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Quimioterapia y radioterapia adyuvante después de la cirugía para el carcinosarcoma uterino

Appendices

Appendix 1. MEDLINE search strategy

Medline 1950 to November 2012

  1. exp Uterine Neoplasms/

  2. (uter* or endometri*).mp.

  3. 1 or 2

  4. exp Carcinosarcoma/

  5. carcinosarcoma*.mp.

  6. Mixed Tumor, Mullerian/

  7. Mixed Tumor, Mesodermal/

  8. (mixed and tumo* and (mullerian or mesodermal)).mp.

  9. 4 or 5 or 6 or 7 or 8

  10. 3 and 9

  11. exp Radiotherapy/

  12. radiotherap*.mp.

  13. radiation.mp.

  14. radiotherapy.fs.

  15. 11 or 12 or 13 or 14

  16. exp Antineoplastic Agents/

  17. Antineoplastic Combined Chemotherapy Protocols/

  18. Chemotherapy, Adjuvant/

  19. chemotherap*.mp.

  20. drug therapy.fs.

  21. 16 or 17 or 18 or 19 or 20

  22. 15 or 21

  23. 10 and 22

key: mp=title, original title, abstract, name of substance word, subject heading word, unique identifier, fs=floating subheading

Appendix 2. EMBASE search strategy

Embase Ovid 1980 to November 2012

  1. exp uterus cancer/

  2. (uter* or endometr*).mp.

  3. 1 or 2

  4. exp mixed tumor/

  5. carcinosarcoma.mp.

  6. (mixed and tumo* and (mullerian or mesodermal)).mp.

  7. 4 or 5 or 6

  8. 3 and 7

  9. cancer radiotherapy/

  10. exp radiotherapy/

  11. radiotherap*.mp.

  12. radiation.mp.

  13. rt.fs.

  14. 9 or 10 or 11 or 12 or 13

  15. exp chemotherapy/

  16. exp antineoplastic agent/

  17. combination chemotherapy/

  18. chemotherap*.mp.

  19. dt.fs.

  20. 15 or 16 or 17 or 18 or 19

  21. 14 or 20

  22. 8 and 21

key: mp=title, abstract, subject headings, heading word, drug trade name, original title, device manufacturer, drug manufacturer name, fs=floating subheading

Appendix 3. CENTRAL search strategy

CENTRAL Issue 10, 2012

  1. MeSH descriptor Uterine Neoplasms explode all trees

  2. uter* or endometri*

  3. (#1 OR #2)

  4. MeSH descriptor Carcinosarcoma explode all trees

  5. carcinosarcoma*

  6. MeSH descriptor Mixed Tumor, Mullerian explode all trees

  7. MeSH descriptor Mixed Tumor, Mesodermal explode all trees

  8. mixed and tumo* and (mullerian or mesodermal)

  9. (#4 OR #5 OR #6 OR #7 OR #8)

  10. (#3 AND #9)

  11. MeSH descriptor Radiotherapy explode all trees

  12. radiotherap*

  13. radiation

  14. Any MeSH descriptor with qualifier: RT

  15. (#11 OR #12 OR #13 OR #14)

  16. MeSH descriptor Antineoplastic Agents explode all trees

  17. MeSH descriptor Antineoplastic Combined Chemotherapy Protocols explode all trees

  18. MeSH descriptor Chemotherapy, Adjuvant explode all trees

  19. chemotherap*

  20. Any MeSH descriptor with qualifier: DT

  21. (#16 OR #17 OR #18 OR #19 OR #20)

  22. (#15 OR #21)

  23. (#10 AND #22)

Methodological quality summary: review authors' judgements about each methodological quality item for each included study.
Figuras y tablas -
Figure 1

Methodological quality summary: review authors' judgements about each methodological quality item for each included study.

Methodological quality graph: review authors' judgements about each methodological quality item presented as percentages across all included studies.
Figuras y tablas -
Figure 2

Methodological quality graph: review authors' judgements about each methodological quality item presented as percentages across all included studies.

Comparison 1 Combination therapy versus Ifosfamide, Outcome 1 Overall survival.
Figuras y tablas -
Analysis 1.1

Comparison 1 Combination therapy versus Ifosfamide, Outcome 1 Overall survival.

Comparison 1 Combination therapy versus Ifosfamide, Outcome 2 Progression‐free survival.
Figuras y tablas -
Analysis 1.2

Comparison 1 Combination therapy versus Ifosfamide, Outcome 2 Progression‐free survival.

Comparison 1 Combination therapy versus Ifosfamide, Outcome 3 G3‐4 Nausea/vomiting.
Figuras y tablas -
Analysis 1.3

Comparison 1 Combination therapy versus Ifosfamide, Outcome 3 G3‐4 Nausea/vomiting.

Comparison 1 Combination therapy versus Ifosfamide, Outcome 4 Diarrhoea and other GI.
Figuras y tablas -
Analysis 1.4

Comparison 1 Combination therapy versus Ifosfamide, Outcome 4 Diarrhoea and other GI.

Comparison 1 Combination therapy versus Ifosfamide, Outcome 5 Haematological.
Figuras y tablas -
Analysis 1.5

Comparison 1 Combination therapy versus Ifosfamide, Outcome 5 Haematological.

Comparison 1 Combination therapy versus Ifosfamide, Outcome 6 Genitourinary.
Figuras y tablas -
Analysis 1.6

Comparison 1 Combination therapy versus Ifosfamide, Outcome 6 Genitourinary.

Comparison 1 Combination therapy versus Ifosfamide, Outcome 7 Cardiovascular.
Figuras y tablas -
Analysis 1.7

Comparison 1 Combination therapy versus Ifosfamide, Outcome 7 Cardiovascular.

Comparison 1 Combination therapy versus Ifosfamide, Outcome 8 Hepatic.
Figuras y tablas -
Analysis 1.8

Comparison 1 Combination therapy versus Ifosfamide, Outcome 8 Hepatic.

Comparison 1 Combination therapy versus Ifosfamide, Outcome 9 Neuropathy.
Figuras y tablas -
Analysis 1.9

Comparison 1 Combination therapy versus Ifosfamide, Outcome 9 Neuropathy.

Comparison 2 Whole body irradiation versus chemotherapy, Outcome 1 Overall survival.
Figuras y tablas -
Analysis 2.1

Comparison 2 Whole body irradiation versus chemotherapy, Outcome 1 Overall survival.

Comparison 2 Whole body irradiation versus chemotherapy, Outcome 2 Progression‐free survival.
Figuras y tablas -
Analysis 2.2

Comparison 2 Whole body irradiation versus chemotherapy, Outcome 2 Progression‐free survival.

Comparison 2 Whole body irradiation versus chemotherapy, Outcome 3 G3‐4 Gastrointestinal.
Figuras y tablas -
Analysis 2.3

Comparison 2 Whole body irradiation versus chemotherapy, Outcome 3 G3‐4 Gastrointestinal.

Comparison 2 Whole body irradiation versus chemotherapy, Outcome 4 Haematological.
Figuras y tablas -
Analysis 2.4

Comparison 2 Whole body irradiation versus chemotherapy, Outcome 4 Haematological.

Comparison 2 Whole body irradiation versus chemotherapy, Outcome 5 Genitourinary.
Figuras y tablas -
Analysis 2.5

Comparison 2 Whole body irradiation versus chemotherapy, Outcome 5 Genitourinary.

Comparison 2 Whole body irradiation versus chemotherapy, Outcome 6 Cardiovascular.
Figuras y tablas -
Analysis 2.6

Comparison 2 Whole body irradiation versus chemotherapy, Outcome 6 Cardiovascular.

Comparison 2 Whole body irradiation versus chemotherapy, Outcome 7 Hepatic.
Figuras y tablas -
Analysis 2.7

Comparison 2 Whole body irradiation versus chemotherapy, Outcome 7 Hepatic.

Comparison 2 Whole body irradiation versus chemotherapy, Outcome 8 Neuropathy.
Figuras y tablas -
Analysis 2.8

Comparison 2 Whole body irradiation versus chemotherapy, Outcome 8 Neuropathy.

Comparison 1. Combination therapy versus Ifosfamide

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Overall survival Show forest plot

2

373

Hazard Ratio (Random, 95% CI)

0.75 [0.60, 0.94]

2 Progression‐free survival Show forest plot

2

373

Hazard Ratio (Random, 95% CI)

0.72 [0.58, 0.90]

3 G3‐4 Nausea/vomiting Show forest plot

2

365

Risk Ratio (IV, Random, 95% CI)

3.53 [1.33, 9.37]

4 Diarrhoea and other GI Show forest plot

2

365

Risk Ratio (IV, Random, 95% CI)

1.51 [0.31, 7.52]

5 Haematological Show forest plot

2

365

Risk Ratio (IV, Random, 95% CI)

1.56 [0.84, 2.90]

6 Genitourinary Show forest plot

2

365

Risk Ratio (IV, Random, 95% CI)

1.68 [0.54, 5.18]

7 Cardiovascular Show forest plot

2

365

Risk Ratio (IV, Random, 95% CI)

0.63 [0.13, 3.11]

8 Hepatic Show forest plot

1

174

Risk Ratio (IV, Random, 95% CI)

2.05 [0.73, 5.74]

9 Neuropathy Show forest plot

2

365

Risk Ratio (IV, Random, 95% CI)

1.59 [0.99, 2.55]

Figuras y tablas -
Comparison 1. Combination therapy versus Ifosfamide
Comparison 2. Whole body irradiation versus chemotherapy

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Overall survival Show forest plot

1

Hazard Ratio (Random, 95% CI)

Subtotals only

2 Progression‐free survival Show forest plot

1

Hazard Ratio (Random, 95% CI)

Subtotals only

3 G3‐4 Gastrointestinal Show forest plot

1

Risk Ratio (IV, Random, 95% CI)

Subtotals only

4 Haematological Show forest plot

1

Risk Ratio (IV, Random, 95% CI)

Subtotals only

5 Genitourinary Show forest plot

1

Risk Ratio (IV, Random, 95% CI)

Subtotals only

6 Cardiovascular Show forest plot

1

Risk Ratio (IV, Random, 95% CI)

Subtotals only

7 Hepatic Show forest plot

1

Risk Ratio (IV, Random, 95% CI)

Subtotals only

8 Neuropathy Show forest plot

1

Risk Ratio (IV, Random, 95% CI)

Subtotals only

Figuras y tablas -
Comparison 2. Whole body irradiation versus chemotherapy