Table 1 Characteristics of 13 studies for the present pooled analysis.

From: Adjuvant chemotherapy in rectal cancer patients who achieved a pathological complete response after preoperative chemoradiotherapy: a systematic review and meta-analysis

 

Dossaa

Polancoa

Song

Xua

Shahaba

Kuan

Lorenzon

Gamaleldin

Tay

Kim

Lichthardt

Maas

Geva

Source of data

NCDB

NCDB

Seoul Univ Bundang

NCDB

NCDB

TCRD

Multi-institutional

Cleveland

ACCORD

Yonsei

Wuerzburg

Multi-institutional

Tel Aviv

Country

USA

USA

Korea

USA

USA

Taiwan

Italy/Spain

USA

Australia

Korea

Germany

Multi-national

Israel

Year of publication

2018

2018

2018

2017

2017

2017

2017

2017

2017

2017

2017

2015

2014

Study period

2006–2012

2006–2012

2004–2015

2006–2011

2006–2013

2007–2013

2005–2015

2000–2012

2003–2014

2001–2013

1992–2013

Variable

2001–2013

Data adjustment

Yes

Yes

No

Yes

Yes

Yes

No

No

No

Yes

No

Yes

No

No. of pCR patients (ACT/No ACT)

1334

(667/667)

1482

(741/741)

50

(43/7)

1727

(484/1243)

2891

(789/2102)

259b

(114/145)

232

(77/155)

130c

(47/83)

126

(97/29)

77

(37/40)

24

(9/15)

898

(290/608)

52

(35/17)

Proportion of CRT(%)

100

100

100

100

100

100

NAd

100

100

100

NAe

100

100

CRT-Op interval

5–12 weeks for 84%

NA

Median 46.5 weeks (36–76)

NA

NA

<6/6–8/>8 weeks for 21%/46%/33%

Median 9 weeks (3–25)

NA

Median 6.9 weeks

4–8 weeks

NA

Generally 6–8 weeks

5.7–13.6 weeks

RT dose

45–54 Gy for 76%

NA

50.4 Gy

NA

NA

40–51 Gy for 93%

Median 50.4 Gy (50.4–56) for long-course CRT, short-course RT (9%) included

Median 50.4 Gy

Median 50 Gy

45–50.4 Gy

NA

45–50.4 Gy

Median 50.4 Gy (45–50.4)

ACT regimen

NA

NA

5-FU based (including FL, capecita-bine, FOLFOX)

NA

NA

5-FU-based (including FL, tegafur or capecita-bine)

Oral/i.v. fluoro-pyrimidine

5-FU or FLf

Fluoro-pyrimidineg

FL, capecita-bine

5-FU, capecita-bine, FOLFOX/ FOLFIRI

Fluoro-pyrimidine-based

5-FU, capecita-bine

Types of surgery

NAh

Partial/total proc-tectomy for 61%/24%

LAR or U-LAR

NA

Partial/total proc-tectomy for 71%/28%

LAR/APR for 72%/12%

LAR/APR for 75%/16%

Total mesorectal excision

NA

LAR/APR

Total mesorectal excision

LAR/APR for 76%/22%

LAR/APR for 69%/31%

  1. aEach of these studies of NCDB was included in the different sets of pooled analyses respectively.
  2. bTwenty-two (6 and 16 with and without ACT, respectively) death events were reported.
  3. cSix (3 and 3 with and without ACT, respectively) death events were reported.
  4. dThe proportion of CRT in the entire study population was 90.8%.
  5. eThe proportion of CRT in the entire study population was 59.7%.
  6. fThe time to closure of ileostomy was longer in the ACT group (vs. non-ACT), mean 7.1 ± 8.6 months vs. 4.3 ± 3.5 months.
  7. gSixty of 452 patients (including both pCR and non-pCR) stopped treatment due to toxicity, such as, diarrhea, nausea, and vomiting.
  8. hCases of nonresectional ablative procedures or local excision were excluded.
  9. NCDB: National Cancer Database; TCRD: Taiwan Cancer Registry Database; ACCORD: Australian Comprehensive Cancer Outcomes and Research Database; pCR: pathologic complete response; ACT: adjuvant chemotherapy; CRT: chemoradiotherapy; NA: not available; Op: operation; RT: radiotherapy; 5-FU: 5-fluorouracil; FL: 5-fluorouracil/leucovorin; FOLFOX: folinic acid/fluorouracil/oxaliplatin; FOLFIRI: folinic acid/fluorouracil/irinotecan; LAR: low anterior resection; APR: abdominoperineal resection.