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Colorectal Cancer: Observed 5-Year DFS with/without 5FU-Based Adjuvant Therapy

Colorectal cancer: observed 5-year DFS with/without 5FU-based adjuvant therapy

Using the end point of 5-year DFS, the model was evaluated for discriminating ability, calibration and over-fitting. The calibration of the model was assessed by comparing the predicted 5-year DFS rates for surgery alone and for surgery plus adjuvant therapy with the corresponding observed or Kaplan-Meier estimate probabilities.

Results are presented as % patients still alive at 5 years with 95% confidence interval and group size.

Low grade patients

Group

Surgery Alone

Surgery + Chemotherapy

Abs. gain (%)

0 nodes & T3

73 - [69 - 77], N=587

79 - [75 - 82], N= 597

6

0 nodes & T4

69 - [54 - 87], N= 33

72 - [58 - 89], N= 36

3

1-4 nodes & T1-2

72 - [62 - 84], N= 65

88 - [81 - 96], N= 71

16

1-4 nodes & T3

46 - [41 - 51], N= 464

64- [59 - 68], N= 496

18

1-4 nodes & T4

33 - [20 - 54], N= 37

56 - [38 - 81], N= 24

23

5+ nodes & T1-2

29 - [12 - 68], N= 14

44 - [25 - 78], N= 17

15

5+ nodes & T3

26 - [20 - 36], N= 128

48 - [40 - 57], N= 142

22

5+ nodes & T4

10 - [2 - 65], N= 10

24 - [7 - 81], N=8

14

High grade patients

Group

Surgery Alone

Surgery + Chemotherapy

Abs. gain* (%)

0 nodes & T3

66 - [56 - 78], N= 88

62 - [51 - 75], N= 76

-4

0 nodes & T4

57 - [32 - 100], N= 10

46 - [25 - 87], N= 13

-11

1-4 nodes & T1-2

46 - [23 - 73], N= 11

72 - [47 - 100], N= 9

26

1-4 nodes & T3

52 - [43 - 64], N= 99

57 - [48 - 68], N= 95

5

1-4 nodes & T4

19 - [7 - 54], N= 20

61 - [35 - 100], N= 9

42

5+ nodes & T1-2

40 - [13 - 100], N= 6

25 - [5 - 100], N= 4

-15

5+ nodes & T3

12 - [7 - 81], N= 49

26 - [18 - 39], N= 74

14

5+ nodes & T4

39 - [18 - 85], N=10

* Number of patients in that column averaged more than five imputed data sets.

Reprinted with permission. ©2008 American Society of Clinical Oncology. All rights reserved. Gill S et al: Pooled Analysis of Fluorouracil-Based Adjuvant Therapy for Stage II and III Colon Cancer: Who Benefits and by How Much? J Clin Oncol Vol.22 (10), 2004: 1797-1806.

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