CANCERS BRONCHIQUES NON A PETITES CELLULES : CHIMIOTHERAPIE ADJUVANTE APRES RESECTION COMPLETE
META-ANALYSES ET REVUES SYSTEMATIQUES


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Référence

Méthodologie

Critère de jugement

Nombre d'essais

Nombre de patients

Résultat

 

Chimiothérapie adjuvante après chirurgie

Collaborative Group,

1995 (1)

MADI

Survie globale

14

4357

NS

HR = 0,87

Sculier,

2001 (2)

MARSL

Survie globale

6

1280

S

HR = 0,85 (IC 95% 0,73 - 0,99)

Hotta,

2004 (3)

MAI

Survie globale

11

5538

S

HR = 0,87 (IC 95% 0,80 – 0,94)

Sedrakyan,

2004 (4)

MAI

Survie globale

19

7200

S

Berghmans,

2005 (5)

MARSL

Survie globale

19

7764

S

HR = 0,84 (IC 95% 0,78 – 0,89)

Hamada,

2005 (6)

MADI

Survie à 5 et 7 ans

8

2082

S

HR = 0,74 (IC 95% 0,61 – 0,88)

Pignon,

2008 (7)

MADI

Survie globale

5

(LACE)

4584

S

HR = 0,89 (IC 95% 0,82 – 0,96)

Bria,

2009 (8)

MAI

Survie globale

12

7334

S

Lim,

2009 (9)

MARSL

Survie globale

22

 

S

HR = 0,80 (IC 95% 0,74 – 0,87)

Hamada,

2009 (10)

MADI

St IA

Survie globale

6

1269

T1b : S

HR = 0,69 (IC 95% 0,42 – 0,90)

T1a : NS

HR = 0,84 (IC 95% 0,58 – 1,23)

Aupérin,

2010 (11)

MADI

Sans  radiothérapie

Survie globale

34

8447

S

HR = 0,86 (IC 95% 0,81 – 0,92)

Avec radiothérapie

Survie globale

13

2260

S

HR = 0,88 (IC 95% 0,81 – 0,97)




Références
(1) Non-small Cell Lung Cancer Collaborative Group. Chemotherapy in non-small cell lung cancer: a meta-analysis using updated data on individual patients from 52 randomised clinical trials. BMJ 1995 Oct 7;311(7010):899-909.
(2) Sculier JP, Berghmans T, Paesmans M, Branle F, Lemaitre F, Mascaux C, et al. La place de la chimiothérapie dans le traitement des cancers bronchiques non à petites cellules non métastatiques. [The role of chemotherapy in the treatment of non-metastatic, non-small cell bronchial cancers]. Rev Med Brux 2001 Dec;22(6):477-87.
(3) Hotta K, Matsuo K, Ueoka H, Kiura K, Tabata M, Tanimoto M. Role of adjuvant chemotherapy in patients with resected non-small-cell lung cancer: reappraisal with a meta-analysis of randomized controlled trials. J Clin Oncol 2004 Oct 1;22(19):3860-7.
(4) Sedrakyan A, Van Der MJ, O'Byrne K, Prendiville J, Hill J, Treasure T. Postoperative chemotherapy for non-small cell lung cancer: A systematic review and meta-analysis. J Thorac Cardiovasc Surg 2004 Sep;128(3):414-9.
(5) Berghmans T, Paesmans M, Meert AP, Mascaux C, Lothaire P, Lafitte JJ, et al. Survival improvement in resectable non-small cell lung cancer with (neo)adjuvant chemotherapy: results of a meta-analysis of the literature. Lung Cancer 2005;49:13-23.
(6) Hamada C, Tanaka F, Ohta M, Fujimura S, Kodama K, Imaizumi M, et al. Meta-analysis of postoperative adjuvant chemotherapy with tegafur-uracil in non-small-cell lung cancer. J Clin Oncol 2005 Aug 1;23(22):4999-5006.
(7) Pignon JP, Tribodet H, Scagliotti GV, Douillard JY, Shepherd FA, Stephens RJ, et al. Lung adjuvant cisplatin evaluation: a pooled analysis by the LACE Collaborative Group. J Clin Oncol 2008 Jul 20;26(21):3552-9.
(8) Bria E, Gralla RJ, Raftopoulos H, Cuppone F, Milella M, Sperduti I, et al. Magnitude of benefit of adjuvant chemotherapy for non-small cell lung cancer: meta-analysis of randomized clinical trials. Lung Cancer 2009 Jan;63(1):50-7.
(9) Lim E, Harris G, Patel A, Adachi I, Edmonds L, Song F. Preoperative versus postoperative chemotherapy in patients with resectable non-small cell lung cancer: systematic review and indirect comparison meta-analysis of randomized trials. J Thorac Oncol 2009 Nov;4(11):1380-8.
(10) Hamada C, Tsuboi M, Ohta M, Fujimura S, Kodama K, Imaizumi M, et al. Effect of postoperative adjuvant chemotherapy with tegafur-uracil on survival in patients with stage IA non-small cell lung cancer: an exploratory analysis from a meta-analysis of six randomized controlled trials. J Thorac Oncol 2009 Dec;4(12):1511-6.
(11) Arriagada R, Auperin A, Burdett S, Higgins JP, Johnson DH, Le CT, et al. Adjuvant chemotherapy, with or without postoperative radiotherapy, in operable non-small-cell lung cancer: two meta-analyses of individual patient data. Lancet 2010 Apr 10;375(9722):1267-77.


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