Impact of Preoperative Type 2 Diabetes Mellitus on the Outcomes of Gastric Cancer Patients Following Gastrectomy: A Propensity Score Matching Analysis.

PURPOSE

The current study aims to explore the outcomes of type 2 diabetes mellitus (T2DM) on gastric cancer patients following gastrectomy through propensity score matching (PSM) analysis.

METHODS

A retrospective study of gastric cancer patients following gastrectomy was conducted in a single clinical center from January 2014 to December 2019. The short-term outcomes, overall survival (OS) and disease-free survival (DFS) were analyzed between T2DM group and Non-T2DM group.

RESULTS

A total of 703 patients were enrolled in this study. After 1:1 PSM, 84 patients in T2DM group and 84 patients in Non-T2DM were matched for final analysis. No significant difference was found in terms of operation time, intra-operative blood loss, retrieved lymph nodes, postoperative stay, blood transfusion and complications between T2DM group and Non-T2DM group ( > 0.05). The Kaplan-Meier curve implied that T2DM had no impact on OS or DFS. Cox regression was conducted to identify predictive factors for prognosis. Body mass index (BMI) ( = 0.039 < 0.05, HR = 0.725, 95% CI = 0.534-0.983), pre-operative lymphocyte ( = 0.017 < 0.05, HR = 0.678, 95% CI = 0.493-0.932), pathological tumor node metastasis (pTNM) stage ( = 0.000 < 0.05, HR = 2.619, 95% CI = 2.048-3.349) and complications ( = 0.006 < 0.05, HR = 1.528, 95% CI = 1.132-2.061) were predictive factors for OS, and BMI ( = 0.013 < 0.05, HR = 0.524, 95% CI = 0.315-0.872), pTNM stage ( = 0.000 < 0.05, HR = 2.619, 95% CI = 2.048-3.349) and complications ( = 0.008 < 0.05, HR = 1.892, 95% CI = 1.179-3.036) were independent predictive factors for DFS.

CONCLUSION

T2DM did not have an impact on gastric cancer patients following gastrectomy in terms of short-term outcomes and prognosis.