Evidence map›Paper›PMID 27190505›Full record

ReviewGastroenterology research and practice2016

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

Xiao-Jie Wang, Zheng-Rong Zheng, Pan Chi, Hui-Ming Lin, Xing-Rong Lu, Ying Huang

Abstract readReview
In one paragraph

Review in Gastroenterology research and practice, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Xiao-Jie WangDepartment of Colorectal Surgery, Union Hospital, Fujian Medical University, Fuzhou, Fujian 350001, China.
Zheng-Rong ZhengOncology Department, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian 360000, China.
Pan ChiDepartment of Colorectal Surgery, Union Hospital, Fujian Medical University, Fuzhou, Fujian 350001, China.
Hui-Ming LinDepartment of Colorectal Surgery, Union Hospital, Fujian Medical University, Fuzhou, Fujian 350001, China.
Xing-Rong LuDepartment of Colorectal Surgery, Union Hospital, Fujian Medical University, Fuzhou, Fujian 350001, China.
Ying HuangDepartment of Colorectal Surgery, Union Hospital, Fujian Medical University, Fuzhou, Fujian 350001, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim. To evaluate the influence of interval between neoadjuvant chemoradiotherapy (NCRT) and surgery on oncological outcome. Methods. A systematic search was conducted in PubMed, the Cochrane Library, and Embase databases for publications reporting oncological outcomes of patients following rectal cancer surgery performed at different NCRT-surgery intervals. Relative risk (RR) of pathological complete response (pCR) among different intervals was pooled. Results. Fifteen retrospective cohort studies representing 4431 patients met the inclusion criteria. There was a significantly increased rate of pCR in patients treated with surgery followed 7 or 8 weeks later (RR, 1.45; 95% CI, 1.18-1.78; and P < 0.01 and RR, 1.49; 95% CI, 1.15-1.92; and P = 0.002, resp.). There is no consistent evidence of improved local control or overall survival with longer or shorter intervals. Conclusion. Performing surgery 7-8 weeks after the end of NCRT results in the highest chance of achieving pCR. For candidates of abdominoperineal resection before NCRT, these data support implementation of prolonging the interval after NCRT to optimize the chances of pCR and perhaps add to the possibility of ultimate organ preservation.

Identifiers

PMID27190505
PMCPMC4829714

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.