Quality of life and late toxicity after short-course radiotherapy followed by chemotherapy or chemoradiotherapy for locally advanced rectal cancer - The RAPIDO trial
| العنوان: | Quality of life and late toxicity after short-course radiotherapy followed by chemotherapy or chemoradiotherapy for locally advanced rectal cancer - The RAPIDO trial |
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| المؤلفون: | Dijkstra, Esmee A., Hospers, Geke A. P., Kranenbarg, Elma Meershoek-Klein, Fleer, Joke, Roodvoets, Annet G. H., Bahadoer, Renu R., Guren, Marianne G., Tjalma, Jolien J. J., Putter, Hein, Crolla, Rogier M. P. H., Hendriks, Mathijs P., Capdevila, Jaume, Radu, Calin, 1969, van de Velde, Cornelis J. H., Nilsson, Per J., Glimelius, Bengt, van Etten, Boudewijn, Marijnen, Corrie A. M. |
| المصدر: | Radiotherapy and Oncology. 171:69-76 |
| مصطلحات موضوعية: | Quality of life, Locally advanced rectal cancer, Total neoadjuvant treatment |
| الوصف: | Background and purpose: The RAPIDO trial demonstrated a decrease in disease-related treatment failure (DrTF) and an increase in pathological complete responses (pCR) in locally advanced rectal cancer (LARC) patients receiving total neoadjuvant treatment (TNT) compared to conventional chemoradiotherapy. This study examines health-related quality of life (HRQL), bowel function, and late toxicity in patients in the trial.Materials and methods: Patients were randomized between short-course radiotherapy followed by pre-operative chemotherapy (EXP), or chemoradiotherapy and optional post-operative chemotherapy (STD). The STD group was divided into patients who did (STD+) and did not (STD-) receive post-operative chemotherapy. Three years after surgery patients received HRQL (EORTC QLQ-C30, QLQ-CR29 and QLQ-CIPN20) and LARS questionnaires. Patients who experienced a DrTF event before the toxicity assessments (6, 12, 24, or 36 months) were excluded from analyses.Results: Of 574 eligible patients, 495 questionnaires were returned (86%) and 453 analyzed (79% com-pleted within time limits). No significant differences were observed between the groups regarding QLQ-C30, QLQ-CR29 or LARS scores. Sensory-related symptoms occurred significantly more often in the EXP group compared to all STD patients, but not compared to STD+ patients. Any toxicity of any grade and grade > 3 toxicity was comparable between the EXP and STD groups at all time-points. Neurotoxicity grade 1-2 occurred significantly more often in the EXP and STD+ group at all time-points compared to the STD-group.Conclusion: The results demonstrate that TNT for LARC, yielding improved DrTF and pCRs, does not com-promise HRQL, bowel functional or results in more grade >3 toxicity compared to standard chemoradio-therapy at three years after surgery in DrTF-free patients.(c) 2022 The Authors. Published by Elsevier B.V. Radiotherapy and Oncology 171 (2022) 69-76 This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
| وصف الملف: | electronic |
| URL الوصول: | https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-477779 https://doi.org/10.1016/j.radonc.2022.04.013 https://uu.diva-portal.org/smash/get/diva2:1672648/FULLTEXT01.pdf |
| قاعدة البيانات: | SwePub |
Full Text via ClinicalKey | تدمد: | 01678140 18790887 |
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| DOI: | 10.1016/j.radonc.2022.04.013 |