TABLE 7.
SBRT for Pretreated Patients With Oligometastatic Colorectal Cancer21
Outcome | Study Results | Quality of Evidence | Plain Language Summary |
---|---|---|---|
OS (1-year) | 67.18% (95% CI, 42.1 to 92.2); 11 studies, I2 = 0% | Lowa | OS was approximately 67% at 1 year for patients treated with SBRT |
OS (2-year) | 56.5% (95% CI, 36.7 to 76.2); 13 studies, I2 = 0% | Lowa | OS was approximately 57% at 2 years with for patients treated with SBRT |
LC (1-year) | 67% (95% CI, 43.8 to 90.2); 13 studies, I2 = 0% | Lowa | LC was approximately 67% at 1 year for patients treated with SBRT |
LC (2-year) | 59.3% (95% CI, 37.2 to 81.5); 13 studies, I2 = 0% | Lowa | LC was approximately 59% at 1 year for patients treated with SBRT |
Safety (toxicity) | Acute liver toxicity of up to 90%, usually mild-moderate Pooled grade 1–2 and grade 3–4 liver toxicity: 30.7% and 8.7%, respectively Other toxicities: Mild nausea and fatigue Liver failure: 0.6% Treatment-related deaths: 0.004% |
Moderate | The toxicity profile was relatively manageable and limited for patients treated with SBRT |
Abbreviations: LC, local control; OS, overall survival; SBRT, stereotactic body radiation therapy.
Downgrade: no comparison group. No clear dose-response gradient.