Evidence map›Paper›PMID 27896512›Full record

Observational studyAnnals of surgical oncology2017

Cytoreduction (Peritonectomy Procedures) Combined with Hyperthermic Intraperitoneal Chemotherapy (HIPEC) in Advanced Ovarian Cancer: Retrospective Italian Multicenter Observational Study of 511 Cases.

Angelo Di Giorgio, Pierandrea De Iaco, Michele De Simone, Alfredo Garofalo, Giovanni Scambia, Antonio Daniele Pinna, Giorgio Maria Verdecchia, Luca Ansaloni, Antonio Macrì, Paolo Cappellini and 6 more

Open access · hybridAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Annals of surgical oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 4 pooled it
7.5field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 4 syntheses or guidelines pooled it, 97 citations in OpenAlex.

  1. Pooled it
  2. Correlation between progression-free survival and overall survival in patients with ovarian cancer after cytoreductive surgery: a systematic literature review.International journal of gynecological cancer : official journal of the International Gynecological Cancer Society · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 10 institutions in 1 country.

Angelo Di GiorgioDepartment of Surgery 'P. Valdoni', Sapienza University of Rome, Rome, Italy.
Pierandrea De IacoGeneral Surgery and Gynecologic Oncology Unit, Sant'Orsola Hospital, Bologna, Italy.
Michele De SimoneUnit of Surgical Oncology, Candiolo Cancer Institute, Turin, Italy.
Alfredo GarofaloDepartment of Surgery, Regina Elena National Cancer Institute, Rome, Italy.
Giovanni ScambiaDepartment of Obstetrics and Gynecology, Catholic University of the Sacred Heart, Rome, Italy.
Antonio Daniele PinnaGeneral Surgery and Gynecologic Oncology Unit, Sant'Orsola Hospital, Bologna, Italy.
Giorgio Maria VerdecchiaUnit of Surgery and Advanced Oncologic Therapies, Morgagni-Pierantoni Hospital, Forlì, Italy.
Luca AnsaloniGeneral Surgery Unit, Papa Giovanni XXIII Hospital, Bergamo, Italy.
Antonio MacrìDepartment of Human Pathology, University of Messina, Messina, Italy.
Paolo CappelliniGeneral Surgery Unit, San Giovanni di Dio Hospital, Florence, Italy.
Valerio CerianiGeneral Surgery UnitPoliclinico Polispecialistico Multimedica, Sesto San Giovanni, Italy.
Giorgio GiordaDepartment of Gynecological Oncology, CRO National Cancer Institute, Aviano, Italy.
Daniele BiacchiDepartment of Surgery 'P. Valdoni', Sapienza University of Rome, Rome, Italy.
Marco VairaUnit of Surgical Oncology, Candiolo Cancer Institute, Turin, Italy.
Mario ValleDepartment of Surgery, Regina Elena National Cancer Institute, Rome, Italy.
Paolo SammartinoDepartment of Surgery 'P. Valdoni', Sapienza University of Rome, Rome, Italy. paolo.sammartino@uniroma1.it.
Sapienza University of Rome · ITCandiolo Cancer Institute · ITPoliclinico S.Orsola-Malpighi · ITCentro di Riferimento Oncologico · ITMultiMedica · ITNuovo Ospedale San Giovanni di Dio · ITOspedale G.B. Morgagni - L.Pierantoni · ITOspedale Papa Giovanni XXIII · ITUniversità Cattolica del Sacro Cuore · ITUniversity of Messina · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this study was to help with the process of selecting patients with advanced ovarian cancer to undergo cytoreductive surgery (CRS) with hyperthermic intraperitoneal chemotherapy (HIPEC) by analyzing outcome data at distinct clinical time points reflecting the natural history of the disease.

methodsIn a retrospective Italian multicenter study investigating patients with advanced ovarian cancer who underwent CRS plus HIPEC between 1998 and 2014, we analyzed data for consecutive patients at eight treatment time points: primary debulking surgery (PDS); interval debulking surgery after partial response, after no response, and after a pathologic complete response to neoadjuvant chemotherapy; first recurrence with a progression-free interval >12, <12 months, or >12 months in patients who underwent further chemotherapy before CRS and HIPEC; and patients who underwent two or more CRS procedures and chemotherapy lines before CRS and HIPEC.

resultsThe 511 enrolled patients underwent 3373 procedures; 72.6% achieved complete cytoreduction, with an overall major morbidity of 17.4%. At a median follow-up of 53.8 months, overall survival (OS) was 54.2 months (95% confidence interval [CI] 44-58.4) and progression-free (PFS) survival was 16.6 months (95% CI 14.7-19.1). Outcome analysis in patients in whom CRS plus HIPEC was used for primary advanced cancer or recurrent ovarian cancer showed significant differences in OS and PFS according to the time points analyzed. Multivariate analysis identified completeness of CRS, Peritoneal Cancer Index, and the times when patients underwent CRS plus HIPEC as independent prognostic factors.

conclusionsThis selective information on survival should help in interpreting the findings from ongoing randomized studies focusing on CRS plus HIPEC in patients with advanced ovarian cancer.

Indexed as

Cytoreduction Surgical ProceduresHyperthermia, InducedAdultAgedAntineoplastic Combined Chemotherapy ProtocolsDisease-Free SurvivalFemaleHumansInfusions, ParenteralItalyMiddle AgedNeoplasm Recurrence, LocalNeoplasm, ResidualOvarian NeoplasmsPatient SelectionPeritoneal Neoplasms

Identifiers

PMID27896512
PMCPMC5339330
OpenAlexW2557603774

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.