Table 1.
Characteristics of 13 RCTs included in the final meta-analysis
| First author | Year | Country |
Sample size |
Pathology | Neoadjuvant treatment schedule | Jadad score | |
|---|---|---|---|---|---|---|---|
| CRTS | SA | ||||||
| Urba [12] |
2001 |
USA |
50 |
50 |
SCC (25%); AC (75%) |
45 Gy; 1.5 Gy per fraction over 3 weeks |
2 |
| Two cycles: cisplatin 20 mg/m2 days 1–5; fluorouracil 300 mg/m2 days 1–21; vinblastine 1 mg/m2 days 1–4 | |||||||
| An [13] |
2003 |
China |
48 |
49 |
SCC |
36 Gy, 1.2 Gy per fraction over 17 days |
3 |
| First cycle: 5-fluorouracil 1 mg/m2, 5–6 hours, days 1–5; cisplatin 25 mg/m2. | |||||||
| Second cycle: 5-fluorouracil 0.5 g/m2, days 21–25; cisplatin 25 mg/m2, days 22–25 | |||||||
| Lee [14] |
2004 |
Korea |
51 |
50 |
SCC |
45.6 Gy, 1.2 Gy per fraction over 28 day |
2 |
| Two cycles: cisplatin 60 mg/m2 days 1; fluorouracil 1000 mg/m2 days 3–5 | |||||||
| Burmeister [15] |
2005 |
Australia |
128 |
128 |
SCC (37%); AC (62%) |
35 Gy in 15 fractions over 3 weeks |
3 |
| One cycles: cisplatin 80 mg/m2 days 1; fluorouracil 800 mg/m2 days 1–4 | |||||||
| Natsugoe [16] |
2006 |
Japan |
22 |
23 |
SCC |
40 Gy, 2 Gy per fraction over 4 weeks |
2 |
| cisplatin 7 mg over 2 hours; 5-fluorouracil 350 mg over 24 hours | |||||||
| Tepper [17] |
2008 |
USA |
30 |
26 |
SCC (25%); AC (75%) |
50.4 Gy, 1.8 Gy per fraction over 5.6 weeks |
3 |
| Two cycles: cisplatin 100 mg/m2 days 1; fluorouracil 1000 mg/m2 per day days 1–4 | |||||||
| Cao [18] |
2009 |
China |
118 |
118 |
SCC |
40 Gy, 2 Gy per fraction over 4 weeks |
2 |
| cisplatin 20 mg/m2 per day days 1–5; fluorouracil 500 mg/m2 per day days 1–5; mitomycin 10 mg/m2 per day day 1 | |||||||
| Hurmuzlu [19] |
2010 |
Norway |
62 |
45 |
SCC (36%); AC (64%) |
66 Gy, 2 Gy per fraction over 6.5 weeks |
3 |
| Three cycles: cisplatin 100 mg/m2 days 1; fluorouracil 1000 mg/m2 per day days 1–5 | |||||||
| Lv [20] |
2010 |
China |
80 |
80 |
SCC |
40 Gy, 2 Gy per fraction over 4 weeks |
2 |
| Two cycles: cisplatin 20 mg/m2 per day, days 1–3, 22–25; | |||||||
| paclitaxel 135 mg/m2 | |||||||
| Saeki [24] |
2011 |
Japan |
76 |
92 |
SCC |
30-42 Gy , 1.8 Gy per fraction |
3 |
| cisplatin: 5 mg/m2/day, 5-FU: 250 mg/m2/day, administered on weekdays, repeated every 3-4 weeks | |||||||
| van Hagen [21] |
2012 |
Netherlands |
168 |
186 |
SCC (23%); AC (75%) |
41.4 Gy, 1.8 Gy per fraction over 4.6 weeks |
2 |
| 5 weeks chemotherapy: carboplatin area under curve =2 , paclitaxel 50 mg/m2 on day 1 weekly | |||||||
| Fujiwara [22] |
2013 |
Japan |
52 |
36 |
SCC |
40 Gy, 2 Gy per fraction over 4 weeks |
3 |
| 5-FU (500 mg/m2/day), CDDP (15-20 mg/day), days 1-5, repeated every 3 weeks | |||||||
| Smit [23] | 2013 | Italy | 75 | 75 | SCC | 41.4 Gy,1.8 Gy per fraction over 4.6 weeks |
3 |
| 5 weeks: paclitaxel (50 mg/m2), carboplatin (area under the curve = 2) | |||||||
CRTS: chemoradiotherapy followed by surgery SA: surgery alone SCC: squamous cell carcinoma AC: adenocarcinoma.