Evidence map›Paper›PMID 30642296›Full record

ArticleBMC cancer2019

Evaluation of effectiveness of the PlasmaJet surgical device in the treatment of advanced stage ovarian cancer (PlaComOv-study): study protocol of a randomized controlled trial in the Netherlands.

G M Nieuwenhuyzen-de Boer, W Hofhuis, N Reesink-Peters, P C Ewing-Graham, I G Schoots, J J Beltman, J M J Piek, A Baalbergen, G S Kooi, A van Haaften and 4 more

Open access · goldAbstract read
In one paragraph

Article in BMC cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 8% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
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

14 authors at 11 institutions in 1 country.

G M Nieuwenhuyzen-de BoerDepartment of Gynaecologic Oncology, Erasmus MC Cancer Institute, P.O. Box 2040, 3000, CA, Rotterdam, The Netherlands. g.nieuwenhuyzen-deboer@erasmusmc.nl.ORCID http://orcid.org/0000-0001-7074-6201
W HofhuisDepartment of Obstetrics and Gynaecology, Franciscus Gasthuis and Vlietland, Rotterdam, The Netherlands.
N Reesink-PetersDepartment of Obstetrics and Gynaecology, Medisch Spectrum Twente, Enschede, The Netherlands.
P C Ewing-GrahamDepartment of Pathology, Erasmus MC Cancer Institute, Rotterdam, The Netherlands.
I G SchootsDepartment of Radiology & Nuclear Medicine, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
J J BeltmanDepartment of Obstetrics and Gynaecology, Leids University Medical Centre, Leiden, The Netherlands.
J M J PiekDepartment of Obstetrics and Gynaecology, Catharina Cancer Institute, Eindhoven, The Netherlands.
A BaalbergenDepartment of Obstetrics and Gynaecology, Reinier de Graaf Gasthuis, Delft, The Netherlands.
G S KooiDepartment of Obstetrics and Gynaecology, Albert Schweitzer Hospital, Dordrecht, The Netherlands.
A van HaaftenDepartment of Obstetrics and Gynaecology, Haga Hospital, The Hague, The Netherlands.
H van HuisselingDepartment of Obstetrics and Gynaecology, Groene Hart Hospital, Gouda, The Netherlands.
L HaansDepartment of Obstetrics and Gynaecology, Haags Medical Centre, The Hague, The Netherlands.
M DormanDepartment of Obstetrics and Gynaecology, Bravis Hospital, Bergen op Zoom, The Netherlands.
H J van BeekhuizenDepartment of Gynaecologic Oncology, Erasmus MC Cancer Institute, Rotterdam, The Netherlands.
Erasmus MC Cancer Institute · NLAlbert Schweitzer Ziekenhuis · NLBravis Ziekenhuis · NLErasmus MC · NLGroene Hart Ziekenhuis · NLHaga Hospital · NLLeiden University Medical Center · NLMedisch Spectrum Twente · NLRadboud University Nijmegen · NLReinier de Graaf Hospital · NLSint Franciscus Gasthuis · NL

Funding

ZonMw 843001805
6 · The paper itself

Abstract

backgroundThe most important goal for survival benefit of advanced stage ovarian cancer is to surgically remove all visible tumour, because complete cytoreductive surgery (CCS) has been shown to be associated with prolonged survival. In a remarkable number of women, CCS is very challenging. Especially in women with many small metastases on the peritoneum and intestinal surface, conventional CCS with electrosurgery is not able to be "complete" in removing safely all visible tumour. In this randomized controlled trail (RCT) we investigate whether the use of the PlasmaJet Surgical Device increases the rate of CCS, and whether this indeed leads to a longer progression free and overall survival. The main research question is: does the use of the PlasmaJet Surgical Device in surgery for advanced stage ovarian cancer result in an increased number of complete cytoreductive surgeries when compared with conventional surgical techniques. Secondary study objectives are: 30-day morbidity, duration of surgery, blood loss, length of hospitalisation, Quality of Life, disease-free survival, overall survival, percentage colostomy, cost-effectiveness.

methodsThe study design is a multicentre single-blinded superiority RCT in two university and nine non-university hospitals in The Netherlands. Three hundred and thirty women undergoing cytoreductive surgery for advanced stage ovarian carcinoma (FIGO Stage IIIB-IV) will be randomized into two arms: use of the PlasmaJet (intervention group) versus the use of standard surgical instruments combined with electrocoagulation (control group). The primary outcome is the rate of complete cytoreductive surgery in both groups. Secondary study objectives are: 30-day morbidity, duration of surgery, blood loss, length of hospitalisation, Quality of Life, disease-free survival, overall survival, percentage colostomy, cost-effectiveness. Quality of life will be evaluated using validated questionnaires at baseline, at 1 and 6 months after surgery and at 1, 2, 3 and 4 years after surgery. DISCUSSION: We hypothesize the additional value of the use of the PlasmaJet in CCS for advanced stage epithelial ovarian cancer. More knowledge about efficacy, side effects, recurrence rates, cost effectiveness and pathology findings after using the PlasmaJet Device is advocated. This RCT may aid in this void.

trial registrationDutch Trial Register NTR6624 . Registered 18 August 2017. Medical Ethical Committee approval number: NL62035.078.17 (Medical Ethical Committee Erasmus Medical Centre Rotterdam).

Indexed as

Cytoreduction Surgical ProceduresCost-Benefit AnalysisFemaleHumansNeoplasm MetastasisNeoplasm StagingNetherlandsOvarian NeoplasmsQuality of LifeTreatment OutcomeCost-effectivenessCytoreductive surgeryHistologyOvarian cancerPlasmaJet deviceQuality of life

Identifiers

PMID30642296
PMCPMC6332622
OpenAlexW2923272372

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.