Evidence map›Paper›PMID 29576755›Full record

ReviewCurrent colorectal cancer reports2018

Watch-and-Wait as a Therapeutic Strategy in Rectal Cancer.

Laurence Bernier, Svetlana Balyasnikova, Diana Tait, Gina Brown

Registry-linked trialAbstract readReview
In one paragraph

Review in Current colorectal cancer reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06940388 (Total Neoadjuvant Treatment With or Without Tislelizumab for Locally Advanced Rectal Cancer), which is not on this map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing 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.

NCT06940388 phase2recruitingnot on this mapstarted 2025, after this paper: background citation

Total Neoadjuvant Treatment With or Without Tislelizumab for Locally Advanced Rectal Cancer: An Open-label Randomized Controlled Phase II Study (The TOTAL Trial)

TypeinterventionalSponsorbrenner baruchRan2025 to 2030Enrolled134ConditionsLocally Advanced Rectal Cancer (LARC)ArmsTislelizumab, Total neoadjuvant therapy (TNT)
3 · Its place in the literature

Who cites it

35 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. Review
  5. Article
  6. Review
  7. The Ongoing Development of Watch and Wait.Clinics in colon and rectal surgery · 2025
    Review
  8. Article
  9. Dealing with rectum motion during radiotherapy: How can we anticipate it?Technical innovations & patient support in radiation oncology · 2024
    Article
  10. Article
  11. Endoscopic submucosal dissectionWorld journal of clinical cases · 2024
    Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Observational
  20. Review
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

4 authors.

Laurence Bernier1CHU de Québec - Hôtel-Dieu de Québec, 11 côte du Palais, Québec, QC G1R 2J6 Canada.
Svetlana Balyasnikova2The Royal Marsden NHS Foundation Trust, Downs Road, Sutton, Surrey, SM2 5PT UK.
Diana Tait3Department of Clinical Oncology, The Royal Marsden NHS Foundation Trust, Downs Road, Sutton, Surrey, SM2 5PT UK.
Gina Brown4Gastrointestinal Cancer Imaging, Department of Radiology, The Royal Marsden NHS Foundation Trust NIHR BRC and Imperial College London, Downs Road, Sutton, Surrey, SM2 5PT UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewPathological complete response is seen in approximately one fifth of rectal cancer patients following neoadjuvant chemoradiation. Since these patients have excellent oncological outcomes, there has been a rapidly growing interest in organ preservation for those who develop a clinical complete response. We review the watch-and-wait strategy and focus on all aspects of this hot topic, including who should be considered for this approach, how should we identify treatment response and what are the expected outcomes. RECENT

findingsThe major challenges in interpreting the data on watch-and-wait are the significant heterogeneity of patients selected for this approach and of methods employed to identify them. The evidence available comes mostly from retrospective cohort studies, but has shown good oncological outcomes, including the rate of successful salvage surgery, locoregional control and overall survival. SUMMARY: There is currently not enough and not robust enough evidence to support watch-and-wait as a standard approach, outside a clinical trial, for patients achieving clinical complete response following neoadjuvant chemoradiation. Furthermore, there is a lack of data on long-term outcomes. However, the results we have so far are promising, and there is therefore an urgent need for randomised control studies such as the TRIGGER trial to confirm the safety of this strategy.

Indexed as

Complete responseDeferral of surgeryNon-operative managementOrgan preservationRectal cancerWatch and wait

Identifiers

PMID29576755
PMCPMC5857277

What OpenQuestion holds

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Registered trials

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.