Intensive follow-up vs conventional follow-up for patients with non-metastatic colorectal cancer treated with curative intent: A meta-analysis

doi:10.4251/wjgo.v15.i12.2197

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World Journal of Gastrointestinal Oncology

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Meta-Analysis

World J Gastrointest Oncol. Dec 15, 2023; 15(12): 2197-2211
Published online Dec 15, 2023. doi: 10.4251/wjgo.v15.i12.2197

Intensive follow-up vs conventional follow-up for patients with non-metastatic colorectal cancer treated with curative intent: A meta-analysis

Li-Li Cui, Shi-Qi Cui, Zhong Qu, Zhen-Qing Ren

Li-Li Cui, Department of Operating Room, Jiangsu Taizhou People’s Hospital, Taizhou 225300, Jiangsu Province, China

Shi-Qi Cui, Department of Oncology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310020, Zhejiang Province, China

Zhong Qu, Department of Endoscopy Center, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310020, Zhejiang Province, China

Zhen-Qing Ren, Department of Nursing, Jiangsu Taizhou People’s Hospital, Taizhou 225300, Jiangsu Province, China

Author contributions: Cui LL and Ren ZQ conceived the study concept and participated in its design, data extraction, statistical analysis; Cui LL, Cui SQ, Qu Z, and Ren ZQ contributed to the manuscript drafting, and editing; Cui SQ and Qu Z participated in the literature research; and all authors read and approved the final manuscript.

Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.

PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist, and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.

Corresponding author: Zhen-Qing Ren, MA, Department of Nursing, Jiangsu Taizhou People’s Hospital, No. 366 Taihu Road, Pharmaceutical and High-tech Zone, Taizhou 225300, Jiangsu Province, China. 635818285@qq.com

Received: June 21, 2023
Peer-review started: June 21, 2023
First decision: September 6, 2023
Revised: September 22, 2023
Accepted: October 30, 2023
Article in press: October 30, 2023
Published online: December 15, 2023
Processing time: 176 Days and 1.6 Hours

ARTICLE HIGHLIGHTS

Research background

Colorectal cancer (CRC) is the third most frequently diagnosed cancer, and the prognosis of CRC at early stage was relative better. The frequency and content of follow-up strategies play an important role on the prognosis of CRC, and intensive follow-up may improve the prognosis of CRC.

Research motivation

Assess the effects of intensive with conventional follow-up strategies for CRC patients after curative intention using a meta-analysis.

Research objectives

This study aimed to compare the overall survival, cancer-specific survival, relapse-free survival, salvage surgery, recurrence, and interval recurrences between intensive and conventional follow-up strategies for non-metastatic CRC treated with curative intent.

Research methods

The eligible trials were identified from PubMed, Embase, and the Cochrane Library databases from inception until April 2023. All of pooled analyses were calculated using the random-effects model, which considering the underlying varies across included trials.

Research results

We noted intensive follow-up play a beneficial effects in improving overall survival, and interval recurrence as compared with conventional follow-up. Moreover, the incidence of salvage surgery was significantly increased for patients received intensive follow-up.

Research conclusions

This study found intensive follow-up was superior than conventional follow-up for CRC patients after curative intention, which should introduce in clinical practice.

Research perspectives

The results of this study based on randomized controlled trials, and the evidence level for pooled conclusions was high.