Evidence map›Paper›PMID 29594202›Full record

ArticleClinical and translational radiation oncology2017

Time to surgery and pathologic complete response after neoadjuvant chemoradiation in rectal cancer: A population study on 2094 patients.

Gabriella Macchia, Maria Antonietta Gambacorta, Carlotta Masciocchi, Giuditta Chiloiro, Giovanna Mantello, Maika di Benedetto, Marco Lupattelli, Elisa Palazzari, Liliana Belgioia, Almalina Bacigalupo and 23 more

Abstract read
In one paragraph

Article in Clinical and translational radiation oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 2 pooled it
–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

43 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Gastrointestinal Malignancies and the COVID-19 Pandemic: Evidence-Based Triage to Surgery.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2020
    Pooled it
  2. Microscopic intramural extension of rectal cancer after neoadjuvant chemoradiation: A meta-analysis based on individual patient data.Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology · 2020
    Pooled it
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  5. A Phase II Trial of 5-Day Neoadjuvant Radiotherapy for Patients with High-Risk Primary Soft Tissue Sarcoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2020
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  19. Restaging rectal cancer following neoadjuvant chemoradiotherapy.World journal of gastrointestinal oncology · 2023
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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

33 authors.

Gabriella MacchiaRadiotherapy Unit, Fondazione di Ricerca e Cura "Giovanni Paolo II", Università Cattolica S. Cuore, Campobasso, Italy.
Maria Antonietta GambacortaDepartment of Radiotherapy, Fondazione "Policlinico Gemelli", Università Cattolica S. Cuore, Roma, Italy.
Carlotta MasciocchiDepartment of Radiotherapy, Fondazione "Policlinico Gemelli", Università Cattolica S. Cuore, Roma, Italy.
Giuditta ChiloiroDepartment of Radiotherapy, Fondazione "Policlinico Gemelli", Università Cattolica S. Cuore, Roma, Italy.
Giovanna MantelloRadiotherapy Unit, Azienda Ospedaliero Universitaria, Ospedali Riuniti Ancona, Italy.
Maika di BenedettoRadiotherapy Unit, Azienda Ospedaliero Universitaria, Ospedali Riuniti Ancona, Italy.
Marco LupattelliRadiotherapy Unit, 'S. Maria della Misericordia' Hospital, Perugia, Italy.
Elisa PalazzariRadiotherapy Unit, 'S. Maria della Misericordia' Hospital, Perugia, Italy.
Liliana BelgioiaRadiotherapy Unit, AOU IRCCS San Martino, IST National Cancer Research Institute, Genova, Italy.
Almalina BacigalupoRadiotherapy Unit, AOU IRCCS San Martino, IST National Cancer Research Institute, Genova, Italy.
Aldo SainatoRadiotherapy Unit, University Hospital, Pisa, Italy.
Sabrina MontroneRadiotherapy Unit, University Hospital, Pisa, Italy.
Lucia TurriRadiotherapy Unit, 'Maggiore della Carità' Hospital, Novara, Italy.
Angela CaroliRadiotherapy Unit, 'Maggiore della Carità' Hospital, Novara, Italy.
Antonino De PaoliRadiation Oncology Department, Oncological Referral Center, Aviano, Italy.
Fabio MatroneRadiation Oncology Department, Oncological Referral Center, Aviano, Italy.
Carlo CapirciRadiotherapy Unit, ULSS18, Rovigo, Italy.
Giampaolo MontesiRadiotherapy Unit, ULSS18, Rovigo, Italy.
Rita Marina NiespoloRadiotherapy Unit, "S. Gerardo" Hospital, Monza, Italy.
Mattia Falchetto OstiDepartment of Radiation Oncology, Facoltà di Medicina e Psicologia, Università Sapienza, Roma, Italy.
Luciana CaravattaRadiation Oncology Department, 'A. Businco' Regional Oncological Hospital, Cagliari, Italy.
Alessandra GalardiDepartment of Radiotherapy, University Hospital, Firenze, Italy.
Domenico GenovesiRadiotherapy Unit, 'SS Annunziata' Hospital, 'G.D'Annunzio' University, Chieti, Italy.
Maria Elena RosettoRadiotherapy Unit, "Belcolle" Hospital, Viterbo, Italy.
Caterina BosoRadiotherapy and Nuclear Medicine Unit, Veneto Institute of Oncology-IRCCS, Padova, Italy.
Piera SciaceroRadiotherapy Unit, ASL TO4, General Hospital, Ivrea, Italy.
Lucia GiaccheriniRadiation Oncology Center, Department of Experimental, Diagnostic and Speciality Medicine-DIMES-University of Bologna, S. Orsola-Malpighi Hospital, Italy.
Salvatore ParisiRadiotherapy Unit, Casa Sollievo della Sofferenza, IRCCS-CSS San Giovanni Rotondo, Italy.
Antonella FontanaRadiotherapy Unit, "S.M. Goretti" Hospital Latina, Italy.
Francesco Romeo FilipponeRadiotherapy Unit, Azienda ospedaliera Papa Giovanni XXIII, Bergamo, Italy.
Vincenzo PicardiRadiotherapy Unit, Fondazione di Ricerca e Cura "Giovanni Paolo II", Università Cattolica S. Cuore, Campobasso, Italy.
Alessio Giuseppe MorgantiRadiation Oncology Center, Department of Experimental, Diagnostic and Speciality Medicine-DIMES-University of Bologna, S. Orsola-Malpighi Hospital, Italy.
Vincenzo ValentiniDepartment of Radiotherapy, Fondazione "Policlinico Gemelli", Università Cattolica S. Cuore, Roma, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo retrospectively evaluate the difference in terms of pathologic complete response (pCR) according to time elapsed between chemoradiation (CRT) and total mesorectal excision (TME) on a large unselected real-life dataset of locally advanced rectal cancer (LARC) patients.

methodsA multicentre retrospective cohort study of LARC patients from 21 Italian Radiotherapy Institutions was performed. Patients were stratified into 3 different time intervals from CRT. The 1st group included 300 patients who underwent TME within 6 weeks, the 2nd 1598 patients (TME within 7-12 weeks) and the 3rd 196 patients (TME within 13 or more weeks after CRT), respectively.

resultsData on 2094 LARC patients treated between 1997 and 2016 were considered suitable for analysis. Overall, 578 patients had stage II while 1516 had stage III histological proven invasive rectal adenocarcinoma. A CRT schedule of one agent (

conclusionWe confirmed on a population-level that lengthening the interval (>13 weeks) from CRT to surgery improves the pathological response (pCR and pathologic partial response; pPR) in comparison to historic data. Furthermore, radiotherapy dose >5040 cGy and two drugs chemotherapy correlated with pPR rate.

Indexed as

ChemoradiationRectal cancerSurgeryTime intervalTME

Identifiers

PMID29594202
PMCPMC5833913

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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.