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. 2011 Nov 25;108(47):802–808. doi: 10.3238/arztebl.2011.0802

Table 3. Main studies examining multimodal therapy for colorectal cancer with peritoneal carcinosis.

Author, year Study Level of evidence Therapy(treatment arm vs control arm) Number of patients (n) Median survival (months) or survival rate
Verwaal et al. 2003 (15), 2008 (16) prospective randomized 1b SC vs. CRS + HIPEC+SC 105 12 vs. 22
Elias et al. 2009 (17) retrospective, matched-pair 3b SC vs. CRS + HIPEC 48 23 vs. 63
Franko 2010 et al. (18) retrospective, matched-pair 3b SC vs. CRS + EPIC 105 16 vs. 34
Matheme et al. 2004 (19) historic comparison group 3b CRS + EPIC vs. debulking + SC 18 32 vs. 14
Glehen et al. 2004 (20) Multinational register 2b CRS + HIPEC 506 19
Elias et al. 2010 (21) French register 4 CRS + HIPEC + SC 523 30
Cao et al. 2009 (22) systematic meta-analysis 2a CRS + HIPEC + SC >2000 (47 studies) 15 to 60
Elias et al. 2010 (13) retrospective comparative study 2b CRS + HIPEC + SC colon vs. rectum 368 5 years: 30% vs. 38%
Elias 2004 et al. (e5) prospective randomized (not completed) 2b CRS + SC vs. CRS + EPIC 35 2 years: 60% vs. 60%
Esquivel et al. 2007 (6) consensus statement 3a SC + CRS + HIPEC
Glehen et al. 2010 (e6) retrospective multi-center 2b CRS + HIPEC + EPIC 1106 30

SC: systemic chemotherapy; EPIC: early post-operative intraperitoneal chemotherapy; CRS: cytoreductive surgery (peritonectomy); HIPEC: hyperthermic intraperitoneal chemotherapy