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Table 2 Baseline characteristics and clinical features of all included studies

From: Efficacy and safety of proton beam therapy for rhabdomyosarcoma: a systematic review and meta-analysis

References

Study type

No. of patients

Median age (months)

Male/female

Median follow-up (months)

Histology

IRS group

TNM stage

Risk group

Tumor site (favorable*/unfavorable**)

Tumor size (cm)

Ladra et al. [13]

Prospective

57

42 (7.2–235)

27/30

47 (14–102)

Alveolar = 16; Embryonal = 41

Group I = 1; Group II = 7

Group III = 47; Group IV = 2

Stage 1 = 18; Stage 2 = 14

Stage 3 = 23; Stage 4 = 2

Low = 15; High = 0

Intermediate = 42

Favorable = 19; Unfavorable = 38

≤ 5 cm (n = 36); > 5 cm (n = 21)

Indelicato et al. [14]

Prospective

30

57.6 (12–136.8)

19/11

48 (6–114)

Embryonal = 30

Group III = 30

Stage 1 = 30

NR

Favorable = 30; Unfavorable = 0

3.4 cm (range, 2.2–6.1 cm)£

2.3 cm (range, 0.1–4.0 cm)ǂ

Ludmir et al. [15]

Prospective

46

64.8 (8.4–188.4)

20/26

46.8 (12–106.8)

Alveolar = 14; Embryonal = 32

Group I = 1; Group II = 5

Group III = 35; Group IV = 5

Stage 1 = 20; Stage 2 = 7

Stage 3 = 14; Stage 4 = 5

Low = 13; High = 5

Intermediate = 28

Favorable = 21; Unfavorable = 25

≤ 5 cm (n = 33); > 5 cm (n = 13)

Bradley et al. [16]

Prospective

24

42 (12–243.6)

12/12

11.52 (3.6–67.2)

Alveolar = 24

Group II = 1; Group III = 23

Stage 2 = 4; Stage 3 = 20

NR

Favorable = 0; Unfavorable = 24

5.5 cm (range, 1.8–9.0 cm)

Indelicato et al. [17]

Prospective

31

31.2 (12–240)

24/7

12 (12–116.4)

Alveolar = 7; Embryonal = 24

Group III = 31

Stage 1/2 = 24

Stage 3 = 7; Stage 4 = 0

NR

Favorable = 0; Unfavorable = 31

≤ 5 cm (n = 6); > 5 cm (n = 25)

Buszek et al. [18]

Prospective

94

39.6 (1.2–187.2)

50/44

48 (4.4–135.6)

Alveolar = 22; Embryonal = 71

Not specified = 1

Group I = 6; Group II = 14

Group III = 62; Group IV = 12

Stage 1 = 25; Stage 2 = 24

Stage 3 = 33; Stage 4 = 12

Low = 19; High = 12

Intermediate = 63

Favorable = 33; Unfavorable = 61

≤ 5 cm (n = 59); > 5 cm (n = 33)

Unknown (n = 2)

Parekh et al. [19]

Prospective

37

15.6 (1.2–22.8)

24/13

61.2 (8.4–26.4)

Alveolar = 12; Embryonal = 25

Group I = 1; Group II = 3

Group III = 33; Group IV = 0

Stage 1 = 4; Stage 2 = 5

Stage 3 = 28; Stage 4 = 0

Low = 4; High = 0

Intermediate = 33

Favorable = 9; Unfavorable = 28

≤ 5 cm (n = 13); > 5 cm (n = 24)

Mizumoto et al. [20]

Retrospective

55

60 (0–228)

35/20

24.5 (1.5–320.3)

Alveolar = 18; Embryonal = 31

Others = 6

Group I = 1; Group II = 11

Group III = 37; Group IV = 6

NR

Low = 9; High = 7

Intermediate = 39

Favorable = 37; Unfavorable = 18

NR

Suzuki et al. [21]

Retrospective

48

45.6 (2.4–181.2)

26/22

39.6 (4.8–141.6)

Alveolar = 22; Embryonal = 26

NR

NR

Low = 0; High = 6

Intermediate = 42

Favorable = 25; Unfavorable = 23

NR

Leiser et al. [22]

Prospective

83

54 (9.6–186)

46/37

44 (0.9–126.3)

Alveolar = 9; Embryonal = 74

Group I = 2; Group II = 5

Group III = 65; Group IV = 11

Stage 1 = 22; Stage 2 = 16

Stage 3 = 34; Stage 4 = 11

Low = 20; High = 11

Intermediate = 52

Favorable = 24; Unfavorable = 59

≤ 5 cm (n = 42); > 5 cm (n = 41)

Weber et al. [23]

Retrospective

39

69.6 (14.4–193.2)

21/18

41 (9–106)

Embryonal = 38

Undifferentiated = 1

Group I = 0; Group II = 1

Group III = 33; Group IV = 5

Stage 1/2/3 = 34

Stage 4 = 5

NR

Favorable = 0; Unfavorable = 39

≤ 5 cm (n = 11); > 5 cm(n = 28)

  1. NR no reported, IRS intergroup rhabdomyosarcoma study group
  2. *Orbital, Head and neck (non-parameningial), Perinea, Biliary, Urogenital (non-bladder/prostate)
  3. **Parameningeal, Bladder/prostate, Extremities, Chest/abdomen, Perianal, Trunk or thorax
  4. £The median maximum tumor size at the time of diagnosis
  5. Ç‚The median maximum tumor size at the time of radiation