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Assessment of the external validity of the AJCC 8th staging system for small intestinal adenocarcinoma: a time to reconsider the role of tumor location?

  
@article{JGO26771,
	author = {Hani Oweira and Omar Abdel-Rahman and Arianeb Mehrabi and Christoph Reissfelder},
	title = {Assessment of the external validity of the AJCC 8 th  staging system for small intestinal adenocarcinoma: a time to reconsider the role of tumor location?},
	journal = {Journal of Gastrointestinal Oncology},
	volume = {10},
	number = {3},
	year = {2019},
	keywords = {},
	abstract = {Background: The current study evaluates the validity and performance of the 8th edition of the American Joint Committee on Cancer (AJCC) staging system for small intestinal adenocarcinoma patients. 
Methods: Surveillance, Epidemiology and End Results (SEER) database [2004–2015] was explored and AJCC 6th, 7th, and 8th versions were assigned for each patient. Through Kaplan-Meier estimates, overall survival analyses were conducted. Cox regression analysis (adjusted for age, race, gender, sub-site, grade and surgical treatment) was conducted for cancer-specific survival and additionally, pairwise hazard ratio comparisons were performed. 
Results: A total of 2,997 small intestinal adenocarcinoma patients were eligible and included in the analysis. Overall survival was compared according to the three AJCC staging systems. For the three versions, the P value for the trend in overall survival was significant (P},
	issn = {2219-679X},	url = {https://jgo.amegroups.org/article/view/26771}
}