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Oncology
Article . 2011 . Peer-reviewed
Data sources: Crossref
Oncology
Article . 2012
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Efficacy of Oxaliplatin-Based Chemotherapy in Curatively Resected Colorectal Cancer with Liver Metastasis

Authors: Jae Kyung Rho; Jae Kyung Rho; Jin Soo Kim; Nam Kyu Kim; Hye Ryun Kim; Byung Soh Min; Joong Bae Ahn; +2 Authors

Efficacy of Oxaliplatin-Based Chemotherapy in Curatively Resected Colorectal Cancer with Liver Metastasis

Abstract

<i>Objectives:</i> Although surgical resection alone has been validated as a standard treatment for patients with liver metastases from colorectal cancer, a high rate of recurrence is still an issue to be overcome. We aimed to assess the efficacy of adjuvant chemotherapy using an oxaliplatin-based regimen in patients who underwent hepatic and primary colorectal cancer resection. <i>Methods:</i> Sixty patients who received oxaliplatin-based postoperative chemotherapy combined with curative resection of primary colorectal cancer and synchronous liver metastases between January 2000 and February 2008 were retrospectively reviewed. The Kaplan-Meier method was used to estimate survival, and prognostic factors were evaluated with the log-rank test. <i>Results:</i> Median overall survival (OS) was 62.8 months [95% confidence interval (CI) 44.1–81.3], and median relapse-free survival (RFS) was 32.8 months (95% CI 5.8–59.6). The 1-, 3- and 5-year survival rates were 95.0, 68.8 and 55.5%, respectively. The relapse-free interval and modality of liver resection were independently associated with OS. <i>Conclusions:</i> Oxaliplatin-based adjuvant chemotherapy after radical resection resulted in increased OS and RFS with acceptable tolerability compared to surgery alone. However, it is not yet clear whether postoperative oxaliplatin-based chemotherapy improves outcome compared to patients treated with 5-fluorouracil plus leucovorin.

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Keywords

Adult, Male, Organoplatinum Compounds, Leucovorin, 610, Kaplan-Meier Estimate, Colorectal neoplasms, Disease-Free Survival, Colorectal Neoplasms/secondary, Antineoplastic Combined Chemotherapy Protocols, 617, Chemotherapy, Humans, Organoplatinum Compounds/adverse effects, Organoplatinum Compounds/administration & dosage, Neoplasm Metastasis, Liver metastasis, Adjuvant, Aged, Retrospective Studies, Colorectal Neoplasms/pathology, Liver Neoplasms/surgery*, Colorectal Neoplasms/drug therapy*, Antineoplastic Combined Chemotherapy Protocols/adverse effects, Liver Neoplasms, Colorectal Neoplasms/surgery*, Liver Neoplasms/pathology, Middle Aged, Prognosis, Adjuvant chemotherapy, Survival Rate, Oxaliplatin, Liver Neoplasms/drug therapy*, Fluorouracil/administration & dosage, Chemotherapy, Adjuvant, Leucovorin/administration & dosage, Antineoplastic Combined Chemotherapy Protocols/therapeutic use*, Female, Fluorouracil, Colorectal Neoplasms, Follow-Up Studies

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    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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    popularity
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    Average
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
19
Average
Top 10%
Top 10%
Green
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