Review Article
Effect of Neoadjuvant Chemoradiotherapy with Capecitabine versus Fluorouracil for Locally Advanced Rectal Cancer: A Meta-Analysis
Table 1
Characteristics of the nine studies included in this paper.
| Trials | Year | Type of study | Number of pts | Number of pts | Dose of medicine | Dose of RT | Time interval | Results | Cape | 5-Fu | Cape | DI (mg/m2/w) | 5-Fu | DI (mg/m2/w) | pCR | SSS | SD | OS | DFS | LR |
| Hofheinz et al. [12] | 2012 | RCT | 392 | 197 | 195 | 2500 mg/m2/day days repeated day22 (2 cycles before and after RT) 1650 mg/m2/day (during RT) | 10113 | 500 mg/m2/day days repeated day22 (2 cycles before and after RT) 225 mg/m2/day (during RT) | 966 | 50.4 Gy/25 Fr | 4–6 weeks | | | | | | |
| O’Connell et al. [13] | 2014 | RCT | 1,608 | 802 | 806 | 1650 mg/m2/day 5 days/weeks | 8250 | 225 mg/m2/day 5 days/weeks | 1125 | T3N0: 50.4 Gy/25 Fr; T4/N+: 55.8 Gy/25 Fr | 6–8 weeks | | | | | | |
| Chen et al. [15] | 2012 | Retro | 74 | 47 | 27 | 1700 mg/m2/day 5 days/weeks | 8500 | 350 mg/m2/day 5 days/weeks | 700 | 45–50.4 Gy/25 Fr, | 6 weeks | | | | | | |
| Chan et al. [14] | 2010 | Retro | 102 | 34 | 68 | 1650 mg/m2/day 5 days/weeks | 8250 | 20 mg/kg/day days | N/A | 50 Gy/25 Fr | 8 weeks | | | | | | |
| Yerushalmi et al. [20] | 2006 | Retro | 89 | 43 | 46 | 1650 mg/m2/day 5 days/weeks | 8250 | 180 mg/m2/day 5 days/weeks | 900 | 50 Gy/25 Fr | 7–7.5 weeks (median) | | | | | | |
| Das et al. [16] | 2006 | Retro | 178 | 89 | 89 | 1650 mg/m2/day 5 days/weeks 58 pts; 1650 mg/m2/day 7 days/weeks 31 pts | 9399 | 300 mg/m2/day 5 days/weeks | 1500 | 52.5 Gy/25 Fr | N/A | | | | | | |
| Kim et al. [17] | 2007 | Retro | 278 | 133 | 145 | 1650 mg/m2/day 7 days/weeks | 11550 | 400 mg/m2/day 3 days/weeks | 480 | 50 Gy/25 Fr | 6 weeks | | | | | | |
| Ramani et al. [19] | 2010 | Retro | 196 | 99 | 97 | 1650 mg/m2/day 5 days/weeks | 8250 | 1000 mg/m2/day days | 1600 | 50.4–54 Gy/25 Fr | 6–8 weeks | | | | | | |
| Kim et al. [18] | 2006 | Retro | 224 | 97 | 127 | 1650 mg/m2/day days repeated day22 | 9240 | 500 mg/m2/day 5 days/weeks | 1000 | 50.4 Gy/25 Fr | 6 weeks | | | | | | |
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RCT, randomized clinical trial; retro, retrospective study; number of pts, number of patients; cape, capecitabine; RT, radiotherapy; LR, local recurrence; pCR, pathological complete response; SSS, sphincter saving surgery; OS, overall survival; DFS, disease-free survival; SD, surgical downstaging; DI, dose intensity; RR, risk ratio; CI, confidence interval. : time interval between radiotherapy and surgery.
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