ctDNA as a prognostic factor in operable colon cancer patients: a systematic review and meta-analysis

Author:

Yekedüz Emre12ORCID,Köksoy Elif Berna12ORCID,Akbulut Hakan12,Ürün Yüksel12ORCID,Utkan Güngör12ORCID

Affiliation:

1. Department of Medical Oncology, Ankara University, 06590, Cebeci/Ankara, Turkey

2. Ankara University Cancer Research Institute, 06590, Cebeci/Ankara, Turkey

Abstract

Aim: Using circulating tumor DNA (ctDNA) instead of historical clinicopathological factors to select patients for adjuvant chemotherapy (ACT) may reduce inappropriate therapy. Material & methods: MEDLINE was searched on 31 March 2020. Studies, including data related to the prognostic value of ctDNA in the colon cancer patients after surgery and after ACT, were included. The generic inverse-variance method with a random-effects model was used for meta-analysis. Results: Four studies were included for this meta-analysis. ctDNA-positive colon cancer patients after surgery and ACT had a significantly increased risk of recurrence compared with ctDNA-negative patients. Conclusions: ctDNA is an independent prognostic factor, and this meta-analysis is a significant step for using ctDNA instead of historical prognostic factors in the adjuvant setting.

Publisher

Future Medicine Ltd

Subject

Cancer Research,Oncology,General Medicine

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