Review Article

Effect of Interval between Neoadjuvant Chemoradiotherapy and Surgery on Oncological Outcome for Rectal Cancer: A Systematic Review and Meta-Analysis

Table 4

The sphincter-preserving procedure rate and long-term outcome.

Trial IntervalSphincter-preserving procedure (%) valueMedian follow-up (months)Local recurrenceDistant metastasesOverall survival

Moore et al. [6]≤44 days79.30.54NA
>44 days83.6

Tran et al. [7] ≤8 weeks75.01.027.731% versus 34% (P = 0.53)
>8 weeks75.0

Lim et al. [8] 2∼41 days83.90.68831Local recurrence-free survival (P = 0.1165)  P = 0.8386
42∼56 days82.2

Tulchinsky et al. [9] ≤7 weeks62.50.95356% versus 4% (P = 0.67)19% versus 6% (P = 0.02)
>7 weeks61.931

Habr-Gama et al. [10] ≤12 weeks52.90.0034634% versus 30% (P = 0.75)12% versus 12% (P = 0.999)
>12 weeks34.1

de Campos-Lobato et al. [11] <8 weeks72.30.865910.5% versus 1.2% (P = 0.04)17.7% versus 14.1% (P = 0.85)85.5% versus 88.2% (P = 0.74)
≥8 weeks72.3

Evans et al. [12] <6 weeks83.3NANA    
6∼8 weeks84.4
>8 weeks73.3

Wolthuis et al. [13]≤7 weeks86.10.184.99 years5 years free from recurrence: 73% versus 83% (P = 0.026)5-year cancer related survival: 83% versus 91% (P = 0.046)
>7 weeks78.74.73 years

Sloothaak et al. [14] NANANA

Jeong et al. [15] <8 weeks82.40.341383 years: 7.8% versus 12.7% (P = 0.279)3 years: 24% versus 18.9% (P = 0.427)3 years: 90.2% versus 87.2% (P = 0.825)
≥8 weeks75

Fang et al. [16] 5∼6 weeksNANA32.23.1% versus 10.8% (P = 0.147)31.3% versus 14.9% (P = 0.052)  
≥6 weeks

Calvo et al. [17] <6 weeks
≥6 weeks
64
68.3
0.471 
5-year local control: 90.4% versus 94.5% (P = 0.123)5 years: 55.9 versus 70.4% (P = 0.014)

Zeng et al. [18] ≤7 weeks59.50.335423 years: 12.9% versus 4.8% (P = 0.025)3 years: 14.4% versus 12.6% (P = 0.651)3 years: 89.0% versus 94.5% (P = 0.651)
>7 weeks65.6

You et al. [19] ≤7 weeks
>7 weeks
55.4
57.2
0.83255
49
5-year DFS: 74.7% versus 66.8% (P = 0.248)5 years: 84.4% versus 75.3% (P = 0.679)

Sirohi et al. [20] ≤60 days620.35713Overall recurrence: 14% versus 21% (P = 0.405)
>60 days53

NA = data not available.