Evidence map›Paper›PMID 31229298›Full record

SynthesisGynecologic oncology2019

Differences in presentation and survival of Asians compared to Caucasians with ovarian cancer: An NRG Oncology/GOG Ancillary study of 7914 patients.

Katherine C Fuh, James J Java, John K Chan, Daniel S Kapp, Bradley J Monk, Robert A Burger, Robert C Young, David S Alberts, William P McGuire, Maurie Markman and 6 more

Open access · greenAbstract readComparative StudyMeta-Analysis
In one paragraph

Synthesis in Gynecologic oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 pooled it
2.7field-weighted citation impact, top 11% 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

19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Neoadjuvant Chemotherapy for Newly Diagnosed, Advanced Ovarian Cancer: ASCO Guideline Update.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2025
    Guideline
  3. Pooled it
  4. Trial
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  6. Review
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  8. Review
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  11. Observational
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  14. Article
  15. Cancer-Specific Mortality in Asian American Women Diagnosed with Gynecologic Cancer: A Nationwide Population-Based Analysis.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2022
    Article
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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 15 institutions in 1 country.

Katherine C FuhDepartment of Gynecologic Oncology, Washington University, St Louis, MO 63110, USA. Electronic address: kfuh@wustl.edu.
James J JavaDepartment of Biostatistics and Computational Biology, University of Rochester Medical Center, Rochester, NY 14642, USA.
John K ChanDepartment of Gynecologic Oncology, California Pacific Medical Center/Sutter Cancer Research Consortium/Palo Alto Medical Foundation, San Francisco, CA 94118, USA. Electronic address: chanjohn@sutterhealth.org.
Daniel S KappDepartment of Radiation Oncology, Stanford University, Stanford, CA 94305, USA. Electronic address: kapp@reyes.stanford.edu.
Bradley J MonkDepartment of Gynecologic Oncology, Biltmore Cancer Center, Phoenix, AZ 85016, USA. Electronic address: Bradley.Monk@usoncology.com.
Robert A BurgerDepartment of Obstetrics and Gynecology, Division of Gynecologic Oncology, University of Pennsylvania, Philadelphia, PA 19104, USA. Electronic address: Robert.Burger@uphs.upenn.edu.
Robert C YoungRCY Consulting, Fox Chase Cancer Center, Philadelphia, PA 19111, USA. Electronic address: robert.young@rcymedicine.com.
David S AlbertsUniversity of Arizona, Tucson, AZ 85724, USA. Electronic address: DAlberts@uacc.arizona.edu.
William P McGuireVirginia Commonwealth University Massey Cancer Center, Richmond, VA 980037, USA. Electronic address: wpmcguire@vcu.edu.
Maurie MarkmanEastern Regional Medical Center, Meadowbrook, PA 19046, USA. Electronic address: Maurie.Markman@ctca-hope.com.
Jeffrey BellOhio Riverside Methodist Hospital, Columbus, OH 43214, USA.
Robert F OzolsFox Chase Cancer Center, New Hope, PA 18938, USA. Electronic address: robertozols@comcast.net.
Deborah K ArmstrongDepartment of Medical Oncology, Johns Hopkins Kimmel Cancer Center, Baltimore, MD 21287, USA. Electronic address: armstde@jhmi.edu.
Carol AghajanianMemorial Sloan Kettering, New York, NY 10065, USA. Electronic address: aghajanc@MSKCC.org.
Michael A BookmanKaiser Permanente, San Francisco, CA 94115, USA. Electronic address: Michael.a.bookman@kp.org.
Robert S MannelDepartment of Obstetrics and Gynecology, Peggy and Charles Stephenson Cancer Center - University of Oklahoma, Oklahoma City, OK 73104, USA. Electronic address: Robert-mannel@ouhsc.edu.
Fox Chase Cancer Center · USArizona Oncology · USCalifornia Pacific Medical Center · USEastern Regional Medical Center · USJohns Hopkins Medicine · USKaiser Permanente San Francisco Medical Center · USMemorial Sloan Kettering Cancer Center · USRiverside Methodist Hospital · USStanford University · USUniversity of Arizona · USUniversity of Oklahoma · USUniversity of Pennsylvania · USUniversity of Rochester Medical Center · USVirginia Commonwealth University · USWashington University in St. Louis · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
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 Mei-Yin C Polley · 2014 to 2026
$146.4M
NRG Oncology NCORP Research Base-BIQSFPUG1CA189867 · NCI · NRG ONCOLOGY FOUNDATION, INC. · PI Deborah Watkins Bruner, Lisa A. Kachnic · 2014 to 2026
$140.5M
GYNECOLOGIC ONCOLOGY GROUP HEADQUARTERSU10CA027469 · NCI · GYNECOLOGIC ONCOLOGY GROUP · PI DISAIA, PHILIP J. · 1985 to 2013
$132.6M
GYNECOLOGIC ONCOLOGY GROUP STATISTICAL OFFICEU10CA037517 · NCI · ROSWELL PARK CANCER INSTITUTE CORP · PI BLESSING, JOHN A · 1985 to 2013
$67.4M
A Lead Academic Participating Site in Oklahoma for the Design and Conduct of NCTN Clinical TrialsUG1CA233193 · NCI · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI Muhammad Furqan · 2019 to 2026
$13.7M
Network Lead Academic Participating Site: Memorial Sloan Kettering Cancer CenterUG1CA233290 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI CAROL AGHAJANIAN, Darren Feldman · 2019 to 2026
$10.2M
NCI NIH HHS P30 CA008748NCI NIH HHS U10 CA027469NCI NIH HHS U10 CA037517NCI NIH HHS U10 CA180822NCI NIH HHS U10 CA180868NCI NIH HHS UG1 CA189867NCI NIH HHS UG1 CA233193NCI NIH HHS UG1 CA233290
6 · The paper itself

Abstract

purposeTo compare patient/tumor characteristics and outcomes of Asians to Caucasian patients with epithelial ovarian cancer.

methodsAncillary data were pooled and analyzed from ten prospective randomized front-line Gynecologic Oncology Group clinical trials from 1996 to 2011. Demographic, clinicopathologic features, disease-specific and all-cause survival were analyzed.

resultsOf 7914 patients, 7641 were Caucasian and 273 Asian. When compared to Caucasians, Asians were younger at trial enrollment, had a better performance status, earlier-stage cancers (17.2% vs. 8.1% with stage I; p < 0.001), and were more likely to be of clear cell (15.8% vs. 6.2%, p < 0.001) and mucinous (3.3% vs. 1.9%, p < 0.001) histology. Asians had an improved 5-year disease-specific survival of 54.1% compared to 46.1% for Caucasians, p = 0.001. In multivariate analysis, the Asian race remained a significant prognostic factor for all-cause survival (HR: 0.84; 95% CI: 0.72-0.99; p = 0.04). Other factors predictive of improved survival included younger age, better performance status, optimal cytoreduction, earlier stage, non-clear cell histology, and lower grade tumors.

conclusionAsians enrolled into phase III ovarian cancer clinical trials were younger, with better performance status, earlier-stage of disease, and have a greater number of clear cell and mucinous tumors. After adjusting for these prognostic factors, Asians have a better survival compared to Caucasians.

Indexed as

AgedAsian PeopleCarcinoma, Ovarian EpithelialFemaleHumansKaplan-Meier EstimateMiddle AgedOvarian NeoplasmsPrognosisProportional Hazards ModelsProspective StudiesRandomized Controlled Trials as TopicSurvival AnalysisWhite PeopleBevacizumabBody mass indexClear cellPharmacogenomicsRacial differencesSurvival outcomes

Identifiers

PMID31229298
PMCPMC6941471
OpenAlexW2951586633

What OpenQuestion holds

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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.