An Appraisal of the End-Results of Treatment in Carcinoma of the Stomach

Abstract
Of 611 patients with carcinoma of the stomach encountered at the Buffalo General Hospital during the years 1939-1955, 27 were alive without evidence of recurrent disease at the end of 5 years—an absolute survivorship of 4.4%. During the last five-year period (1950-1955) the survivorship percentage was 7.2%. An analysis of 18 large series comprising over 12,000 cases reported from all parts of the country during a corresponding period showed an average absolute five-year survivorship of 7.0%. Apparently differences in reported arrest rates were due more to variations in statistical methods than to variations in methods of diagnosis and treatment. The authors give reasons for believing that further therapeutic accomplishment is unlikely through the utilization of current methods of diagnosis and treatment.