Ding ZY, Piao Y, Jiang T, Chen J, Wang YN, Yu HY, Zheng ZD. Effects of postoperative treatment with chemotherapy and cellular immunotherapy on patients with colorectal cancer. World J Gastrointest Surg 2024; 16(10): 3202-3210 [PMID: 39575273 DOI: 10.4240/wjgs.v16.i10.3202]
Corresponding Author of This Article
Zhen-Dong Zheng, PhD, Chief Physician, Department of Oncology, General Hospital of Northern Theater Command, No. 83 Wenhua Road, Shenyang 110016, Liaoning Province, China. zzd_oncologist@163.com
Research Domain of This Article
Oncology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
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World J Gastrointest Surg. Oct 27, 2024; 16(10): 3202-3210 Published online Oct 27, 2024. doi: 10.4240/wjgs.v16.i10.3202
Table 1 Baseline data of the colorectal cancer cohort included in this study
Baseline data
Control group (n = 55)
Research group (n = 66)
χ2/t
P value
Age (years), mean ± SD
57.09 ± 7.75
56.41 ± 11.14
0.382
0.703
Sex, n (%)
0.111
0.740
Male
30 (54.55)
34 (51.52)
Female
25 (45.45)
32 (48.48)
Onset site, n (%)
0.186
0.666
Colon
27 (49.09)
35 (53.03)
Rectum
28 (50.91)
31 (46.97)
Pathological type, n (%)
0.043
0.836
Adenocarcinoma
49 (89.09)
58 (87.88)
Other
6 (10.91)
8 (12.12)
Clinical stage, n (%)
0.029
0.864
II
35 (63.64)
41 (62.12)
III
20 (36.36)
25 (37.88)
Differentiation, n (%)
0.021
0.885
Moderately- or well-differentiated
39 (70.91)
46 (69.70)
Poorly differentiated
16 (29.09)
20 (30.30)
Table 2 Efficacy of the postoperative treatments in the two colorectal cancer patient groups, n (%)
Curative effect
Control group (n = 55)
Research group (n = 66)
χ2
P value
Survival
36 (65.45)
54 (81.82)
Recurrence/metastasis/death
19 (34.55)
12 (18.18)
Two-year disease-free survival
36 (65.45)
54 (81.82)
4.215
0.040
Table 3 Univariate analysis of the variables that mediate postoperative treatment efficacy in colorectal cancer patients, n (%)
Baseline data
Effective treatment group (n = 90)
Ineffective treatment group (n = 31)
χ2
P value
Age (years)
0.402
0.526
< 60
58 (64.44)
18 (58.06)
≥ 60
32 (35.56)
13 (41.94)
Sex
0.340
0.560
Male
49 (54.44)
15 (48.39)
Female
41 (45.56)
16 (51.61)
Onset site
0.216
0.642
Colon
45 (50.00)
17 (54.84)
Rectum
45 (50.00)
14 (45.16)
Pathological type
0.072
0.788
Adenocarcinoma
80 (88.89)
27 (87.10)
Other
10 (11.11)
4 (12.90)
Clinical stage
10.363
0.001
I-II
64 (71.11)
12 (38.71)
III
26 (28.89)
19 (61.29)
Differentiation
12.550
< 0.001
Moderately- or well-differentiated
71 (78.89)
14 (45.16)
Poorly differentiated
19 (21.11)
17 (54.84)
Treatment approach
4.215
0.040
XELOX
36 (40.00)
19 (61.29)
XELOX + DC-CIK
54 (60.00)
12 (38.71)
Table 4 Multivariate analysis of the variables that mediate postoperative treatment efficacy in colorectal cancer patients
Variable
β
SE
Wald
P value
OR
95%CI
Clinical stage
0.114
0.443
0.066
0.797
1.121
0.470-2.673
Differentiation
−0.056
0.473
0.014
0.905
0.945
0.374-2.390
Treatment approach
0.867
0.427
4.115
0.042
2.379
1.030-5.495
Table 5 Adverse events in the two colorectal cancer treatment groups, n (%)
Adverse event
Control group (n = 55)
Research group (n = 66)
χ2
P value
Diarrhea
11 (20.00)
5 (7.58)
4.036
0.045
Myelosuppression
20 (36.36)
10 (15.15)
7.239
0.007
Gastrointestinal reaction
19 (34.55)
9 (13.64)
7.374
0.007
Peripheral neuritis
7 (12.73)
2 (3.03)
4.097
0.043
Citation: Ding ZY, Piao Y, Jiang T, Chen J, Wang YN, Yu HY, Zheng ZD. Effects of postoperative treatment with chemotherapy and cellular immunotherapy on patients with colorectal cancer. World J Gastrointest Surg 2024; 16(10): 3202-3210