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. 2020 Nov 4;371:m4087. doi: 10.1136/bmj.m4087

Table 2.

Summary of characteristics for studies investigating systemic treatment and radiotherapy

Indication Source Study design Dataset (dates) Median age (years) Stage Other study details
Systemic treatment
Neoadjuvant chemotherapy, bladder Chu 201913 Retrospective observational comparison SEER Medicare database (2004-2012) 72.9 (mean) II Same study as Chu 201913 bladder surgery
Adjuvant chemotherapy, bladder Corbett 201927 Retrospective observational comparison NCDB (2006-2013) NR pT3-T4 or pN+
Booth 201428 Retrospective observational comparison OCR 38% were ≥70 18% <T3, 82% T3-T4, 68% node positive
Neoadjuvant chemotherapy, breast Sanford 201629 Retrospective observational comparison Research database at University of Texas (1995-2007) 50 (range 24-83) I-III (clinical) Time from end of neoadjuvant chemotherapy to surgery
Adjuvant chemotherapy, breast Gagliato 201430 Retrospective observational comparison MD Anderson Cancer Center institutional database. (1997-2011) 50 (range 19-85) I-III
Mateo 202020 Retrospective observational comparison NCDB (2010-2014) NR I-III
Hershman 200631 Retrospective observational comparison SEER Medicare database (1992-1999) NR I-II
Adjuvant chemotherapy, colon, rectum Hershman 200632 Retrospective observational comparison SEER Medicare database (1992-1999) NR III Colon
Cheung 200933 Retrospective observational comparison SEER Medicare database (1991-2002) 73.3 (IQR 69.8-77.4) II- III Rectal
Bayraktar 201134 Retrospective observational comparison Jackson Memorial Hospital and University of Miami Sylvester Comprehensive Cancer Center (2000-2008) 55.7±1.1 for ≤60 days and 56.9±1.8 for >60 days (mean±SE) II-III Colon
Lima 201135 Retrospective observational comparison Alberta Cancer Registry, ambulatory care classification system, discharge abstract database (2000-2005) NR III Colon
Becerra 201736 Retrospective observational comparison New York State Registry, SPARCS (2004-2009) NR III Colon
Turner 201837 Retrospective observational comparison NCDB (2006-2014) NR III Colon
Xu 201438 Retrospective observational comparison SEER Medicare database (1992-2005) 73.6 (IQR 69.8-77.6) II Colon
Massarweh 201539 Retrospective observational comparison NCDB (2003-2010) 60.8 (±11.6) (mean (±SD)) III Colon
Adjuvant chemotherapy, NSCLC Booth 201340 Retrospective observational comparison OCR (2004-2006) 62 (28-85) (mean (range)) I-IV (pathological)
Salazar 201741 Retrospective observational comparison NCDB (2004-2012) 64 (IQR 57-70) I-III (pathological)
Radiotherapy
Definitive radiotherapy/neoadjuvant, bladder No high validity data found
Adjuvant radiotherapy, post breast conserving surgery Hébert-Croteau 200442 Retrospective observational comparison Random population based sample of five regions of Quebec, Canada for periods covering 1988-1994 NR I-II
Neoadjuvant (chemo)radiation, rectum* No high validity data found
NSCLC, stage III chemoradiation No high validity data found
SCLC, limited stage chemoradiation No high validity data found
Adjuvant chemoradiation, cervix Jhawar 201743 Retrospective observational comparison NCDB (2004-2013) 46 (IQR 38-56) IB1-IIIB No stratified wait group table but adjusted analysis
Definitive chemoradiation, cervix No high validity data found
Radical chemoradiation, head and neck Sharma 201644 Retrospective observational comparison NCDB (2003-2006) 57.6 (9.9) (mean (SD)) III-IV (clinical, non-metastatic) Oropharynx chemoradiation
Adjuvant (chemo)radiation, head and neck Harris 201845 Retrospective observational comparison NCDB (2004-2013) 59 (10.9) (mean (SD)) III-IV (non-metastatic) Interaction between subsite and outcome observed
Radical (chemo)radiation, nasopharyngeal carcinoma Chen 201646 Retrospective observational comparison Sun Yat-Sen University Cancer Center, institutional series (2009-2012) NR, 45% ≤45 (primary cohort) I-IV (non-metastatic) 99.6% World Health Organization histology type II/III, treated with IMRT

IMRT=intensity modulated radiation therapy; IQR=interquartile range; NCDB=National Cancer Database (US); NR=not reported; NSCLC=non-small cell lung cancer; OCR=Ontario Cancer Registry; SCLC=small cell lung cancer; SD=standard deviation; SE=standard error; SEER=Surveillance, Epidemiology, and End Results; SPARCS=Statewide Planning and Research Cooperative System.

*

Delay studies primarily investigating therapeutic benefit of usually short delay between completion of neoadjuvant treatment and surgery for rectal cancer are excepted. No high validity studies investigating time from diagnosis to start of neoadjuvant therapy were found for rectal cancer.