Table 2.
Authors | Study/country | Tumor location | No. of patients | LN cut-off parameters | 5-year survival % | Significance |
Observational studies | ||||||
Caplin et al[14] | Switzerland | Colorectal | 222 | ≤ 6 | 492 | P = 0.0014 |
≥ 7 | 682 | |||||
Tepper et al[16] | National intergroup trial (United States) | Rectum | 1664 | < 5 | 642 | P = 0.0081 |
≥ 5 and < 9 | 632 | P = 0.041 | ||||
≥ 9 and < 14 | 612 | P = 0.021 | ||||
≥ 14 | 672 | |||||
Cianchi et al[17] | Italy | Colorectal | 140 | ≤ 8 | 54.92 | P < 0.001 |
> 9 | 79.92 | |||||
Prandi et al[20] | National intergroup for Adjuvant Therapy on Colon Cancer (INTACC, Italy) | Colon | 3648 | 0-7 | 81; 663 | P trend = 0.00092 |
8-12 | 812; 743 | P trend < 0.00013 | ||||
13-17 | 872; 773 | |||||
≥ 18 | 892; 833 | |||||
Law et al[22] | Canada | Colon | 115 | ≤ 6 | 622 | P = 0.03 |
≥ 7 | 862 | |||||
Le Voyer et al[23] | Intergroup Trial INT-0089 (United States) | Colon | 3411 | ≤ 10 | 732; 804; 723 | P < 0.00012 |
11-20 | 802; 854;793 | P = 0.154 | ||||
> 20 | 872; 924; 823 | P = 0.10953 | ||||
Tsai et al[28] | Taiwan | Colorectal | 180 | < 18 | Percentage survival not stated | P = 0.015 |
≥ 18 | Percentage survival not stated | |||||
Vather et al[30] | New Zealand Cancer Registry (NZCR) | Colon | 1945 | Decreasing mortality with increasing lymph nodes. Greatest statistical difference between ≤ 12 and >12 nodes | P = 0.0001 | |
Choi et al[31] | Hong Kong | Colorectal | 664 | < 21 | 603 | P = 0.001 |
≥ 21 | 803 | |||||
Multicenter observational study | ||||||
Swanson et al[24] | National cancer database (NCD, United States) | Colon | 31 515 | 1-7 | 49.82 | P < 0.0001 |
8-12 | 56.22 | |||||
≥ 13 | 63.42 |
Compared with patients with ≥ 14 lymph nodes (LNs) examined;
Overall survival;
Disease free survival;
Cause specific survival.