Evidence map›Paper›PMID 28807367›Full record

ArticleGynecologic oncology2017

An evaluation of progression free survival and overall survival of ovarian cancer patients with clear cell carcinoma versus serous carcinoma treated with platinum therapy: An NRG Oncology/Gynecologic Oncology Group experience.

Kate E Oliver, William E Brady, Michael Birrer, David M Gershenson, Gini Fleming, Larry J Copeland, Krishnansu Tewari, Peter A Argenta, Robert S Mannel, Angeles Alvarez Secord and 9 more

Open access · greenAbstract readComparative Study
In one paragraph

Article in Gynecologic oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed
8.2field-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

60 citing papers in PubMed, 98 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 19 institutions in 2 countries.

Kate E OliverDivision of Gynecologic Oncology, Department of Obstetrics and Gynecology, Naval Medical Center Portsmouth, 620 John Paul Jones Cir, Portsmouth, VA 23708, United States. Electronic address: kate.e.oliver.mil@mail.mil.
William E BradyNRG Oncology Statistics and Data Management Center, Roswell Park Cancer Institute, Buffalo, NY 14263, United States. Electronic address: bbrady@gogstats.org.
Michael BirrerMassachusetts General Hospital, Boston, MA 02114, United States. Electronic address: MBIRRER@mgh.harvard.edu.
David M GershensonDepartment of Gynecologic Oncology, University of Texas, MD Anderson Cancer Center, Houston, TX, United States. Electronic address: dgershen@mdanderson.org.
Gini FlemingUniversity of Chicago, 5841 S. Maryland Avenue, Chicago, IL, United States. Electronic address: gfleming@medicine.bsd.uchicago.edu.
Larry J CopelandThe Ohio State University, Columbus, OH, United States. Electronic address: larry.copeland@osumc.edu.
Krishnansu TewariObstetrics-Gynecology, University of California, Irvine, Orange, CA, United States. Electronic address: ktewari@uci.edu.
Peter A ArgentaUniversity of Minnesota Medical Center, Minneapolis, MN, United States. Electronic address: argenta@umn.edu.
Robert S MannelUniversity of Oklahoma Health Sciences Center, Oklahoma City, OK, United States. Electronic address: robert-mannel@ouhsc.edu.
Angeles Alvarez SecordGynecologic Oncology, Duke Medical Center, Durham, NC, United States. Electronic address: angeles.secord@duke.edu.
Jean-Marie StephanUniversity of Iowa Hospitals and Clinics, Iowa City, IA, United States. Electronic address: jean-marie-stephan@uiowa.edu.
David G MutchWashington University, United States. Electronic address: mutchd@wudosis.wustl.edu.
Frederick B StehmanIndiana University Hospital, Indianapolis, IN, United States. Electronic address: fstehman@iupui.edu.
Franco M MuggiaNYU Clinical Cancer Center, New York, NY, United States. Electronic address: franco.muggia@nyumc.org.
Peter G RoseCleveland Clinic, Cleveland, OH, United States. Electronic address: rosep@ccf.org.
Deborah K ArmstrongMedical Oncology and Gynecology and Obstetrics, Johns Hopkins Kimmel Cancer Center, Baltimore, MD, United States. Electronic address: ARMSTDE@jhmi.edu.
Michael A BookmanUS Oncology Research and Arizona Oncology, Tucson, AZ, United States. Electronic address: Michael.bookman@usoncology.com.
Robert A BurgerUniversity of Pennsylvania, Abramson Cancer Center, Philadelphia, PA, United States. Electronic address: Robert.burger@uphs.upenn.edu.
John H FarleyDepartment of Obstetrics and Gynecology, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, United States. Electronic address: John.farley@chw.edu.
Arizona Oncology · USCleveland Clinic · USDuke Medical Center · USIndiana University Hospital · USMassachusetts General Hospital · USNaval Medical Center Portsmouth · USNew York University · USRobert Morris University · USRoswell Park Comprehensive Cancer Center · USSidney Kimmel Cancer Center · USThe Ohio State University · USThe University of Texas MD Anderson Cancer Center · USUniformed Services University of the Health Sciences · USUniversity of California, Irvine · USUniversity of Chicago · USUniversity of Iowa Hospitals and Clinics · USUniversity of Minnesota Medical Center · USUniversity of Oklahoma Health Sciences Center · USWesley University · NG

Funding

NRG Oncology Network Group Operations Center - GY9 BIQSFP Reports/BudgetsU10CA180868 · NCI · NRG ONCOLOGY FOUNDATION, INC. · PI NORMAN WOLMARK · 2014 to 2026
$206.8M
Statistics CoreU10CA180822 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Elaina Harper · 2014 to 2026
$146.4M
GYNECOLOGIC ONCOLOGY GROUP HEADQUARTERSU10CA027469 · NCI · GYNECOLOGIC ONCOLOGY GROUP · PI DISAIA, PHILIP J. · 1985 to 2013
$132.6M
Women's CancerP30CA077598 · NCI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI Douglas Yee · 1998 to 2026
$100.4M
GYNECOLOGIC ONCOLOGY GROUP STATISTICAL OFFICEU10CA037517 · NCI · ROSWELL PARK CANCER INSTITUTE CORP · PI BLESSING, JOHN A · 1985 to 2013
$67.4M
GYNECOLOGIC ONCOLOGY GROUPU10CA101165 · NCI · GYNECOLOGIC ONCOLOGY GROUP · PI DISAIA, PHILIP J. · 2003 to 2014
$43.1M
Washington University/ Siteman Cancer Center Lead Academic SiteU10CA180833 · NCI · WASHINGTON UNIVERSITY · PI BARTLETT, NANCY L, KOZOWER, BENJAMIN D · 2014 to 2018
$7.6M
Lead Academic Participating Site for the Development and Conduct of NCTN TrialsU10CA180798 · NCI · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI MANNEL, ROBERT S., MOORE, KATHLEEN N. · 2014 to 2018
$6.7M
NCTN Lead Academic Participating Site at Dana-Farber/Partners Cancer CareU10CA180867 · NCI · DANA-FARBER CANCER INST · PI BURSTEIN, HAROLD JOHN, KIBEL, ADAM S · 2014 to 2018
$6.2M
NCTN LAPS at Johns HopkinsUG1CA233196 · NCI · JOHNS HOPKINS UNIVERSITY · PI DEBORAH K ARMSTRONG, Julie Renee Brahmer · 2019 to 2026
$4.6M
Johns Hopkins University NCTN Lead Academic Site ProgramU10CA180802 · NCI · JOHNS HOPKINS UNIVERSITY · PI ARMSTRONG, DEBORAH K, BRAHMER, JULIE RENEE · 2014 to 2018
$3.3M
NCI NIH HHS P30 CA077598NCI NIH HHS U10 CA027469NCI NIH HHS U10 CA037517NCI NIH HHS U10 CA101165NCI NIH HHS U10 CA180798NCI NIH HHS U10 CA180802NCI NIH HHS U10 CA180822NCI NIH HHS U10 CA180833NCI NIH HHS U10 CA180867NCI NIH HHS U10 CA180868NCI NIH HHS UG1 CA233196
6 · The paper itself

Abstract

purposeWe examined disparities in prognosis between patients with ovarian clear cell carcinoma (OCCC) and serous epithelial ovarian cancer (SOC).

methodsWe reviewed data from FIGO stage I-IV epithelial ovarian cancer patients who participated in 12 prospective randomized GOG protocols. Proportional hazards models were used to compare progression-free survival (PFS) and overall survival (OS) by cell type (clear cell versus serous).

resultsThere were 10,803 patients enrolled, 9531 were eligible, evaluable and treated with platinum, of whom 544 (6%) had OCCC, 7054 (74%) had SOC, and 1933 (20%) had other histologies and are not included further. In early stage (I-II) patients, PFS was significantly better in OCCC than in SOC patients. For late stage (III, IV) patients, OCCC had worse PFS and OS compared to SOC, OS HR=1.66 (1.43, 1.91; p<0.001). After adjusting for age and stratifying by protocol and treatment arm, stage, performance status, and race, OCCC had a significantly decreased OS, HR=1.53 (1.33, 1.76; p<0.001). In early stage cases, there was a significantly decreased treatment effect on PFS for consolidative therapy with weekly Paclitaxel versus observation in OCCC compared to SOC (p=0.048).

conclusionsThis is one of the largest analyses to date of OCCC treated on multiple cooperative group trials. OCCC histology is more common than SOC in early stage disease. When adjusted for prognostic factors, in early stage patients, PFS was better for OCCC than for SOC; however, in late-stage patients, OCCC was significantly associated with decreased OS. Finally, treatment effect was influenced by histology.

Indexed as

Adenocarcinoma, Clear CellAdultAgedAntineoplastic Combined Chemotherapy ProtocolsCarboplatinCystadenocarcinoma, SerousDisease-Free SurvivalFemaleHumansMiddle AgedNeoplasm StagingOvarian NeoplasmsPaclitaxelPrognosisProportional Hazards ModelsRandomized Controlled Trials as TopicCarboplatinPaclitaxelCancerClear cellHistologyOvarianSurvival

Identifiers

PMID28807367
PMCPMC5697899
OpenAlexW2749809681

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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.