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A systematic review and meta-analysis of clinical trials of bladder-sparing trimodality treatment for muscle-invasive bladder cancer (MIBC)  Giorgio Arcangeli,

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Presentation on theme: "A systematic review and meta-analysis of clinical trials of bladder-sparing trimodality treatment for muscle-invasive bladder cancer (MIBC)  Giorgio Arcangeli,"— Presentation transcript:

1 A systematic review and meta-analysis of clinical trials of bladder-sparing trimodality treatment for muscle-invasive bladder cancer (MIBC)  Giorgio Arcangeli, Stefano Arcangeli, Lidia Strigari  Critical Reviews in Oncology / Hematology  Volume 94, Issue 1, Pages (April 2015) DOI: /j.critrevonc Copyright © 2014 Elsevier Ireland Ltd Terms and Conditions

2 Fig. 1 Flow of identification and inclusion of trials as recommended by PRISMA [5]. Critical Reviews in Oncology / Hematology  , DOI: ( /j.critrevonc ) Copyright © 2014 Elsevier Ireland Ltd Terms and Conditions

3 Fig. 2 (a) Cumulative results from all evaluated trials; in parentheses is the number of patients evaluated for each outcome. (b) Forest plot of HRs and 95% CIs of outcomes comparing continuous vs. split treatment course in all evaluated patients. Critical Reviews in Oncology / Hematology  , DOI: ( /j.critrevonc ) Copyright © 2014 Elsevier Ireland Ltd Terms and Conditions

4 Fig. 3 (a) CR and 5-year OS rates in patients with T2 or >T2 tumour stages. (b) Forest plot of HRs and 95%CIs of CR and 5-year OS rates comparing continuous vs. split treatment course in patients with T2 or >T2 tumour stages. Critical Reviews in Oncology / Hematology  , DOI: ( /j.critrevonc ) Copyright © 2014 Elsevier Ireland Ltd Terms and Conditions

5 Fig. 4 CR and 5-year OS rates in patients with or without hydronephrosis. Critical Reviews in Oncology / Hematology  , DOI: ( /j.critrevonc ) Copyright © 2014 Elsevier Ireland Ltd Terms and Conditions

6 Fig. 5 Diagram showing (a) CR and (b) 5-year OS rates as a function of EQD2 in all trials of continuous and split treatment course. In the split treatment, CR rate was plotted as a function of dose delivered by induction CRT course, while 5-year OS rate was plotted as a function of dose delivered by both induction and consolidation CRT courses also for patients undergone to SC. Critical Reviews in Oncology / Hematology  , DOI: ( /j.critrevonc ) Copyright © 2014 Elsevier Ireland Ltd Terms and Conditions

7 Fig. 6 Forest plot of HRs and 95%CIs of CR and 5-year OS rates comparing continuous vs. split treatment course in patients treated with CP alone or CP plus other drugs. Critical Reviews in Oncology / Hematology  , DOI: ( /j.critrevonc ) Copyright © 2014 Elsevier Ireland Ltd Terms and Conditions

8 Fig. 7 (a) CR and 5-year OS rates in patients receiving neoadjuvant chemotherapy (NADCT+) or not (NADCT−). (b) Forest plot of HRs and 95%CIs of CR, cystectomy and 5-year OS rates comparing continuous vs. split treatment course in patients receiving or not receiving NACT. Critical Reviews in Oncology / Hematology  , DOI: ( /j.critrevonc ) Copyright © 2014 Elsevier Ireland Ltd Terms and Conditions


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