AUTHOR=Xiang Meijuan , Liang Zongyu , Gao Yuan , Feng Xingyu , Yao Xueqing TITLE=Prognostic value of final pathological stage in colon adenocarcinoma after neoadjuvant chemotherapy: A propensity score-matched study JOURNAL=Frontiers in Surgery VOLUME=9 YEAR=2022 URL=https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2022.1022025 DOI=10.3389/fsurg.2022.1022025 ISSN=2296-875X ABSTRACT=Background

Neoadjuvant chemotherapy (NAC) could improve local tumor control of locally advanced colon cancer (LACC), but the prognostic value of yp stage in colon cancer remains unknown. Here, we aimed to ascertain yp stage as an indicator for LACC prognosis after NAC.

Methods

The data of patients diagnosed with colon adenocarcinoma between 2004 and 2015 were extracted from the Surveillance, Epidemiology, and End Results database. After 1:2 propensity score matching, cancer-specific survival (CSS) and overall survival (OS) were compared between the NAC and Non-NAC groups of different stage classifications. The correlation between clinical and pathological factors and CSS was identified.

Results

A total of 49, 149, and 81 matched pairs of stage 0–I, II, and III patients, respectively, were generated for analysis. For stage 0–I (p = 0.011) and III (p = 0.015), only CSS in the NAC groups were inferior. Receiving NAC was an independent prognostic risk factor for patients with stage 0–I (hazard ratio, 7.70; 95% confidence interval, 1.820–32.5; p = 0.006) and stage III (hazard ratio, 1.73; 95% confidence interval, 1.11–2.68; p = 0.015).

Conclusions

The CSS was poorer among LACC patients who underwent NAC than among those who did not. The yp stage of colon cancer after NAC has distinctive significance, which may contribute to predicting the prognosis and guiding the treatment of LACC patients after NAC.