Cochrane · systematic review · CD010511

Chemoradiotherapy versus chemoradiotherapy plus surgery for esophageal cancer

Vellayappan, BA, Soon, YY, Ku, GY, et al. · Cochrane Database of Systematic Reviews · 2017 · 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
5
current version
GRADE rated
5
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 1 · 20%Low 2 · 40%Moderate 1 · 20%High 1 · 20%

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

Chemoradiotherapy versus chemoradiotherapy plus surgery for esophageal cancer

Population: nonmetastatic esophageal cancer
5 questions
OutcomeEffectEvidenceStatus / GRADE
Overall survival
Chemoradiotherapy vs chemoradiotherapy plus surgery
HR 0.99 [0.79, 1.24]2 studies · 431 participantsHigh
Freedom from locoregional relapse
Chemoradiotherapy vs chemoradiotherapy plus surgery
HR 0.55 [0.39, 0.76]2 studies · 431 participantsModerate
Downgraded: risk of bias
Quality of Life
Chemoradiotherapy vs chemoradiotherapy plus surgery
no estimate extracted1 study · 165 participantsVery low
Downgraded: risk of bias, imprecision
Treatment‐related mortality
Chemoradiotherapy vs chemoradiotherapy plus surgery
RR 5.11 [1.74, 15.02]2 studies · 431 participantsLow
Downgraded: risk of bias, imprecision
Use of salvage procedures for dysphagia
Chemoradiotherapy vs chemoradiotherapy plus surgery
RR 0.52 [0.36, 0.75]1 study · 259 participantsLow
Downgraded: risk of bias, imprecision