Evidence map›Paper›PMID 30697607›Full record

ReviewAnnals of gastroenterological surgery2019

Recent advances of neoadjuvant chemoradiotherapy in rectal cancer: Future treatment perspectives.

Kimihiro Yamashita, Takeru Matsuda, Hiroshi Hasegawa, Junko Mukohyama, Akira Arimoto, Tomoko Tanaka, Masashi Yamamoto, Yoshiko Matsuda, Shingo Kanaji, Tetsu Nakamura and 3 more

Abstract readReview
In one paragraph

Review in Annals of gastroenterological surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Review
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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

13 authors.

Kimihiro YamashitaDivision of Gastrointestinal Surgery Department of Surgery Kobe University Graduate School of Medicine Kobe Japan.ORCID 0000-0002-4208-7138
Takeru MatsudaDivision of Minimally Invasive Surgery Department of Surgery Kobe University Graduate School of Medicine Kobe Japan.ORCID 0000-0002-9541-856X
Hiroshi HasegawaDivision of Gastrointestinal Surgery Department of Surgery Kobe University Graduate School of Medicine Kobe Japan.
Junko MukohyamaDivision of Gastrointestinal Surgery Department of Surgery Kobe University Graduate School of Medicine Kobe Japan.
Akira ArimotoDivision of Gastrointestinal Surgery Department of Surgery Kobe University Graduate School of Medicine Kobe Japan.
Tomoko TanakaDivision of Gastrointestinal Surgery Department of Surgery Kobe University Graduate School of Medicine Kobe Japan.
Masashi YamamotoDivision of Gastrointestinal Surgery Department of Surgery Kobe University Graduate School of Medicine Kobe Japan.
Yoshiko MatsudaDivision of Gastrointestinal Surgery Department of Surgery Kobe University Graduate School of Medicine Kobe Japan.
Shingo KanajiDivision of Gastrointestinal Surgery Department of Surgery Kobe University Graduate School of Medicine Kobe Japan.ORCID 0000-0002-8698-8923
Tetsu NakamuraDivision of Gastrointestinal Surgery Department of Surgery Kobe University Graduate School of Medicine Kobe Japan.
Yasuo SumiDivision of International Clinical Cancer Research Department of Surgery Kobe University Graduate School of Medicine Kobe Japan.
Satoshi SuzukiDivision of Gastrointestinal Surgery Department of Surgery Kobe University Graduate School of Medicine Kobe Japan.ORCID 0000-0002-7287-6998
Yoshihiro KakejiDivision of Gastrointestinal Surgery Department of Surgery Kobe University Graduate School of Medicine Kobe Japan.ORCID 0000-0002-2727-0241

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neoadjuvant chemoradiotherapy (nCRT) has been widely used as a multidisciplinary approach for stage II/III rectal cancer. However, its safety and efficacy are controversial because previous studies have shown conflicting outcomes. The present review aimed to elucidate the benefits and limitations of nCRT for patients with rectal cancer. Future perspectives of nCRT are also described. No recent randomized trials have been able to show a survival benefit, although many studies have demonstrated good local control with the use of fluoropyrimidine (e.g. 5-fluorouracil [FU] or capecitabine)-based nCRT. Addition of oxaliplatin (OX) to FU-based nCRT might improve overall survival by preventing distant metastasis, as shown in recent meta-analyses. However, control of adverse effects is an important concern with this treatment. New treatment strategies such as nonoperative management (watch and wait policy) and total neoadjuvant therapy (TNT) are promising, but the establishment of reliable diagnostic methods of metastasis is essential. Development of new biomarkers is also necessary to select patients who are more likely to benefit from nCRT.

Indexed as

adjuvant chemotherapychemoradiotherapylateral lymph node dissectionoxaliplatinrectal cancer

Identifiers

PMID30697607
PMCPMC6345659

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Registered trials

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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.