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Gastroesophageal cancer (EGC) is the second leading cause of cancer-related death among the world.
, effective interventions are urgently needed to improve the prognostics of metastasis EGC patients.
study assessed the impact of early interdisciplinary support therapy integration on overall survival rate (OS) in metastasis EGC patients.
This is an open randomized controlled phase 3 trial conducted at Peking University Cancer Hospital, which recruited previously untreated metastasis EGC patients to be randomized to the Early Interdisciplinary Support Therapy Joint Standard Therapy (ESC) or Standard Treatment (EC) group at 2:1.
patients in the ESC group were treated by gastroenterologists, oncologists, dietitians and psychologists;
end point is OS.
16 April 2015 - 29 December 2017, a total of 328 patients were recruited: 214 in the ESC group and 114 in the SC group.
as of January 26, 2019, 15 (5%) patients had lost their visits.
of first-line chemotherapy in the main prognosmed ESC group was 5 (IQR 4-7) and 4 in the SC group (IQR 2-6).
14.8 months (95% CI 13.3-16.3) and 11.9 months (9.6-13.6; HR 0.68, 95% CI 0.51-0.9; P=0.021)。
group prognostic study showed that early integration of interdisciplinary support therapy increased the survival benefits of metastatic gastric cancer patients.
future is worth further optimization and standardization research exploration.