Evidence map›Paper›PMID 31647032›Full record

Trial reportBMC cancer2019

Fast-track multidisciplinary treatment versus conventional treatment for colorectal cancer: a multicenter, open-label randomized controlled study.

Jun Li, Xiang-Xing Kong, Jiao-Jiao Zhou, Yong-Mao Song, Xue-Feng Huang, Gen-Hai Li, Xiao-Jiang Ying, Xiao-Yu Dai, Min Lu, Kai Jiang and 13 more

Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01080547 (Randomized Controlled Trial Comparing Conventional and Fast Track Multi-Discipline Treatment Interventions for Colorectal Cancer), which is not on this map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
1.1field-weighted citation impact, top 21% of its field
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.

NCT01080547 phase3completednot on this map

Randomized Controlled Trial Comparing Conventional and Fast Track Multi-Discipline Treatment Interventions for Colorectal Cancer

TypeinterventionalSponsorZhejiang UniversityRan2010 to 2014Enrolled374ConditionsLength of Stay, Complications, Adverse Drug Event, Quality of LifeArmsLaparoscopic Surgery for Colorectal Cancer, XELOX Chemotherapy, mFolfox6 chemotherapy, Fast Track Perioperative Treatment, Conventional Perioperative Treatment
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
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

23 authors at 8 institutions in 1 country.

Jun LiDepartment of Colorectal Surgery and Cancer Institute (Key Laboratory of Cancer Prevention and Intervention, China National Ministry of Education; Key Laboratory of Molecular Biology in Medical Sciences, Zhejiang Province, China), the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Xiang-Xing KongDepartment of Colorectal Surgery and Cancer Institute (Key Laboratory of Cancer Prevention and Intervention, China National Ministry of Education; Key Laboratory of Molecular Biology in Medical Sciences, Zhejiang Province, China), the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Jiao-Jiao ZhouDepartment of Colorectal Surgery and Cancer Institute (Key Laboratory of Cancer Prevention and Intervention, China National Ministry of Education; Key Laboratory of Molecular Biology in Medical Sciences, Zhejiang Province, China), the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Yong-Mao SongDepartment of Colorectal Surgery and Cancer Institute (Key Laboratory of Cancer Prevention and Intervention, China National Ministry of Education; Key Laboratory of Molecular Biology in Medical Sciences, Zhejiang Province, China), the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Xue-Feng HuangDepartment of Anus and Large Intestine, Sir Run Shaw Hospital, Zhejiang University College of Medicine, No. 3 East Qingchun Road, Hangzhou, 310016, Zhejiang Province, China.
Gen-Hai LiDepartment of Anus and Large Intestine, People's Hospital of Yuyao, 800 City Road East, Yuyao, 315400, Zhejiang Province, China.
Xiao-Jiang YingDepartment of Anorectum, People's Hospital of Shaoxing, 568 Zhong-Xing North Rd, Shaoxing, 312000, Zhejiang Province, China.
Xiao-Yu DaiDepartment of Anus and Large Intestine, Ningbo No. 2 Hospital, No. 41 Northwest Road, Ningbo, 315010, Zhejiang Province, China.
Min LuDepartment of Anus and Large Intestine, Second Affiliated Hospital, Wenzhou Medicine College, 109 Xue-Yuan West Rd, Wenzhou, 325027, Zhejiang Province, China.
Kai JiangDepartment of Colorectal Surgery and Cancer Institute (Key Laboratory of Cancer Prevention and Intervention, China National Ministry of Education; Key Laboratory of Molecular Biology in Medical Sciences, Zhejiang Province, China), the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Dong-Liang FuDepartment of Colorectal Surgery and Cancer Institute (Key Laboratory of Cancer Prevention and Intervention, China National Ministry of Education; Key Laboratory of Molecular Biology in Medical Sciences, Zhejiang Province, China), the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Xin-Lin LiDepartment of Colorectal Surgery and Cancer Institute (Key Laboratory of Cancer Prevention and Intervention, China National Ministry of Education; Key Laboratory of Molecular Biology in Medical Sciences, Zhejiang Province, China), the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Jin-Jie HeDepartment of Colorectal Surgery and Cancer Institute (Key Laboratory of Cancer Prevention and Intervention, China National Ministry of Education; Key Laboratory of Molecular Biology in Medical Sciences, Zhejiang Province, China), the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Jian-Wei WangDepartment of Colorectal Surgery and Cancer Institute (Key Laboratory of Cancer Prevention and Intervention, China National Ministry of Education; Key Laboratory of Molecular Biology in Medical Sciences, Zhejiang Province, China), the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Li-Feng SunDepartment of Colorectal Surgery and Cancer Institute (Key Laboratory of Cancer Prevention and Intervention, China National Ministry of Education; Key Laboratory of Molecular Biology in Medical Sciences, Zhejiang Province, China), the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Dong XuDepartment of Colorectal Surgery and Cancer Institute (Key Laboratory of Cancer Prevention and Intervention, China National Ministry of Education; Key Laboratory of Molecular Biology in Medical Sciences, Zhejiang Province, China), the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Jing-Yan XuDepartment of Anesthesiology, Second Affiliated Hospital, Zhejiang University School of Medicine, No. 88 Jiefang Road, Hangzhou, 310009, Zhejiang Province, China.
Min ChenDepartment of Anus and Large Intestine, Sir Run Shaw Hospital, Zhejiang University College of Medicine, No. 3 East Qingchun Road, Hangzhou, 310016, Zhejiang Province, China.
Yu TianEngineering Research Center of EMR and Intelligent Expert System, Ministry of Education, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, College of Biomedical Engineering and Instrument Science, Zhejiang University, No. 38 Zheda Road, Hangzhou, 310027, Zhejiang, China.
Jing-Song LiEngineering Research Center of EMR and Intelligent Expert System, Ministry of Education, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, College of Biomedical Engineering and Instrument Science, Zhejiang University, No. 38 Zheda Road, Hangzhou, 310027, Zhejiang, China.
Min YanDepartment of Anesthesiology, Second Affiliated Hospital, Zhejiang University School of Medicine, No. 88 Jiefang Road, Hangzhou, 310009, Zhejiang Province, China.
Ying YuanDepartment of Medical Oncology, Second Affiliated Hospital, and The Key Laboratory of Cancer Prevention and Intervention, China National Ministry of Education, Zhejiang University School of Medicine, No. 88 Jiefang Road, Hangzhou, 310009, Zhejiang Province, China.
Ke-Feng DingDepartment of Colorectal Surgery and Cancer Institute (Key Laboratory of Cancer Prevention and Intervention, China National Ministry of Education; Key Laboratory of Molecular Biology in Medical Sciences, Zhejiang Province, China), the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China. dingkefeng@zju.edu.cn.ORCID http://orcid.org/0000-0002-2380-3717
Ministry of Education of the People's Republic of China · CNSecond Affiliated Hospital of Zhejiang University · CNSir Run Run Shaw Hospital · CNZhejiang University · CNNingbo No. 2 Hospital · CNShaoxing People's Hospital · CNWenzhou Medical University · CNZhejiang Cancer Hospital · CN

Funding

Key Technology Research and Development Program of Shandong (CN) 2017YFC0908200National Natural Science Foundation of China 81301890National Natural Science Foundation of China 81672916the Key Technology Research and Development Program of Zhejiang Province 2017C03017
6 · The paper itself

Abstract

backgroundLaparoscopic surgery, fast-track perioperative treatment and XELOX chemotherapy are effective strategies for shortening the duration of hospital stay for cancer patients. This trial aimed to clarify the safety and efficacy of the fast-track multidisciplinary treatment (FTMDT) model compared to conventional surgery combined with chemotherapy in Chinese colorectal cancer patients.

methodsThis trial was a prospective randomized controlled study with a 2 × 2 balanced factorial design and was conducted at six hospitals. Patients in group 1 (FTMDT) received fast-track perioperative treatment and XELOX adjuvant chemotherapy. Patients in group 2 (conventional treatment) received conventional perioperative treatment and mFOLFOX6 adjuvant chemotherapy. Subgroups 1a and 2a had laparoscopic surgery and subgroups 1b and 2b had open surgery. The primary endpoint was total length of hospital stay during treatment.

resultsA total of 374 patients were randomly assigned to the four subgroups, and 342 patients were finally analyzed, including 87 patients in subgroup 1a, 85 in subgroup 1b, 86 in subgroup 2a, and 84 in subgroup 2b. The total hospital stay of group 1 was shorter than that of group 2 [13 days, (IQR, 11-17 days) vs. 23.5 days (IQR, 15-42 days), P = 0.0001]. Compared to group 2, group 1 had lower surgical costs, fewer in-hospital complications and faster recovery (all P < 0.05). Subgroup 1a showed faster surgical recovery than that of subgroup 1b (all P < 0.05). There was no difference in 5-year overall survival between groups 1 and 2 [87.1% (95% CI, 80.7-91.5%) vs. 87.1% (95% CI, 80.8-91.4%), P = 0.7420].

conclusionsThe FTMDT model, which integrates laparoscopic surgery, fast-track treatment, and XELOX chemotherapy, was the superior model for enhancing the recovery of Chinese patients with colorectal cancer.

trial registrationClinicalTrials.gov: NCT01080547 , registered on March 4, 2010.

Indexed as

LaparoscopyAgedAntineoplastic Combined Chemotherapy ProtocolsCapecitabineChemotherapy, AdjuvantColorectal NeoplasmsCosts and Cost AnalysisDeoxycytidineFemaleFluorouracilHumansLength of StayLeucovorinMaleMiddle AgedOrganoplatinum CompoundsCapecitabineDeoxycytidineFluorouracilLeucovorinOrganoplatinum CompoundsOxaloacetatesColorectal cancerColorectal surgeryRandomized controlled trialRehabilitation

Identifiers

PMID31647032
PMCPMC6806550
OpenAlexW2981957469

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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.