Evidence map›Paper›PMID 41665658›Full record

ReviewChirurgie (Heidelberg, Germany)2026

[Current concepts of total neoadjuvant therapy for rectal cancer].

Claus Rödel, Maximilian Fleischmann, Markus Diefenhardt, Emmanouil Fokas

Abstract readEnglish AbstractReview
PubMed Publisher
In one paragraph

Review in Chirurgie (Heidelberg, Germany), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Claus RödelKlinik für Strahlentherapie, Universitätsklinikum Frankfurt am Main, Goethe-Universität Frankfurt, Theodor-Stern Kai 7, 60590, Frankfurt am Main, Deutschland. croedel@med.uni-frankfurt.de.
Maximilian FleischmannKlinik für Strahlentherapie, Universitätsklinikum Frankfurt am Main, Goethe-Universität Frankfurt, Theodor-Stern Kai 7, 60590, Frankfurt am Main, Deutschland.
Markus DiefenhardtKlinik für Strahlentherapie, Universitätsklinikum Frankfurt am Main, Goethe-Universität Frankfurt, Theodor-Stern Kai 7, 60590, Frankfurt am Main, Deutschland.
Emmanouil FokasKlinik für Strahlentherapie, Cyberknife und Radioonkologie, Universitätsklinikum Köln, Köln, Deutschland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Total neoadjuvant therapy (TNT) refers to the addition of preoperative systemic therapy to preoperative radiotherapy (RT; 5 × 5 Gy) or chemoradiotherapy (ChRT) for rectal cancer. This can be administered either before RT/ChRT as induction therapy or after RT/ChRT as consolidation therapy. Randomized trials demonstrate improved tumor response (clinical or pathological complete remission) and a significant improvement in disease-free survival with TNT compared to neoadjuvant ChRT plus surgery with or without adjuvant chemotherapy. The updated S3 guidelines therefore recommend TNT, particularly for patients high-risk factors defined with magnetic resonance imaging (MRI, cT4, cN2, mrCRM+, EMVI+, lateral lymph node involvement). Following achievement of complete clinical remission after TNT organ-preserving (watch and wait) strategies are increasingly being favored and are being further optimized in ongoing clinical trials (e.g., ACO/ARO/AIO 18.1, JANUS, STELLAR II).

Indexed as

Neoadjuvant TherapyRectal NeoplasmsDisease-Free SurvivalHumansMagnetic Resonance ImagingNeoplasm StagingPathologic Complete ResponseRandomized Controlled Trials as TopicDisease-free survivalHigh-risk factorsOrgan preservationPreoperative systemic therapyRadiotherapy

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.