Skip to main content
. 2012 Mar 14;2012(3):CD004078. doi: 10.1002/14651858.CD004078.pub2
Methods RCT (Randomised Controlled Trial); multicentre (Netherlands)
Participants Patients with Dukes´B and C (TNM stage II‐III) colon (n=730) and rectal (n=299) cancer undergoing radical surgery of the primary tumour (n=1029)
Interventions 2‐arm trial: patients were randomly assigned to: A) surgery alone (n=515), or B) surgery + adjuvant chemotherapy (n=514) with 5‐FU plus levamisole
Outcomes Disease‐free survival (DFS) and overall survival (OS)
Notes More than 50% of patients with rectal cancer underwent radiotherapy.
No stratification between Dukes B and C.
For this meta‐analysis, patients with rectal cancer treated with surgery alone (n=150) were compared to those undergoing surgery + adjuvant chemotherapy (n=149)
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment (selection bias) Low risk A ‐ Adequate
Blinding (performance bias and detection bias) All outcomes Low risk
Other bias Low risk