Cochrane · systematic review · CD001556

Preoperative chemotherapy for resectable thoracic esophageal cancer

Kidane, B, Coughlin, S, Vogt, K, et al. · Cochrane Database of Systematic Reviews · 2015 · Cochrane Library

GutAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 1 · 14.3%Moderate 6 · 85.7%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Preoperative chemotherapy for resectable thoracic esophageal cancer

Population: patients with resectable thoracic esophageal cancer
7 questions
OutcomeEffectEvidenceStatus / GRADE
Overall survival Hazard ratio
HR 0.88 [0.8, 0.96]10 studies · 2122 participantsModerate
Downgraded: risk of bias, imprecision
Complete resection (R0) Histology
RR 1.11 [1.03, 1.19]9 studies · 2135 participantsModerate
Downgraded: risk of bias
Local‐regional recurrence Radiology
RR 0.86 [0.63, 1.17]8 studies · 2047 participantsModerate
Downgraded: risk of bias
Distant recurrence Radiology
RR 0.94 [0.78, 1.13]7 studies · 1947 participantsModerate
Downgraded: risk of bias
Any complication Clinical
RR 0.93 [0.81, 1.08]5 studies · 1340 participantsModerate
Downgraded: risk of bias
Postoperative death Clinical
RR 0.93 [0.68, 1.28]10 studies · 2196 participantsLow
Downgraded: risk of bias, imprecision
Anastomotic leaks Clinical/radiology
RR 0.92 [0.62, 1.37]8 studies · 1501 participantsModerate
Downgraded: risk of bias