AI Article Synopsis

  • * In the JCOG0502 trial, 368 patients were observed, where 209 opted for surgery and 159 chose CRT, despite having similar characteristics apart from age.
  • * A study found that patients aged 65 and older, males, those with multiple lesions, those without children, and the advice of their doctor were key factors in choosing CRT, with the doctor's opinion being the most impactful.

Article Abstract

Treatment options for esophageal squamous cell carcinoma includes surgery and chemoradiotherapy (CRT), however there was limited information about the factors influenced in patients' decision-making. Patients who participated in JCOG0502, a parallel group controlled trial comparing surgery with CRT, were analyzed for the factors related to decision-making. Of the 368 patients (pts) enrolled in the nonrandomized part in JCOG0502, 209 pts opted for surgery and 159 pts chose CRT on their own. Background characteristics were the same except for age. Multivariable logistic regression analysis showed that age ≥65 years, male sex, multiple lesions, absence of children and doctor's thinking were associated with the selection of CRT. The doctor's option was the most influential factor in the patient's decision-making process. UMIN000000551 (ClinicalTrials.gov).

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11572140PMC
http://dx.doi.org/10.1080/14796694.2024.2398985DOI Listing

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