Table 1

Comparison of EAC-patients with neoadjuvant treatment

Variablenon-CR (n = 293)pCR (n = 48)P-value
Age (years) (n = 341)63.0 (55.0–71.00)63.0 (57.5–72.8)0.626*
GenderFemale64 (22%)14 (29%)0.263#
Male229 (78%)34 (71%)
BMI (Kg/m2) (n = 341)25.5 (23.1–28.1)26.3 (23.8–28.7)0.134*
RCS Charlson-Index00 (0%)0 (0%)0.398#
1168 (57%)25 (52%)
277 (26%)17 (35%)
≥346 (17%)6 (13%)
uT-StageT0/Tis2 (1%)1 (2%)0.534#
T16 (2%)1 (2%)
T234 (12%)8 (17%)
T3195 (66%)29 (60%)
T430 (10%)3 (6%)
NA26 (9%)6 (13%)
uN-StageuN-61 (21%)10 (21%)0.949#
uN+203 (69%)33 (69%)
NA29 (10%)5 (10%)
cM-StagecM0254 (87%)43 (90%)0.775#
cMX/139 (13%)5 (10%)
GradingGX114 (38%)20 (42%)0.559#
G18 (3%)3 (6%)
G287 (30%)12 (25%)
G384 (29%)13 (27%)
Neoadjuvant Chemotherapy248 (85%)38 (79%)0.339#
Thereof: % FLOT239 (96%)37 (97%)
Neoadjuvant Chemoradiation45 (15%)10 (21%)
Thereof: % CROSS38 (84%)7 (70%)
Radiation Dosage (Gy) (n = 45)41.4 (41.4–41.4)41.4 (41.4–41.4)0.969*
Premature discontinuation of neoadjuvant treatment16 (6%)4 (8%)0.628#
Days from end of neoadjuvant treatment to surgery (n = 288)43 (35–57)43 (36–55)0.850*
RECIST 1.1CR/PR128 (63%)29 (81%)0.045#
Procedure2-Field-Esophagectomy177 (60%)37 (77%)0.405#
3-Field-Esophagectomy2 (1%)0 (0%)
Transhiatal-extended gastrectomy32 (11%)2 (4%)
Gastrectomy37 (13%)7 (15%)
Subtotal Gastrectomy30 (10%)1 (2%)
Gastrectomy+HIPEC13 (5%)1 (2%)
Esophagogastrectomy1 (0%)0 (0%)
CCI (n = 341)20.9 (0–40.6)22.6 (0–39.7)0.373*
Length of Hospital Stay (days) (n = 341)14.0 (11.0–18.0)15.0 (13.0–21.0)0.069*
Pathological T-StageypT08 (3%)48 (100%)<0.001#
ypT166 (22%)0 (0%)
ypT257 (20%)0 (0%)
ypT3138 (47%)0 (0%)
ypT424 (8%)0 (0%)
Pathological N-StageypN0147 (50%)48 (100%)<0.001#
ypN161 (21%)0 (0%)
ypN234 (12%)0 (0%)
ypN351 (17%)0 (0%)
Tumor regression in lymphnodes in pCR-patients(LN-/Reg+)/Grade ANA22 (46%)
(LN-/Reg-)NA26 (54%)
Postneoadjuvant M-StageyM0256 (87%)48 (100%)0.009#
ypM137 (13%)0 (0%)
R-StatusR0278 (95%)48 (100%)0.109#
R115 (5%)0 (0%)
Postoperative UICC-StageUICC-Stage 00 (0%)48 (100%)<0.001#
UICC-Stage I59 (20%)0 (0%)
UICC-Stage II92 (31%)0 (0%)
UICC-Stage III71 (24%)0 (0%)
UICC-Stage IV71 (24%)0 (0%)
Histopathologic RegressionGrade 1a - No residual tumor8 (3%)48 (100%)<0.001#
Grade 1b—Subtotal regression (<10% residual tumor)92 (31%)0 (0%)
Grade 2 – partial regression (10–50% residual tumor)88 (30%)0 (0%)
Grade 3 – no regression (>50% residual tumor)95 (33%)0 (0%)
Grade of regression not assessed10 (3%)0 (0%)
Adjuvant Treatment (% of patients receiving neoadjuvant CTx)Yes161 (73%)28 (74%)0.882#
Variablenon-CR (n = 293)pCR (n = 48)P-value
Age (years) (n = 341)63.0 (55.0–71.00)63.0 (57.5–72.8)0.626*
GenderFemale64 (22%)14 (29%)0.263#
Male229 (78%)34 (71%)
BMI (Kg/m2) (n = 341)25.5 (23.1–28.1)26.3 (23.8–28.7)0.134*
RCS Charlson-Index00 (0%)0 (0%)0.398#
1168 (57%)25 (52%)
277 (26%)17 (35%)
≥346 (17%)6 (13%)
uT-StageT0/Tis2 (1%)1 (2%)0.534#
T16 (2%)1 (2%)
T234 (12%)8 (17%)
T3195 (66%)29 (60%)
T430 (10%)3 (6%)
NA26 (9%)6 (13%)
uN-StageuN-61 (21%)10 (21%)0.949#
uN+203 (69%)33 (69%)
NA29 (10%)5 (10%)
cM-StagecM0254 (87%)43 (90%)0.775#
cMX/139 (13%)5 (10%)
GradingGX114 (38%)20 (42%)0.559#
G18 (3%)3 (6%)
G287 (30%)12 (25%)
G384 (29%)13 (27%)
Neoadjuvant Chemotherapy248 (85%)38 (79%)0.339#
Thereof: % FLOT239 (96%)37 (97%)
Neoadjuvant Chemoradiation45 (15%)10 (21%)
Thereof: % CROSS38 (84%)7 (70%)
Radiation Dosage (Gy) (n = 45)41.4 (41.4–41.4)41.4 (41.4–41.4)0.969*
Premature discontinuation of neoadjuvant treatment16 (6%)4 (8%)0.628#
Days from end of neoadjuvant treatment to surgery (n = 288)43 (35–57)43 (36–55)0.850*
RECIST 1.1CR/PR128 (63%)29 (81%)0.045#
Procedure2-Field-Esophagectomy177 (60%)37 (77%)0.405#
3-Field-Esophagectomy2 (1%)0 (0%)
Transhiatal-extended gastrectomy32 (11%)2 (4%)
Gastrectomy37 (13%)7 (15%)
Subtotal Gastrectomy30 (10%)1 (2%)
Gastrectomy+HIPEC13 (5%)1 (2%)
Esophagogastrectomy1 (0%)0 (0%)
CCI (n = 341)20.9 (0–40.6)22.6 (0–39.7)0.373*
Length of Hospital Stay (days) (n = 341)14.0 (11.0–18.0)15.0 (13.0–21.0)0.069*
Pathological T-StageypT08 (3%)48 (100%)<0.001#
ypT166 (22%)0 (0%)
ypT257 (20%)0 (0%)
ypT3138 (47%)0 (0%)
ypT424 (8%)0 (0%)
Pathological N-StageypN0147 (50%)48 (100%)<0.001#
ypN161 (21%)0 (0%)
ypN234 (12%)0 (0%)
ypN351 (17%)0 (0%)
Tumor regression in lymphnodes in pCR-patients(LN-/Reg+)/Grade ANA22 (46%)
(LN-/Reg-)NA26 (54%)
Postneoadjuvant M-StageyM0256 (87%)48 (100%)0.009#
ypM137 (13%)0 (0%)
R-StatusR0278 (95%)48 (100%)0.109#
R115 (5%)0 (0%)
Postoperative UICC-StageUICC-Stage 00 (0%)48 (100%)<0.001#
UICC-Stage I59 (20%)0 (0%)
UICC-Stage II92 (31%)0 (0%)
UICC-Stage III71 (24%)0 (0%)
UICC-Stage IV71 (24%)0 (0%)
Histopathologic RegressionGrade 1a - No residual tumor8 (3%)48 (100%)<0.001#
Grade 1b—Subtotal regression (<10% residual tumor)92 (31%)0 (0%)
Grade 2 – partial regression (10–50% residual tumor)88 (30%)0 (0%)
Grade 3 – no regression (>50% residual tumor)95 (33%)0 (0%)
Grade of regression not assessed10 (3%)0 (0%)
Adjuvant Treatment (% of patients receiving neoadjuvant CTx)Yes161 (73%)28 (74%)0.882#

*Mann–Whitney-U-test

#Pearson’s chi squared-test

Table 1

Comparison of EAC-patients with neoadjuvant treatment

Variablenon-CR (n = 293)pCR (n = 48)P-value
Age (years) (n = 341)63.0 (55.0–71.00)63.0 (57.5–72.8)0.626*
GenderFemale64 (22%)14 (29%)0.263#
Male229 (78%)34 (71%)
BMI (Kg/m2) (n = 341)25.5 (23.1–28.1)26.3 (23.8–28.7)0.134*
RCS Charlson-Index00 (0%)0 (0%)0.398#
1168 (57%)25 (52%)
277 (26%)17 (35%)
≥346 (17%)6 (13%)
uT-StageT0/Tis2 (1%)1 (2%)0.534#
T16 (2%)1 (2%)
T234 (12%)8 (17%)
T3195 (66%)29 (60%)
T430 (10%)3 (6%)
NA26 (9%)6 (13%)
uN-StageuN-61 (21%)10 (21%)0.949#
uN+203 (69%)33 (69%)
NA29 (10%)5 (10%)
cM-StagecM0254 (87%)43 (90%)0.775#
cMX/139 (13%)5 (10%)
GradingGX114 (38%)20 (42%)0.559#
G18 (3%)3 (6%)
G287 (30%)12 (25%)
G384 (29%)13 (27%)
Neoadjuvant Chemotherapy248 (85%)38 (79%)0.339#
Thereof: % FLOT239 (96%)37 (97%)
Neoadjuvant Chemoradiation45 (15%)10 (21%)
Thereof: % CROSS38 (84%)7 (70%)
Radiation Dosage (Gy) (n = 45)41.4 (41.4–41.4)41.4 (41.4–41.4)0.969*
Premature discontinuation of neoadjuvant treatment16 (6%)4 (8%)0.628#
Days from end of neoadjuvant treatment to surgery (n = 288)43 (35–57)43 (36–55)0.850*
RECIST 1.1CR/PR128 (63%)29 (81%)0.045#
Procedure2-Field-Esophagectomy177 (60%)37 (77%)0.405#
3-Field-Esophagectomy2 (1%)0 (0%)
Transhiatal-extended gastrectomy32 (11%)2 (4%)
Gastrectomy37 (13%)7 (15%)
Subtotal Gastrectomy30 (10%)1 (2%)
Gastrectomy+HIPEC13 (5%)1 (2%)
Esophagogastrectomy1 (0%)0 (0%)
CCI (n = 341)20.9 (0–40.6)22.6 (0–39.7)0.373*
Length of Hospital Stay (days) (n = 341)14.0 (11.0–18.0)15.0 (13.0–21.0)0.069*
Pathological T-StageypT08 (3%)48 (100%)<0.001#
ypT166 (22%)0 (0%)
ypT257 (20%)0 (0%)
ypT3138 (47%)0 (0%)
ypT424 (8%)0 (0%)
Pathological N-StageypN0147 (50%)48 (100%)<0.001#
ypN161 (21%)0 (0%)
ypN234 (12%)0 (0%)
ypN351 (17%)0 (0%)
Tumor regression in lymphnodes in pCR-patients(LN-/Reg+)/Grade ANA22 (46%)
(LN-/Reg-)NA26 (54%)
Postneoadjuvant M-StageyM0256 (87%)48 (100%)0.009#
ypM137 (13%)0 (0%)
R-StatusR0278 (95%)48 (100%)0.109#
R115 (5%)0 (0%)
Postoperative UICC-StageUICC-Stage 00 (0%)48 (100%)<0.001#
UICC-Stage I59 (20%)0 (0%)
UICC-Stage II92 (31%)0 (0%)
UICC-Stage III71 (24%)0 (0%)
UICC-Stage IV71 (24%)0 (0%)
Histopathologic RegressionGrade 1a - No residual tumor8 (3%)48 (100%)<0.001#
Grade 1b—Subtotal regression (<10% residual tumor)92 (31%)0 (0%)
Grade 2 – partial regression (10–50% residual tumor)88 (30%)0 (0%)
Grade 3 – no regression (>50% residual tumor)95 (33%)0 (0%)
Grade of regression not assessed10 (3%)0 (0%)
Adjuvant Treatment (% of patients receiving neoadjuvant CTx)Yes161 (73%)28 (74%)0.882#
Variablenon-CR (n = 293)pCR (n = 48)P-value
Age (years) (n = 341)63.0 (55.0–71.00)63.0 (57.5–72.8)0.626*
GenderFemale64 (22%)14 (29%)0.263#
Male229 (78%)34 (71%)
BMI (Kg/m2) (n = 341)25.5 (23.1–28.1)26.3 (23.8–28.7)0.134*
RCS Charlson-Index00 (0%)0 (0%)0.398#
1168 (57%)25 (52%)
277 (26%)17 (35%)
≥346 (17%)6 (13%)
uT-StageT0/Tis2 (1%)1 (2%)0.534#
T16 (2%)1 (2%)
T234 (12%)8 (17%)
T3195 (66%)29 (60%)
T430 (10%)3 (6%)
NA26 (9%)6 (13%)
uN-StageuN-61 (21%)10 (21%)0.949#
uN+203 (69%)33 (69%)
NA29 (10%)5 (10%)
cM-StagecM0254 (87%)43 (90%)0.775#
cMX/139 (13%)5 (10%)
GradingGX114 (38%)20 (42%)0.559#
G18 (3%)3 (6%)
G287 (30%)12 (25%)
G384 (29%)13 (27%)
Neoadjuvant Chemotherapy248 (85%)38 (79%)0.339#
Thereof: % FLOT239 (96%)37 (97%)
Neoadjuvant Chemoradiation45 (15%)10 (21%)
Thereof: % CROSS38 (84%)7 (70%)
Radiation Dosage (Gy) (n = 45)41.4 (41.4–41.4)41.4 (41.4–41.4)0.969*
Premature discontinuation of neoadjuvant treatment16 (6%)4 (8%)0.628#
Days from end of neoadjuvant treatment to surgery (n = 288)43 (35–57)43 (36–55)0.850*
RECIST 1.1CR/PR128 (63%)29 (81%)0.045#
Procedure2-Field-Esophagectomy177 (60%)37 (77%)0.405#
3-Field-Esophagectomy2 (1%)0 (0%)
Transhiatal-extended gastrectomy32 (11%)2 (4%)
Gastrectomy37 (13%)7 (15%)
Subtotal Gastrectomy30 (10%)1 (2%)
Gastrectomy+HIPEC13 (5%)1 (2%)
Esophagogastrectomy1 (0%)0 (0%)
CCI (n = 341)20.9 (0–40.6)22.6 (0–39.7)0.373*
Length of Hospital Stay (days) (n = 341)14.0 (11.0–18.0)15.0 (13.0–21.0)0.069*
Pathological T-StageypT08 (3%)48 (100%)<0.001#
ypT166 (22%)0 (0%)
ypT257 (20%)0 (0%)
ypT3138 (47%)0 (0%)
ypT424 (8%)0 (0%)
Pathological N-StageypN0147 (50%)48 (100%)<0.001#
ypN161 (21%)0 (0%)
ypN234 (12%)0 (0%)
ypN351 (17%)0 (0%)
Tumor regression in lymphnodes in pCR-patients(LN-/Reg+)/Grade ANA22 (46%)
(LN-/Reg-)NA26 (54%)
Postneoadjuvant M-StageyM0256 (87%)48 (100%)0.009#
ypM137 (13%)0 (0%)
R-StatusR0278 (95%)48 (100%)0.109#
R115 (5%)0 (0%)
Postoperative UICC-StageUICC-Stage 00 (0%)48 (100%)<0.001#
UICC-Stage I59 (20%)0 (0%)
UICC-Stage II92 (31%)0 (0%)
UICC-Stage III71 (24%)0 (0%)
UICC-Stage IV71 (24%)0 (0%)
Histopathologic RegressionGrade 1a - No residual tumor8 (3%)48 (100%)<0.001#
Grade 1b—Subtotal regression (<10% residual tumor)92 (31%)0 (0%)
Grade 2 – partial regression (10–50% residual tumor)88 (30%)0 (0%)
Grade 3 – no regression (>50% residual tumor)95 (33%)0 (0%)
Grade of regression not assessed10 (3%)0 (0%)
Adjuvant Treatment (% of patients receiving neoadjuvant CTx)Yes161 (73%)28 (74%)0.882#

*Mann–Whitney-U-test

#Pearson’s chi squared-test

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