Question · asked by 1 review

Induction chemotherapy plus locoregional treatment (radiotherapy and/or surgery) vs Locoregional treatment (radiotherapy and/or surgery) alone: Overall survival, induction platinum + 5-fluorouracil prior to radiotherapy vs radiotherapy alone

Population
People receiving curative-intent treatment for oral cavity and oropharyngeal (squamous cell) cancer
Intervention
Induction chemotherapy plus locoregional treatment (radiotherapy and/or surgery)
Comparison
Locoregional treatment (radiotherapy and/or surgery) alone
Outcome
Overall survival, induction platinum + 5-fluorouracil prior to radiotherapy vs radiotherapy alone

Induction chemotherapy plus locoregional treatment (radiotherapy… showed no clear difference in overall survival, induction platinum + 5-fluorouracil prior to… compared with locoregional treatment (radiotherapy and/or surgery) alone (moderate certainty).

What each review found

Include earlier review versions
FindingEffectStudiesGRADE certainty
Induction chemotherapy plus locoregional treatment (radiotherapy and/or surgery) vs Locoregional treatment (radiotherapy and/or surgery) alone
Overall survival, induction platinum + 5-fluorouracil prior to radiotherapy vs radiotherapy alone · People receiving curative-intent treatment for oral cavity and oropharyngeal (squamous cell) cancer
Induction chemotherapy plus locoregional treatment (radiotherapy… showed no clear difference in overall survival, induction platinum + 5-fluorouracil prior to… compared with locoregional treatment (radiotherapy and/or surgery) alone (moderate certainty).
Interventions for the treatment of oral cavity and oropharyngeal cancer: chemotherapy (2021) · Cochrane All outcomes
HR 0.85 [0.70, 1.04]5 studies · 7427 participantsModerate

Findings are shown side by side, never pooled across reviews.

The reviews

ReviewSearched up toIncluded studiesAMSTAR 2
Interventions for the treatment of oral cavity and oropharyngeal cancer: chemotherapy
2021 · Cochrane All outcomes
2021-09Not listedNot assessed
How reviews are matched to this question

Reviews word the same question differently. Four decision models (TypeSafe's Jev, Liquid AI's d1-ultra, SubQ Snap and Baseten's Elephant) judged each wording of the population, intervention, comparator and outcome against the others; two wordings count as the same when at least three of them agree and none clearly disagrees, and findings count as this question only when all four elements match. Timing, setting and subgroup never split a question: they are shown on each finding.