Evidence map›Paper›PMID 30740951›Full record

ArticleJournal of gynecologic oncology2019

Role of adjuvant chemotherapy in the management of non-granulosa cell ovarian sex cord-stromal tumors.

Dimitrios Nasioudis, Theofano Orfanelli, Melissa K Frey, Eloise Chapman-Davis, Thomas A Caputo, Steven S Witkin, Kevin Holcomb

Open access · diamondAbstract read
In one paragraph

Article in Journal of gynecologic oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.7field-weighted citation impact, top 15% 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, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Development and Validation of a Prognostic Prediction Model for Postoperative Ovarian Sex Cord-Stromal Tumor Patients.Medical science monitor : international medical journal of experimental and clinical research · 2020
    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

7 authors at 3 institutions in 1 country.

Dimitrios NasioudisDepartment of Obstetrics and Gynecology, Hospital of the University of Pennsylvania, Philadelphia, PA, USA. dimitrios.nasioudis@uphs.upenn.edu.ORCID https://orcid.org/0000-0001-6260-5353
Theofano OrfanelliDepartment of Obstetrics, Gynecology, and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID https://orcid.org/0000-0002-0920-2667
Melissa K FreyDepartment of Obstetrics and Gynecology, Weill Cornell Medicine, New York, NY, USA.ORCID https://orcid.org/0000-0002-6705-1211
Eloise Chapman-DavisDepartment of Obstetrics and Gynecology, Weill Cornell Medicine, New York, NY, USA.ORCID https://orcid.org/0000-0002-1349-8579
Thomas A CaputoDepartment of Obstetrics and Gynecology, Weill Cornell Medicine, New York, NY, USA.ORCID https://orcid.org/0000-0001-5941-8872
Steven S WitkinDepartment of Obstetrics and Gynecology, Weill Cornell Medicine, New York, NY, USA.ORCID https://orcid.org/0000-0002-3502-3929
Kevin HolcombDepartment of Obstetrics and Gynecology, Weill Cornell Medicine, New York, NY, USA.ORCID https://orcid.org/0000-0002-6916-5271
Cornell University · USHospital of the University of Pennsylvania · USIcahn School of Medicine at Mount Sinai · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the role of adjuvant chemotherapy (CT) in the management of ovarian non-granulosa cell (GC) sex cord-stromal tumors (SCSTs).

methodsThe National Cancer Database was accessed and patients diagnosed between 2004 and 2013 with a malignant non-GC SCST were selected. Overall survival (OS) was evaluated with Kaplan-Meier curves and compared with the log-rank test. Multivariate survival analysis was performed with Cox regression. Factors associated with the administration of CT were evaluated with the chi-square test and binary logistic regression.

resultsA total of 391 patients were identified. The majority had a Sertoli-Leydig cell tumor (SLCT) (73.2%) and early stage disease (84.8%). A total of 203 (51.9%) patients received CT. Advanced disease stage, younger age, high-grade histology, White race, large tumor size and SLCT histology were associated with administration of CT. For patients with early stage disease, there was no difference in OS between those who did (n=134) and did not receive CT (n=157), p=0.40; 5-year OS rates were 81.7% and 84.6%, respectively. No mortality benefit was observed (hazard ratio=0.73; 95% confidence interval=0.38-1.4) after controlling for tumor histology. Median OS of women with advanced stage disease who received CT (n=41) was 34.96 months compared to 15.51 months for those who did not (n=11), p=0.013.

conclusionAdjuvant CT was associated with improved survival for patients with advanced stage non-GC SCSTs. No clear benefit was found for those with early stage disease.

Indexed as

AdultChemotherapy, AdjuvantDatabases, FactualFemaleHumansKaplan-Meier EstimateLymphatic MetastasisMultivariate AnalysisOvarian NeoplasmsRacial GroupsSex Cord-Gonadal Stromal TumorsUnited StatesChemotherapyOvarian CancerSex Cord-stromal Tumor

Identifiers

PMID30740951
PMCPMC6393626
OpenAlexW2901598164

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.