Univariate and multivariate analyses revealed that OS was significantly associated with the LMR (<4.2/≥4.2) (HR, 2.489; 95% CI, 1.317‐4.702; P = 0.005), as well as age (>75/≤75 years) (HR, 3.511; 95% CI, 1.881‐6.551; P < 0.001) and albumin level (≤3.5/>3.5 g/dL) (HR, 3.040; 95% CI, 1.575‐5.869; P = 0.001), in stage I GC patients. Here, ALB is linked to gastric cancer.