Postoperative adjuvant immunotherapy for pathological stage II–IVa esophageal squamous cell carcinoma after radical surgery does not improve disease-free recurrence rates
2024

Postoperative Immunotherapy for Esophageal Cancer

Sample size: 76 publication 10 minutes Evidence: moderate

Author Information

Author(s): Xie Xihao, Zhang Hai, He Haiquan, Wu Bomeng, Chen Ying, Lin Wanli, Feng Qingyi, Chen Qunqing

Primary Institution: Gaozhou People’s Hospital Affiliated to Guangdong Medical University

Hypothesis

Does postoperative immunotherapy improve disease-free recurrence rates in esophageal squamous cell carcinoma after radical surgery?

Conclusion

Postoperative immunotherapy did not improve disease-free recurrence rates compared to chemotherapy alone for esophageal cancer patients.

Supporting Evidence

  • The incidence of hypothyroidism was significantly higher in the immunotherapy group (25.0%) compared to the chemotherapy group (2.5%).
  • Local recurrence rates were 17.5% in the chemotherapy group and 13.9% in the immunotherapy group.
  • During the 2-year follow-up, there were no significant differences in recurrence rates between the two groups.

Takeaway

This study looked at whether adding immunotherapy after surgery helps patients with esophageal cancer. It found that it doesn't make a difference in preventing the cancer from coming back.

Methodology

This retrospective study evaluated patients who underwent radical surgery for esophageal cancer and received either chemotherapy or immunotherapy combined with chemotherapy.

Potential Biases

Potential biases due to the retrospective nature and single-center design.

Limitations

The study was a single-center retrospective analysis with a small sample size, limiting generalizability.

Participant Demographics

Patients aged 18-75 years with pathologically confirmed esophageal squamous cell carcinoma.

Statistical Information

P-Value

0.489

Confidence Interval

95% CI = 0.378–2.871

Statistical Significance

p=0.489

Digital Object Identifier (DOI)

10.3389/fmed.2024.1517001

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