Evidence map›Paper›PMID 31720933›Full record

Trial reportAnnals of surgical oncology2020

Health-Related Quality of Life After Cytoreductive Surgery/HIPEC for Mucinous Appendiceal Cancer: Results of a Multicenter Randomized Trial Comparing Oxaliplatin and Mitomycin.

Omeed Moaven, Konstantinos I Votanopoulos, Perry Shen, Paul Mansfield, David L Bartlett, Greg Russell, Richard McQuellon, John H Stewart, Edward A Levine

Registry-linked trialOpen access · greenAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Annals of surgical oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06340906 (Electroacupuncture in Symptom Management After Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy), which is not on this map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
4.2field-weighted citation impact, top 6% 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.

NCT06340906 naactive not recruitingnot on this mapstarted 2024, after this paper: background citation

Electroacupuncture in Symptom Management After Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy

TypeinterventionalSponsorUniversity of California, IrvineRan2024 to 2026Enrolled20ConditionsCancerArmsElectroacupuncture
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. PIPAC for Gastrointestinal Malignancies.Journal of clinical medicine · 2023
    Review
  14. Article
  15. Review
  16. Article
  17. Review
  18. Article
  19. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 1 country.

Omeed MoavenDepartment of Surgery, Wake Forest University, Winston Salem, NC, USA.
Konstantinos I VotanopoulosDepartment of Surgery, Wake Forest University, Winston Salem, NC, USA.
Perry ShenDepartment of Surgery, Wake Forest University, Winston Salem, NC, USA.
Paul MansfieldDepartment of Surgical Oncology, MD Anderson Cancer Center, Houston, TX, USA.
David L BartlettDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Greg RussellDepartment of Surgery, Wake Forest University, Winston Salem, NC, USA.
Richard McQuellonDepartment of Surgery, Wake Forest University, Winston Salem, NC, USA.
John H StewartDepartment of Surgery, University of Illinois, Chicago, IL, USA.
Edward A LevineDepartment of Surgery, Wake Forest University, Winston Salem, NC, USA. elevine@wakehealth.edu.
Wake Forest University · USAtrium Health Wake Forest Baptist · USThe University of Texas MD Anderson Cancer Center · USUniversity of Illinois Chicago · USUniversity of Pittsburgh Medical Center · US

Funding

Tumor Tissue CoreP30CA012197 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Ruben A. Mesa · 1985 to 2026
$55.4M
NCI NIH HHS P30 CA012197
6 · The paper itself

Abstract

backgroundThis study evaluated health-related quality of life (HRQOL) using patient-reported outcomes in subjects with mucinous appendiceal neoplasms who underwent cytoreductive surgery (CRS) with hyperthermic intraperitoneal chemotherapy (HIPEC) as part of a randomized trial comparing mitomycin with oxaliplatin.

methodsIn this prospective multicenter study, 121 mucinous appendiceal cancer patients, with evidence of peritoneal dissemination who underwent CRS, were randomized to receive mitomycin (divided 40 mg) or oxaliplatin (200 mg/m

resultsBaseline questionnaire compliance was 95.9%. Baseline physical well-being (PWB) was independently associated with overall survival (hazard ratio 0.79, 95% confidence interval 0.66-0.96; p = 0.017). The TOI was significantly lower in the mitomycin group compared with the oxaliplatin arm at 12 weeks (p = 0.044; score difference 6.35) and 24 weeks after surgery (p = 0.049; score difference 5.61). At 12 weeks after surgery, declines from baseline were significant in the TOI (p = 0.004; score decline 8.99), PWB (p < 0.001; score decline 2.83), and FWB (p < 0.001; score decline 3.42) in the mitomycin group but not the oxaliplatin group.

conclusionsCompared with mitomycin, HIPEC perfusion with oxaliplatin results in significantly better physical and functional outcomes. With similar survival outcomes and complication rates, oxaliplatin should be considered as the chemoperfusion agent of choice in mucinous appendiceal cancer patients undergoing CRS/HIPEC.

Indexed as

Quality of LifeAdenocarcinoma, MucinousAdultAgedAged, 80 and overAntineoplastic AgentsAppendiceal NeoplasmsCombined Modality TherapyCytoreduction Surgical ProceduresFemaleHealth StatusHumansHyperthermia, InducedMaleMiddle AgedMitomycinAntineoplastic AgentsMitomycinOxaliplatin

Identifiers

PMID31720933
PMCPMC7034653
OpenAlexW2987295172

What OpenQuestion holds

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Registered trials

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.