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©The Author(s) 2025.
World J Gastrointest Surg. Jul 27, 2025; 17(7): 106026
Published online Jul 27, 2025. doi: 10.4240/wjgs.v17.i7.106026
Published online Jul 27, 2025. doi: 10.4240/wjgs.v17.i7.106026
Table 1 Comparison of general information
Variables | Total (n = 264) | Normal group (n = 96) | FCR group (n = 168) | Statistic | P value |
Age | 65.70 ± 4.68 | 67.16 ± 4.72 | 64.87 ± 4.46 | t = 3.86 | < 0.001 |
Gender | χ² = 0.43 | 0.512 | |||
Female | 117 (44.32) | 40 (41.67) | 77 (45.83) | ||
Male | 147 (55.68) | 56 (58.33) | 91 (54.17) | ||
Spouse | χ² = 0.45 | 0.500 | |||
Yes | 223 (84.47) | 83 (86.46) | 140 (83.33) | ||
No | 41 (15.53) | 13 (13.54) | 28 (16.67) | ||
Educational level | χ² = 5.36 | 0.021 | |||
High school and above | 97 (36.74) | 44 (45.83) | 53 (31.55) | ||
Junior high school and below | 167 (63.26) | 52 (54.17) | 115 (68.45) | ||
Household income | χ² = 1.68 | 0.194 | |||
High income | 110 (41.67) | 45 (46.88) | 65 (38.69) | ||
Low income | 154 (58.33) | 51 (53.12) | 103 (61.31) | ||
Residence | χ² = 0.54 | 0.461 | |||
Urban areas | 104 (39.39) | 35 (36.46) | 69 (41.07) | ||
Rural areas | 160 (60.61) | 61 (63.54) | 99 (58.93) | ||
Primary caregiver | χ² = 0.02 | 0.901 | |||
Children | 84 (31.82) | 31 (32.29) | 53 (31.55) | ||
Spouses | 180 (68.18) | 65 (67.71) | 115 (68.45) | ||
Payment method | χ² = 0.59 | 0.443 | |||
Medical insurance | 237 (89.77) | 88 (91.67) | 149 (88.69) | ||
Self-payment | 27 (10.23) | 8 (8.33) | 19 (11.31) | ||
Psychological resilience | 62.55 ± 7.27 | 65.52 ± 7.47 | 60.85 ± 6.59 | t = 5.27 | < 0.001 |
Social support | 43.97 ± 4.99 | 45.16 ± 5.32 | 43.30 ± 4.67 | t = 2.95 | 0.003 |
Self-perceived burden | 30.24 ± 6.45 | 28.72 ± 6.51 | 31.11 ± 6.27 | t = -2.94 | 0.004 |
Table 2 Comparison of clinical information
Variables | Total (n = 264) | Normal group (n = 96) | FCR group (n = 168) | Statistic | P value |
Duration of disease | χ² = 5.61 | 0.018 | |||
≥ 1 year | 115 (43.56) | 51 (53.12) | 64 (38.10) | ||
< 1 year | 149 (56.44) | 45 (46.88) | 104 (61.90) | ||
Tumor diameter | χ² = 5.46 | 0.020 | |||
< 5 cm | 154 (58.33) | 65 (67.71) | 89 (52.98) | ||
≥ 5 cm | 110 (41.67) | 31 (32.29) | 79 (47.02) | ||
Clinical staging | χ² = 2.16 | 0.141 | |||
Phase I and II | 204 (77.27) | 79 (82.29) | 125 (74.40) | ||
Phase III and IV | 60 (22.73) | 17 (17.71) | 43 (25.60) | ||
Pathological type | χ² = 0.09 | 0.770 | |||
Other | 52 (19.70) | 18 (18.75) | 34 (20.24) | ||
Adenocarcinoma | 212 (80.30) | 78 (81.25) | 134 (79.76) | ||
Multiple foci | χ² = 2.70 | 0.101 | |||
No | 227 (85.98) | 87 (90.62) | 140 (83.33) | ||
Yes | 37 (14.02) | 9 (9.38) | 28 (16.67) | ||
Lesion site | χ² = 0.05 | 0.974 | |||
Upper part | 89 (33.71) | 33 (34.38) | 56 (33.33) | ||
Middle part | 82 (31.06) | 30 (31.25) | 52 (30.95) | ||
Lower part | 93 (35.23) | 33 (34.38) | 60 (35.71) | ||
H. pylori | χ² = 0.44 | 0.506 | |||
No | 68 (25.76) | 27 (28.12) | 41 (24.40) | ||
Yes | 196 (74.24) | 69 (71.88) | 127 (75.60) | ||
Postoperative complications | χ² = 4.58 | 0.032 | |||
No | 216 (81.82) | 85 (88.54) | 131 (77.98) | ||
Yes | 48 (18.18) | 11 (11.46) | 37 (22.02) |
Table 3 Univariate logistic regression analysis
Variables | β | SE | Z value | P value | OR (95%CI) |
Age | -0.11 | 0.03 | -3.73 | < 0.001 | 0.90 (0.85-0.95) |
Gender | |||||
Female | 1.00 (Ref.) | ||||
Male | -0.17 | 0.26 | -0.66 | 0.512 | 0.84 (0.51-1.40) |
Spouse | |||||
Yes | 1.00 (Ref.) | ||||
No | 0.24 | 0.36 | 0.67 | 0.501 | 1.28 (0.63-2.60) |
Educational level | |||||
High school and above | 1.00 (Ref.) | ||||
Junior high school and below | 0.61 | 0.26 | 2.30 | 0.021 | 1.84 (1.10-3.08) |
Household income | |||||
High income | 1.00 (Ref.) | ||||
Low income | 0.34 | 0.26 | 1.30 | 0.195 | 1.40 (0.84-2.32) |
Residence | |||||
Urban areas | 1.00 (Ref.) | ||||
Rural areas | -0.19 | 0.26 | -0.74 | 0.461 | 0.82 (0.49-1.38) |
Primary caregiver | |||||
Children | 1.00 (Ref.) | ||||
Spouses | 0.03 | 0.27 | 0.12 | 0.901 | 1.03 (0.60-1.77) |
Payment method | |||||
Medical insurance | 1.00 (Ref.) | ||||
Self-payment | 0.34 | 0.44 | 0.76 | 0.444 | 1.40 (0.59-3.34) |
Psychological resilience | -0.10 | 0.02 | -4.79 | < 0.001 | 0.91 (0.87-0.94) |
Social support | -0.08 | 0.03 | -2.86 | 0.004 | 0.93 (0.88-0.98) |
Self-perceived burden | 0.06 | 0.02 | 2.86 | 0.004 | 1.06 (1.02-1.10) |
Duration of disease | |||||
≥ 1 year | 1.00 (Ref.) | ||||
< 1 year | 0.61 | 0.26 | 2.36 | 0.018 | 1.84 (1.11-3.06) |
Tumor diameter | |||||
< 5 cm | 1.00 (Ref.) | ||||
≥ 5 cm | 0.62 | 0.27 | 2.32 | 0.020 | 1.86 (1.10-3.14) |
Clinical staging | |||||
Phase I and II | 1.00 (Ref.) | ||||
Phase III and IV | 0.47 | 0.32 | 1.46 | 0.143 | 1.60 (0.85-3.00) |
Pathological type | |||||
Others | 1.00 (Ref.) | ||||
Adenocarcinoma | -0.09 | 0.32 | -0.29 | 0.770 | 0.91 (0.48-1.72) |
Multiple foci | |||||
No | 1.00 (Ref.) | ||||
Yes | 0.66 | 0.41 | 1.62 | 0.105 | 1.93 (0.87-4.29) |
Lesion site | |||||
Upper part | 1.00 (Ref.) | ||||
Middle part | 0.02 | 0.32 | 0.07 | 0.947 | 1.02 (0.55-1.90) |
Lower part | 0.07 | 0.31 | 0.22 | 0.823 | 1.07 (0.59-1.96) |
H. pylori | |||||
No | 1.00 (Ref.) | ||||
Yes | 0.19 | 0.29 | 0.66 | 0.506 | 1.21 (0.69-2.14) |
Postoperative complications | |||||
No | 1.00 (Ref.) | ||||
Yes | 0.78 | 0.37 | 2.11 | 0.035 | 2.18 (1.06-4.51) |
Table 4 Multivariate Logistic regression analysis
Variables | β | SE | Z value | P value | OR (95%CI) |
Age | -0.11 | 0.04 | -3.15 | 0.002 | 0.89 (0.83-0.96) |
Psychological resilience | -0.12 | 0.02 | -5.02 | < 0.001 | 0.89 (0.85-0.93) |
Social support | -0.09 | 0.03 | -2.76 | 0.006 | 0.92 (0.86-0.97) |
Self-perceived burden | 0.11 | 0.03 | 4.00 | < 0.001 | 1.11 (1.06-1.17) |
Educational level | |||||
High school and above | 1.00 (Ref.) | ||||
Junior high school and below | 0.95 | 0.33 | 2.87 | 0.004 | 2.59 (1.35-4.96) |
Duration of disease | |||||
≥ 1 year | 1.00 (Ref.) | ||||
< 1 year | 0.66 | 0.31 | 2.13 | 0.033 | 1.94 (1.05-3.58) |
Tumor diameter | |||||
< 5 cm | 1.00 (Ref.) | ||||
≥ 5 cm | 0.81 | 0.32 | 2.51 | 0.012 | 2.24 (1.19-4.20) |
Postoperative complications | |||||
No | 1.00 (Ref.) | ||||
Yes | 1.11 | 0.44 | 2.52 | 0.012 | 3.04 (1.28-7.21) |
Table 5 Confusion matrix analysis
AUC (95%CI) | Accuracy (95%CI) | Sensitivity (95%CI) | Specificity (95%CI) | PPV (95%CI) | NPV (95%CI) | Cutoff |
0.82 (0.77-0.87) | 0.73 (0.67-0.78) | 0.77 (0.69-0.85) | 0.70 (0.63-0.77) | 0.60 (0.51-0.68) | 0.84 (0.78-0.90) | 0.659 |
- Citation: Zhu NG, Zhao DD, Cui H, Sun SH. Fear of cancer recurrence and influencing factors in elderly patients with gastric cancer undergoing laparoscopic radical surgery. World J Gastrointest Surg 2025; 17(7): 106026
- URL: https://www.wjgnet.com/1948-9366/full/v17/i7/106026.htm
- DOI: https://dx.doi.org/10.4240/wjgs.v17.i7.106026