Preoperative Treatment of Locally Advanced Rectal Cancer

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Clinical Question

In patients with locally advanced rectal cancer (T2 node positive, T3 node negative, T3 node positive), is neoadjuvant chemotherapy inferior to neoadjuvant chemoradiotherapy with respect to disease-free survival?

Bottom Line

Neoadjuvant chemotherapy with FOLFOX was non-inferior to combined chemoradiotherapy with respect to 5-year disease-free survival.

Major Points

Guidelines

Design


Population

Inclusion Criteria

Exclusion Criteria

Baseline Characteristics

  • Mean age:



Interventions

Outcomes

Comparisons are intensive therapy vs. standard therapy.

Primary Outcomes

Secondary Outcomes

Subgroup Analysis

Adverse Events

Criticisms

Funding

Further Reading