Systemic chemotherapy in addition to CRS‐HIPEC for colorectal peritoneal metastases: A critical systematic review on the impact on overall survival

Author:

van den Heuvel Teun B. M.12,Lurvink Robin J.1,Rovers Koen P. B.1,van Hellemond Irene E. G.3,de Hingh Ignace H. J. T.124ORCID

Affiliation:

1. Department of Surgery Catharina Hospital Eindhoven Eindhoven The Netherlands

2. Department of Oncology and Developmental Biology (GROW), Faculty of Health, Medicine and Life Sciences Maastricht University Maastricht The Netherlands

3. Department of Medical Oncology Catharina Hospital Eindhoven Eindhoven The Netherlands

4. Department of Research & Development Netherlands Comprehensive Cancer Organisation (IKNL) Utrecht The Netherlands

Abstract

AbstractIn patients with resectable colorectal peritoneal metastases, it is unclear whether systemic chemotherapy, in addition to cytoreductive surgery‐hyperthermic intraperitoneal chemotherapy (CRS‐HIPEC), improves overall survival (OS). This systematic review of 12 retrospective studies involving 3721 patients aimed to summarize the available evidence. Contradictory results were found regarding the effectiveness of neoadjuvant, adjuvant, and perioperative systemic therapies on OS, with a high risk of bias. Available evidence remains inconclusive, stressing the need for prospective, randomized trials, like the ongoing Dutch CAIRO6‐trial.

Publisher

Wiley

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