Abstract:

Background and purpose: The survival rate of gastric cancer patients has significantly increased during the last decades because of the advances in this type of cancer treatment. The purpose of the current study was to examine the survival levels of gastric cancer through Weibull regression and its affective causes.

Materials and methods: In this research, the records and personal information of 643 patients who were evolved by gastric cancer and referred to Imam Khomeini hospital of Sari (2007- 2013) were studied in order to determine their levels of survival. During the study, 74 cases of patients were exempted from the study due to their defective data, and the data collected from 569 cases were analyzed to obtain the results. In the current study, the impact of factors affecting Survival time was determined using the Weibull regression model. The analysis of data was performed using Stata statistical Software in 0.05 significance level.

Results: The findings of the study showed that these patients were estimated to experience 5 years of survival  probability equal to 0.75, 0.68, 0.54, 0.41, 0.3 during the time period November – December, 2013, the 1, 2, 3, 4 with a median survival  time equal to 19 months, resulting in a survival mean equal to 24.49 months. Based on the Univariate and Multivariate analyses methods, some variables like: stage and metastasis were determined as the affective factors on the survival probability. (p-value <0.05)

 Conclusion: In this study, it was then concluded that the life span of examined patients is very low in comparison with developed countries, which might be because of late reference or delayed diagnosis and the lack of facilities for treatment. Thus, the factors such as earlier diagnosis of the problem and screen methods could certainly influence and increase the patients' survival rate.