Evidence map›Paper›PMID 30957067›Full record

Observational studyBJS open2019

Recurrence of pseudomyxoma peritonei after cytoreductive surgery and hyperthermic intraperitoneal chemotherapy.

F Mercier, F Dagbert, M Pocard, D Goéré, F Quenet, R Wernert, F Dumont, C Brigand, G Passot, O Glehen and 1 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in BJS open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

34 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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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

11 authors.

F MercierDepartment of Digestive Surgery, Centre Hospitalier Lyon Sud, Université Claude Bernard Lyon 1, Lyon, France.ORCID 0000-0003-0468-6778
F DagbertDepartment of Digestive Surgery, Centre Hospitalier Universitaire de Montreal, Montreal, Quebec, Canada.
M PocardSurgical Oncological and Digestive Unit, Lariboisière University Hospital, Paris, France.
D GoéréDepartment of Surgery, Gustave Roussy Institute, Villejuif, France.
F QuenetDepartment of Surgical Oncology, Institut du Cancer de Montpellier, Montpellier, France.
R WernertDepartment of Surgical Oncology, Institut de Cancérologie de l'Ouest (ICO) Paul Papin Cancer Centre, Angers, France.
F DumontDepartment of Surgical Oncology, ICO René Gauducheau Cancer Centre, St Herblain, France.
C BrigandDepartment of Digestive Surgery, Hautepierre University Hospital, Strasbourg, France.
G PassotDepartment of Digestive Surgery, Centre Hospitalier Lyon Sud, Université Claude Bernard Lyon 1, Lyon, France.ORCID 0000-0003-3094-3491
O GlehenDepartment of Digestive Surgery, Centre Hospitalier Lyon Sud, Université Claude Bernard Lyon 1, Lyon, France.
RENAPE Network

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Pseudomyxoma peritonei (PMP) is a rare clinical condition characterized by mucinous ascites, typically related to appendiceal or ovarian tumours. Current standard treatment involves cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC), but recurrences occur in 20-30 per cent of patients. The aim of this study was to define the timing and patterns of recurrence to provide a basis for modifying follow-up of these patients. Methods: This observational study examined a prospectively developed multicentre national database (RENAPE working group) to identify patients with recurrence after optimal CRS and HIPEC for PMP. Postoperative complications, long-term outcomes and potential prognostic factors were evaluated. Results: Of 1411 patients with proven PMP, 948 were identified who had undergone curative CRS and HIPEC. Among these patients, 229 first recurrences (24·2 per cent) were identified: 196 (20·7 per cent) occurred within the first 5 years (early recurrence) and 30 (3·2 per cent) occurred between 5 and 10 years. Three patients developed a first recurrence more than 10 years after the original treatment. The mean(s.d.) time to first recurrence was 2·36(2·21) years. Preoperative chemotherapy and high-grade pathology were significant factors for early recurrence. Overall survival for the entire group was 77·9 and 63·1 per cent at 5 and 10 years respectively. The principal site of recurrence was the peritoneum. Conclusion: Recurrence of PMP was rare after 5 years and exceptional after 10 years.

Indexed as

AdultAgedCombined Modality TherapyCytoreduction Surgical ProceduresDisease-Free SurvivalFemaleFollow-Up StudiesHumansHyperthermia, InducedKaplan-Meier EstimateMaleMiddle AgedNeoplasm Recurrence, LocalPeritoneal NeoplasmsPeritoneumPrognosis

Identifiers

PMID30957067
PMCPMC6433307

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.