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Key clinical point: A >8-week interval between neoadjuvant chemoradiotherapy (nCRT) and subsequent surgery improved tumor regression grade (TRG) compared with a 6-8-week interval in patients with locally advanced rectal cancer (LARC), while pathological complete response (pCR) and survival outcomes were similar between the groups.

Major finding: The pCR rate (P = .836), 5-year relapse-free survival (P = .569), and 5-year overall survival (P = .956) were not significantly different between the 6-8-week and >8-week groups; however, TRG was significantly better in the >8-week group (P = .004).

Study details: Findings are from a retrospective study including 770 patients with LARC who had undergone total mesorectal excision either 6-8 weeks (n = 502) or >8 weeks (n = 268) after long‐course nCRT.

Disclosures: This study was supported by grants donated to Seoul National University Hospital under the name of Jung‐Ok Hwang. The authors declared no conflicts of interest.

Source: Khamzina S et al. Standard versus longer interval of radical resection after neoadjuvant chemoradiotherapy in locally advanced rectal cancer: A 20‐year single‐center experience & propensity‐score matching. J Surg Oncol. 2022 (Sep 28). Doi: 10.1002/jso.27105

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Key clinical point: A >8-week interval between neoadjuvant chemoradiotherapy (nCRT) and subsequent surgery improved tumor regression grade (TRG) compared with a 6-8-week interval in patients with locally advanced rectal cancer (LARC), while pathological complete response (pCR) and survival outcomes were similar between the groups.

Major finding: The pCR rate (P = .836), 5-year relapse-free survival (P = .569), and 5-year overall survival (P = .956) were not significantly different between the 6-8-week and >8-week groups; however, TRG was significantly better in the >8-week group (P = .004).

Study details: Findings are from a retrospective study including 770 patients with LARC who had undergone total mesorectal excision either 6-8 weeks (n = 502) or >8 weeks (n = 268) after long‐course nCRT.

Disclosures: This study was supported by grants donated to Seoul National University Hospital under the name of Jung‐Ok Hwang. The authors declared no conflicts of interest.

Source: Khamzina S et al. Standard versus longer interval of radical resection after neoadjuvant chemoradiotherapy in locally advanced rectal cancer: A 20‐year single‐center experience & propensity‐score matching. J Surg Oncol. 2022 (Sep 28). Doi: 10.1002/jso.27105

Key clinical point: A >8-week interval between neoadjuvant chemoradiotherapy (nCRT) and subsequent surgery improved tumor regression grade (TRG) compared with a 6-8-week interval in patients with locally advanced rectal cancer (LARC), while pathological complete response (pCR) and survival outcomes were similar between the groups.

Major finding: The pCR rate (P = .836), 5-year relapse-free survival (P = .569), and 5-year overall survival (P = .956) were not significantly different between the 6-8-week and >8-week groups; however, TRG was significantly better in the >8-week group (P = .004).

Study details: Findings are from a retrospective study including 770 patients with LARC who had undergone total mesorectal excision either 6-8 weeks (n = 502) or >8 weeks (n = 268) after long‐course nCRT.

Disclosures: This study was supported by grants donated to Seoul National University Hospital under the name of Jung‐Ok Hwang. The authors declared no conflicts of interest.

Source: Khamzina S et al. Standard versus longer interval of radical resection after neoadjuvant chemoradiotherapy in locally advanced rectal cancer: A 20‐year single‐center experience & propensity‐score matching. J Surg Oncol. 2022 (Sep 28). Doi: 10.1002/jso.27105

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Clinical Edge Journal Scan: Colorectal Cancer, November 2022
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