Adjuvant Chemoradiotherapy, Adjuvant Chemotherapy, Neoadjuvant Chemoradiotherapy, Rectal Cancer, Surgery
Conditions
Brief summary
The aim of this observational study is to retrospectively collect current survival data for 3995 primary rectal cancer patients who were extracted from 5097 rectal cancer patients admitted in Cancer Hospital, Chinese Academy of Medical Sciences from January 2000 to December 2010. Moreover, based on a Cox model, we want to develope a nomogram that predicts local recurrence, distant metastases, and survival for patients with rectal cancer treated with pre- or postoperative chemoradiotherapy (CRT).
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Aged older than 18 years * American Joint Committee on Cancer (six edition) stage I through IV disease * Received either transabdominal resection, transanal excision, preoperative radiotherapy or chemoradiotherapy * Had the histologic subtypes adenocarcinoma (not otherwise specified, mucinous or mucin-producing, mixed cell or with mixed subtypes, tubular, and papillary)
Exclusion criteria
* Had the histologic subtypes squamous cell carcinoma, carcinoid, neuroendocrine tumor, small cell carcinoma, leiomyosarcoma, sarcoma, gastrointestinal stromal sarcoma, melanoma, carcinosarcoma, rhabdoid tumors, or malignant peripheral nerve sheet tumors * Only receive palliative surgery such as colostomy, sigmoidostomy * Received palliative radiotherapy or chemoradiotherapy for metastatic disease * With unresectable distant metastasis in liver, lung, bone, central nervous system , or peritoneal transplantation * Had no detailed medical records
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Overall survival | 5-10 years |
| Cancer-specific survival | 5-10 years |
| Locoregional recurrence free survival | 5-10 years |
| Distant metastasis free survival | 5-10 years |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Chemotherapy/Radiotherapy/Chemoradiotherapy toxicities | the duration of hospital stay (an expected average of 6 weeks for chemoradiotherapy and 4-6 months for chemotherapy), as well as within 30 days after completion of the treatment and all the follow-up time | Chemotherapy toxicities are evaluated by NCI-CTC version 3.0 and radiotherapy toxicities are graded using the RTOG/EORTC Radiation Morbidity Scoring Schema. |
| Surgery complication | within 30 days after surgery | — |
Countries
China