Review Article
Systematic Review: Adjuvant Chemotherapy for Locally Advanced Rectal Cancer with respect to Stage of Disease
Table 1
Main characteristics of included studies.
| ā |
Glimelius et al. 2005 [11] | CCCSGJ 1995 [12] | Fisher et al. 1988 [13] | Kato et al. 2002 [14] | Kodaira et al. 1998 [15] | Hamaguchi et al. 2011 [16] | QUASAR 2007 [17] | Sakamoto et al. 2007 [18] |
| Study design | Multicentre RCT | Multicentre RCT | Multicentre RCT | Multicentre RCT | Multicentre RCT | Multicentre RCT | Multicentre RCT | Patient based meta-analysis of multicentre RCTs |
| Number of patients |
2224 | 2001 | 555 | 289 | 834 | 606 | 3239 | 2091 |
| Stage of rectal cancer | II and III | II and III | II and III | II and III | II and III | III | II and III | II and III |
| Intervention arm(s) | Surgery adjuvant CT | Arm 1: surgery adjuvant intra-arterial + systemic CT arm 2: surgery adjuvant CT | Arm 1: surgery adjuvant CT arm 2: surgery adjuvant RD | Surgery adjuvant CT | Surgery adjuvant CT | Surgery adjuvant CT | Surgery adjuvant CT | Surgery adjuvant CT |
| Control arm | Surgery | Surgery | Surgery | Surgery | Surgery | Surgery | Surgery | Surgery |
| Chemotherapy regimen | Arm 1: 5FU + levamisole arm 2: 5FU + leucovorin arm 3: 5FU + leucovorin + levamisole | Arm 1: MMC + 5FU arm 2: MMC + 5FU | 5-FU + semustine + vincristine | UFT | MMC + UFT | UFT | 5-FU + L-folinic acid | UFT |
| Intention to treat analysis | Yes | Not reported | Not reported | Not reported | Not reported | Not reported | Yes | Not reported |
| Outcomes | OS | DSF and OS | DSF and OS | DSF and OS | DSF and OS | DSF and OS | DSF and OS | DSF and OS |
| Risk of bias | Low | Low | Low | Low | Low | Low | Low | Low (except reporting bias) |
| Methodological quality | High | High | High | High | High | High | High | High |
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CT: chemotherapy, RCT: randomised controlled trial, RD: radiotherapy, 5-FU: 5-fluorouracil, MMC: mitomycin C, UFT: Tegafur-uracil, OS: overall survival, and DSF: disease-free survival,ābased on SIGN notes on methodology checklist.
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