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. 2015 May 19;2015(5):CD001556. doi: 10.1002/14651858.CD001556.pub3

Ancona 2001.

Methods RCT, 1992‐1997
Participants 96 participants
 Italy, single center
 100% squamous cell
 Resectable T2,3 N0,1
 18‐70 years
 No other cancers
 No metastases
Interventions Cisplatin 100 mg/m2 × 1 day × 2‐3 cycles
 5‐Fluorouracil 1000 mg/m2 × 5 days × 2‐3 cycles
 + esophagectomy + postop chemotherapy and radiation for residual disease
 vs
 esophagectomy (right thoracotomy, abdomen, left neck with gastric transposition, 2‐field lymph nodes + postop chemotherapy and radiation for residual disease)
Outcomes Survival
 Rate of resection
 Response to chemotherapy
 Tumor recurrence
 Treatment morbidity and mortality
Notes No difference in survival.
 Study stopped after 96/240 because of slow accrual. Only complete responders to chemotherapy had increased survival
Ancona 1995 is a preliminary report (in Italian) on response to chemotherapy and morbidity and mortality with no survival data
Ancona 1998 reports (in English) on a single institution subset of a larger multicenter trial. No significant survival advantage was seen with preoperative chemotherapy
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Not stated
Allocation concealment (selection bias) Unclear risk Not stated
Blinding (performance bias and detection bias) 
 All outcomes Low risk For primary outcome of interest
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk Not stated
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Not stated
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Not stated