1473P Parameters of complete blood count might predict the prognosis of patients with advanced gastric cancer

Abstract

cohort, 87%, 80%, and 44% were referred to a cancer center, seen by an oncologist, and treated, respectively. Among referred patients, 73%, 24%, and 3% were from urban, rural, and unknown settings respectively. Median time from referral to consult was 11 days for both urban and rural populations (p¼0.05). Patients with fewer hospitalizations waited 9 days from referral to consult compared to 13 days for individuals with more hospitalizations (p<0.001). Rural patients were less likely to be referred (OR 0.442, 95% CI 0.269-0.725, p¼0.001) and treated (OR 0.643, 95% CI 0.426-0.971, p¼0.036) whereas hospitalized patients (OR 2.855, 95% CI 1.158-7.042, p¼0.023) and those with longer hospital stays (OR 2.728, 95% CI 1.603-4.644, p<0.001) were more likely to be referred. All patients experienced a poor prognosis, irrespective of urban vs. rural (HR 1.169, 95% CI 0.986-1.386, p¼0.072) and hospitalization (HR 0.993, 95% CI 0.824-1.198, p¼0.945) status.Conclusions: Rural patients with AGCs face potential access barriers due to geography. By the time that patients are hospitalized, referral and treatment still translated to poor survival. Prompt referral and entry into the cancer care system is essential, particularly for patients who live remotely.Legal entity responsible for the study: The authors.