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Table 1 Characteristics of the included studies

From: Omitting surgery in esophageal cancer patients with complete response after neoadjuvant chemoradiotherapy: a systematic review and meta-analysis

Author (study period)

Nation

Study design

No. of patients

Histology

Clinical stage

Neoadjuvant chemoradiotherapy (nCRT)

Work-up after nCRT

Outcome (2 yr-OS (%)/2 yr-DFS (%))

Quality assessmentb

Castro [15] (1992–2007)

Italy

Retrospective

nCRT (n = 38)

SCC only

II–IV

nCRT 45–50 Gy in 1.8 Gy daily fraction with FP

Endoscopy with biopsies, CT

72.2/39.8

Moderate

nCRT + S (n = 39)

72.2/64.8

Chao [16] (1996–2006)

Taiwan

Retrospective

nCRT (n = 79)

SCC only

II–IVa

Induction FP#1 + nCRT 30 Gy/15 fx with FP boost 30 Gy/15fx (pT3 or pN + in in surgery or in without surgery)

Endoscopy with biopsies, CT

62.8

Moderate

nCRT + S (n = 71)

56.1

Piessen [17] (1995–2012)

France

Retrospective

nCRT (n = 59)

SCC (n = 149)

II–III

nCRT 45 Gy/25 fx with FP

Endoscopy with biopsies, barium swallow, CT (PET was used selectively.)

58.0/58.2

High

nCRT + S (n = 118)

ADC (n = 28)

81.0*/80.4*

Jeong [14] (2005–2008)

Korea

Retrospective

nCRT (n = 31)

SCC only

II–IVa

Induction XP#2 + nCRT with XP

Endoscopy with or without biopsy, EUS, CT, PET

61.3/47.3

Moderate

nCRT + S (n = 39)

nCRT + S: 46 Gy/23 fx

71.8/83.0*

nCRT: 54 Gy/27 fx

Wilk [18] (2013–2016)

Netherland

Retrospective

nCRT (n = 29)

SCC (n = 26)

II–III

nCRT 41.4 Gy/23 fx with PC

Endoscopy with biopsies (bite-on-bite), EUS, PET

89.7/73.5

High

ADC (n = 71)

ADSC (n = 1)

nCRT + S (n = 29)

69.0/76.3

Park [12] (2012–2016)

Korea

Prospective

nCRT (n = 18)

SCC only

II–III

Induction XP#2 + nCRT with XP

Endoscopy with or without biopsy, EUS, CT, PET

72.8/42.7

Moderate

nCRT + S (n = 19)

50.4 Gy/28 fx with XP

74.4/66.7

  1. nCRT neoadjuvant chemoradiotherapy, nCRT + surgery neoadjuvant chemoradiotherapy followed by surgery, SCC squamous cell carcinoma, ADC adenocarcinoma, ADSC adenosquamous cell carcinoma, CT computed tomography, PET positron emission tomography, EUS endoscopic ultrasonography, FP 5-fluorouracil/cisplatin, XP cisplatin/capecitabine, PC carboplatin/paclitaxel, OS overall survival, DFS disease-free survival
  2. aDistant metastasis, lymph node metastasis other than regional LN
  3. bAssessed using the Newcastle–Ottawa Quality Assessment Scale for retrospective studies and The Cochrane Collaboration’s tool for prospective studies
  4. *Statistically significant