per cent) and the proportion of patients with tumours in TNM stage IV decreased (from 32 to 25 per cent). Overall tumour resection rates were unchanged, although the proportion of radical total gastrectomies increased (from 36 to 50 per cent). Excluding tumours of the cardia or gastric remnant after previous ulcer surgery, the 5-year relative survival rate after radical resection increased from 25 to 36 per cent and the postoperative mortality rate decreased for both radical (from 11 to 4 per cent) and palliative (from 18 to 6 per cent) resection.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>The patterns of tumour histology, location and stage of gastric carcinoma have changed in the authors' region. These changes were paralleled by a significant improvement in survival and postoperative mortality rates.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1046\/j.1365-2168.2000.01425.x","type":"journal-article","created":{"date-parts":[[2003,3,11]],"date-time":"2003-03-11T07:14:17Z","timestamp":1047366857000},"page":"618-626","source":"Crossref","is-referenced-by-count":77,"title":["Changing pattern of histological type, location, stage and outcome of surgical treatment of gastric carcinoma"],"prefix":"10.1093","volume":"87","author":[{"given":"K","family":"Borch","sequence":"first","affiliation":[{"name":"Department of Surgery, University Hospital of Link\u00f6ping ,","place":["Sweden"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B","family":"J\u00f6nsson","sequence":"additional","affiliation":[{"name":"Department of Surgery, University Hospital of Link\u00f6ping ,","place":["Sweden"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E","family":"Tarpila","sequence":"additional","affiliation":[{"name":"Department of Surgery, University Hospital of Link\u00f6ping ,","place":["Sweden"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T","family":"Franz\u00e9n","sequence":"additional","affiliation":[{"name":"Department of Surgery, University Hospital of Link\u00f6ping ,","place":["Sweden"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Berglund","sequence":"additional","affiliation":[{"name":"Department of Surgery, University Hospital of Link\u00f6ping ,","place":["Sweden"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E","family":"Kullman","sequence":"additional","affiliation":[{"name":"Department of Surgery, University Hospital of Link\u00f6ping ,","place":["Sweden"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L","family":"Franz\u00e9n","sequence":"additional","affiliation":[{"name":"Department of Pathology, \u00d6rebro Medical Centre Hospital ,","place":["Sweden"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2000,5,1]]},"reference":[{"key":"2024093004084904300_bib1","first-page":"55","article-title":"Gastric cancer","volume":"19\/20","author":"Correa","year":"1994","journal-title":"Cancer Surv"},{"key":"2024093004084904300_bib2","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1002\/1097-0142(19950101)75:1+<154::AID-CNCR2820751305>3.0.CO;2-Z","article-title":"Gastrointestinal cancer","volume":"75","author":"Thomas","year":"1995","journal-title":"Cancer"},{"key":"2024093004084904300_bib3","doi-asserted-by":"crossref","first-page":"652","DOI":"10.1016\/0959-8049(95)00582-X","article-title":"Worldwide trends in cancer mortality in the elderly. 1955\u20131992","volume":"32A","author":"Levi","year":"1996","journal-title":"Eur J Cancer"},{"key":"2024093004084904300_bib4","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1016\/S1047-2797(97)00002-1","article-title":"Gastric cancer in the European Union (1968\u20131992):mortality trends and cohort effect","volume":"7","author":"Aragon\u00e9s","year":"1997","journal-title":"Ann Epidemiol"},{"key":"2024093004084904300_bib5","doi-asserted-by":"crossref","first-page":"914","DOI":"10.1002\/bjs.1800760913","article-title":"Changing patterns in gastric adenocarcinoma","volume":"76","author":"Kampsch\u00f6er","year":"1989","journal-title":"Br J Surg"},{"key":"2024093004084904300_bib6","doi-asserted-by":"crossref","first-page":"580","DOI":"10.1007\/BF01658794","article-title":"Adenocarcinoma of the stomach: a review of 35 years and 1710 cases","volume":"14","author":"Breaux","year":"1990","journal-title":"World J Surg"},{"key":"2024093004084904300_bib7","doi-asserted-by":"crossref","first-page":"771","DOI":"10.1002\/bjs.1800780703","article-title":"Improving survival in gastric cancer: review of operative mortality in English language publications from 1970","volume":"78","author":"Macintyre","year":"1991","journal-title":"Br J Surg"},{"key":"2024093004084904300_bib8","first-page":"423","article-title":"Prognostic differences of adenocarcinoma arising from the cardia and the upper third of the stomach","volume":"59","author":"Nakane","year":"1993","journal-title":"Am Surg"},{"key":"2024093004084904300_bib9","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1002\/bjs.1800800423","article-title":"Norwegian multicentre study of survival and prognostic factors in patients undergoing curative resection for gastric carcinoma","volume":"80","author":"Haugstvedt","year":"1993","journal-title":"Br J Surg"},{"key":"2024093004084904300_bib10","doi-asserted-by":"crossref","first-page":"2089","DOI":"10.1002\/1097-0142(19931001)72:7<2089::AID-CNCR2820720706>3.0.CO;2-H","article-title":"Prognostic factors in gastric carcinoma. 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