Total neoadjuvant therapy: a shifting paradigm in locally advanced rectal cancer management

AJ Franke, H Parekh, JS Starr, SA Tan, A Iqbal… - Clinical colorectal …, 2018 - Elsevier
Colorectal carcinoma is the second leading cause of cancer-related deaths in the United
States, with rectal cancer accounting for approximately one-third of newly diagnosed cases …

Challenges behind proving efficacy of adjuvant chemotherapy after preoperative chemoradiation for rectal cancer

C Carvalho, R Glynne-Jones - The Lancet Oncology, 2017 - thelancet.com
For patients with high-risk stage II or stage III colon cancer, adjuvant chemotherapy with
fluoropyrimidine monotherapy reduces the risk of recurrence and death by approximately 20 …

Association between adjuvant chemotherapy and overall survival in patients with rectal cancer and pathological complete response after neoadjuvant chemotherapy …

F Dossa, SA Acuna, AS Rickles, M Berho… - JAMA …, 2018 - jamanetwork.com
Importance Although American guidelines recommend use of adjuvant chemotherapy in
patients with locally advanced rectal cancer, individuals who achieve a pathological …

Practice patterns for organ preservation in US patients with rectal cancer, 2006-2020

A Loria, MA Tejani, LK Temple, CF Justiniano… - JAMA …, 2024 - jamanetwork.com
Importance In March 2023, the National Comprehensive Cancer Network endorsed watch
and wait for those with complete clinical response to total neoadjuvant therapy. Neoadjuvant …

Association of discretionary hospital volume standards for high-risk cancer surgery with patient outcomes and access, 2005-2016

KH Sheetz, KR Chhabra, ME Smith, JB Dimick… - JAMA …, 2019 - jamanetwork.com
Importance Various clinical societies and patient advocacy organizations continue to
encourage minimum volume standards at hospitals that perform certain high-risk operations …

Is textbook oncologic outcome a valid hospital-quality metric after high-risk surgical oncology procedures?

CT Aquina, A Hamad, AZ Becerra, JM Cloyd… - Annals of Surgical …, 2021 - Springer
Background “Textbook oncologic outcome”(TOO) is a composite quality measure
representing the “ideal” outcome for patients undergoing cancer surgery. This study sought …

Neoadjuvant immunotherapy for patients with dMMR/MSI-high gastrointestinal cancers: a changing paradigm

M Ozer, CTR Vegivinti, M Syed, ME Ferrell… - Cancers, 2023 - mdpi.com
Simple Summary Immune checkpoint inhibitors (ICIs) have transformed the treatment of
mismatch repair-deficient (MMR-D)/microsatellite instability-high (MSI-H) colorectal cancers …

Survival after induction chemotherapy and chemoradiation versus chemoradiation and adjuvant chemotherapy for locally advanced rectal cancer

JK Kim, MR Marco, CSD Roxburgh, CT Chen… - The …, 2022 - academic.oup.com
Background Total neoadjuvant therapy (TNT) improves tumor response in locally advanced
rectal cancer (LARC) patients compared to neoadjuvant chemoradiotherapy alone. The …

Impact of adjuvant chemotherapy on survival after pathological complete response in rectal cancer: a meta-analysis of 31,558 patients

FCA de Moraes, FA Kelly, MEC Souza… - International Journal of …, 2024 - Springer
Background Locally advanced rectal cancer (LARC) typically involves neoadjuvant
chemoradiotherapy (nCRT) followed by surgery (total mesorectal excision, TME). While …

Short-course radiotherapy with consolidation chemotherapy versus conventionally fractionated long-course chemoradiotherapy for locally advanced rectal cancer …

D Chakrabarti, S Rajan, N Akhtar… - British Journal of …, 2021 - academic.oup.com
Background The trial hypothesis was that, in a resource-constrained situation, short-course
radiotherapy would improve treatment compliance compared with conventional …