Does pathological complete response after neoadjuvant chemoradiotherapy associate with long-term survival in esophageal cancer: A systematic review and meta-analysis

Abstract This meta-analysis examines the impact of pathological complete response (pCR) on long-term survival in locally advanced esophageal cancer patients treated with neoadjuvant chemoradiotherapy (NCRT) and surgery. A systematic review of 38 studies found that pCR correlates with improved overal...

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Main Authors: Jiajing Sun, Cien Sun, Ying Zhang, Zixian Jin, Thivanka Witharana, Jiawei Li, Chengchu Zhu, Jianfei Shen
Format: Article
Language:English
Published: BMC 2025-07-01
Series:BMC Surgery
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Online Access:https://doi.org/10.1186/s12893-025-03016-2
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Summary:Abstract This meta-analysis examines the impact of pathological complete response (pCR) on long-term survival in locally advanced esophageal cancer patients treated with neoadjuvant chemoradiotherapy (NCRT) and surgery. A systematic review of 38 studies found that pCR correlates with improved overall survival (HR = 0.54) and disease-free survival (HR = 0.51). The findings suggest that pCR may serve as a surrogate endpoint for evaluating the survival outcomes of NCRT.
ISSN:1471-2482