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Meta-Analysis
. 2019 Jun;119(7):932-940.
doi: 10.1002/jso.25440. Epub 2019 Mar 5.

Adjuvant chemotherapy and outcomes in patients with nodal and resection margin-negative pancreatic ductal adenocarcinoma: A systematic review and meta-analysis

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Meta-Analysis

Adjuvant chemotherapy and outcomes in patients with nodal and resection margin-negative pancreatic ductal adenocarcinoma: A systematic review and meta-analysis

Nicola Flaum et al. J Surg Oncol. 2019 Jun.

Abstract

Adjuvant chemotherapy (AC) following pancreatic carcinoma (PC) resection improves overall survival (OS). A systematic review identified 10 phase-2/3 studies investigating AC in 3644 patients looking at the influence of nodal and resection status. AC significantly improved disease free survival, OS and 5-year odds of death risk. There was greater survival benefit in patients PS 0 and with body/tail tumors. There was a nonsignificant effect in N - /N + patients on OS and no difference between R0/R1 patients.

Keywords: adjuvant chemotherapy; lymph nodes; meta-analysis; pancreatic cancer; resection margin; systematic review.

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