Table 1. Patient and Treatment Characteristics.
Characteristic | Patients, No. (%) | P Value | |
---|---|---|---|
ChemoRT With Planned Adjuvant Chemotherapy (nā=ā320) | TNT (nā=ā308) | ||
Age, y | |||
<55 | 128 (40.0) | 161 (52.3) | <.001 |
55-75 | 152 (47.5) | 127 (41.2) | |
>75 | 40 (12.5) | 20 (6.5) | |
Sex | |||
Male | 192 (60.0) | 181 (58.8) | .81 |
Female | 128 (40.0) | 127 (41.2) | |
Period | |||
2009-2011 | 217 (67.8) | 28 (9.1) | <.001 |
2012-2013 | 65 (20.3) | 133 (43.2) | |
2014-2015 | 38 (11.9) | 147 (47.7) | |
Tumor height (cm) above anal verge | |||
<5 | 98 (30.6) | 102 (33.1) | .55 |
5-10 | 175 (54.7) | 143 (46.4) | |
>10 | 47 (14.7) | 63 (20.5) | |
Imaging for pretreatment staginga | |||
ERUS | 85 (34.7) | 12 (4.1) | <.001 |
MRI | 84 (34.3) | 165 (56.1) | |
ERUS and MRI | 76 (31.0) | 117 (39.8) | |
cT stage | |||
cT1 | 3 (0.9) | 2 (0.6) | .06 |
cT2 | 20 (6.3) | 19 (6.2) | |
cT3 | 277 (86.6) | 251 (81.5) | |
cT4 | 20 (6.2) | 36 (11.7) | |
cN stage | |||
cN0 | 94 (29.4) | 43 (14.0) | <.001 |
cN positive | 226 (70.6) | 265 (86.0) | |
Surgery within 12 mo | |||
Yes | 296 (92.5) | 235 (76.3) | <.001 |
No | 24 (7.5) | 73 (23.7) | |
Type of surgery | |||
Open | 156 (52.7) | 65 (27.8) | <.001 |
Minimally invasive | 140 (47.3) | 169 (72.2) | |
Days to surgery, median (IQR)b | 56 (48-71) | 63 (52-75) | .002 |
Weeks to surgeryb,c | |||
<8 | 153 (51.7) | 82 (34.9) | .001 |
8-12 | 100 (33.8) | 108 (46.0) | |
12-26 | 41 (13.9) | 36 (15.3) | |
>26 | 2 (0.6) | 9 (3.8) | |
Postoperative chemotherapyd | |||
No | 63 (21.5) | 214 (94.7) | <.001 |
Yes | 230 (78.5) | 12 (5.3) | |
Ileostomy after low anterior resection | |||
No | 33 (14.5) | 23 (12.5) | .56 |
Yes | 195 (85.5) | 161 (87.5) | |
Days to ileostomy closure, median (IQR) | 192 (166-243) | 89 (71-107) | <.001 |
Ileostomy closure within 15 weekse | |||
No | 176 (91.2) | 44 (28.0) | <.001 |
Yes | 17 (8.8) | 113 (72.0) | |
Months of follow-up, median (range) | 40 (6-92) | 23 (6-71) | <.001 |
Abbreviations: ChemoRT, chemoradiation; ERUS, endorectal ultrasound; MRI, magnetic resonance imaging; TNT, total neoadjuvant therapy.
Data were available for 245 patients in the chemoRT with planned adjuvant chemotherapy cohort and 294 patients in the TNT cohort.
After completion of neoadjuvant treatment.
Excluding patients in nonoperative protocols, ie, patients who did not undergo surgery within 12 months after completion of neoadjuvant therapy.
In patients who underwent surgery within 12 months.
In patients who underwent LAR with diverting ileostomy within 12 months.