Evidence map›Paper›PMID 33106271›Full record

ArticleInternational journal of gynecological cancer : official journal of the International Gynecological Cancer Society2020

Pre-operative neoadjuvant chemotherapy cycles and survival in newly diagnosed ovarian cancer: what is the optimal number? A Memorial Sloan Kettering Cancer Center Team Ovary study.

Ying L Liu, Qin C Zhou, Alexia Iasonos, Dennis S Chi, Oliver Zivanovic, Yukio Sonoda, Ginger Gardner, Vance Broach, Roisin O'Cearbhaill, Jason A Konner and 5 more

Open access · greenAbstract read
In one paragraph

Article in International journal of gynecological cancer : official journal of the International Gynecological Cancer Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
5.4field-weighted citation impact, top 4% 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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.

  1. 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
  2. Pooled it
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  15. Computational modeling of ovarian cancer dynamics suggests optimal strategies for therapy and screening.Proceedings of the National Academy of Sciences of the United States of America · 2021
    Article
  16. Article
  17. Review
  18. What is new about ovarian malignancies?Contemporary oncology (Poznan, Poland) · 2021
    Review
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

15 authors at 1 institution in 1 country.

Ying L LiuMedicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Qin C ZhouEpidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Alexia IasonosEpidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Dennis S ChiSurgery, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Oliver ZivanovicSurgery, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Yukio SonodaSurgery, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Ginger GardnerSurgery, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Vance BroachSurgery, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Roisin O'CearbhaillMedicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Jason A KonnerMedicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Rachel GrishamMedicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Carol A AghajanianMedicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Nadeem R Abu-RustumSurgery, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
William TewMedicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Kara Long RocheSurgery, Memorial Sloan Kettering Cancer Center, New York, New York, USA longrock@mskcc.org.
Memorial Sloan Kettering Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

objectiveAlthough trials of neoadjuvant chemotherapy in ovarian cancer use 3 neoadjuvant cycles, real-world practice varies. We sought to evaluate the influence of increasing pre-operative cycles on survival, accounting for surgical outcomes.

methodsWe identified 199 women with newly diagnosed ovarian cancer recommended for neoadjuvant chemotherapy who underwent interval debulking surgery from July 2015 to December 2018. Non-parametric tests were used to compare clinical characteristics by neoadjuvant cycles. The Kaplan-Meier method was used to estimate differences in progression-free and overall survival. The log-rank test was used to assess the relationship of covariates to outcome.

resultsThe median number of neoadjuvant cycles was 4 (range 3-8), with 56 (28%) women receiving ≥5 cycles. Compared with those receiving 3 or 4, women with ≥5 neoadjuvant cycles received fewer or no post-operative cycles (p<0.001) but had no other differences in clinical factors (p>0.05). Complete gross resection rates were similar among those receiving 3, 4, and ≥5 neoadjuvant cycles (68.5%, 70%, and 71.4%, respectively, p=0.96). There were no significant differences in progression-free or overall survival when comparing 3 versus 4 neoadjuvant cycles. However, more cycles (≥5 vs 4) were associated with worse progression-free survival, even after adjustment for

conclusionsDespite maximal cytoreduction, patients receiving ≥

Indexed as

AdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsCarboplatinCytoreduction Surgical ProceduresDoxorubicinDrug Administration ScheduleFemaleHumansMiddle AgedNeoadjuvant TherapyNivolumabOvarian NeoplasmsPaclitaxelPolyethylene GlycolsCarboplatinDoxorubicinliposomal doxorubicinNivolumabPaclitaxelPolyethylene Glycolsovarian cancer

Identifiers

PMID33106271
PMCPMC8407101
OpenAlexW3093967838

What OpenQuestion holds

Textmetadata
LicenceTDM
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.