Evidence map›Paper›PMID 33490222›Full record

ReviewAnnals of translational medicine2020

Neoadjuvant treatment for newly diagnosed advanced ovarian cancer: where do we stand and where are we going?

Michele Moschetta, Stergios Boussios, Elie Rassy, Eleftherios P Samartzis, Gabriel Funingana, Mario Uccello

Open access · diamondAbstract readReview
In one paragraph

Review in Annals of translational medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
7.4field-weighted citation impact, top 2% 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

26 citing papers in PubMed, 53 citations in OpenAlex.

  1. Trial
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  14. Recent Insights into PARP and Immuno-Checkpoint Inhibitors in Epithelial Ovarian Cancer.International journal of environmental research and public health · 2022
    Review
  15. Epithelial Ovarian Cancer: Providing Evidence of Predisposition Genes.International journal of environmental research and public health · 2022
    Review
  16. 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

6 authors at 6 institutions in 4 countries.

Michele MoschettaCambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Stergios BoussiosDepartment of Medical Oncology, Medway NHS Foundation Trust, Gillingham, Kent, UK.
Elie RassyDepartment of Cancer Medicine, Gustave Roussy Institut, Villejuif, France.
Eleftherios P SamartzisDepartment of Gynecology, University Hospital Zurich, Frauenklinikstrasse 10, CH-8091, Zurich, Switzerland.
Gabriel FuninganaDepartment of Oncology, University of Cambridge, Cambridge, UK.
Mario UccelloNorthampton General Hospital NHS Trust, Cliftonville, Northampton, UK.
Cambridge University Hospitals NHS Foundation Trust · GBHôtel-Dieu de France · LBMedway NHS Foundation Trust · GBNorthampton General Hospital NHS Trust · GBUniversity Hospital of Zurich · CHUniversity of Cambridge · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Newly diagnosed high grade serous epithelial ovarian cancer (EOC) patients are treated with radical surgery followed by adjuvant platinum and taxane combination chemotherapy. In EOC patients where upfront surgery is contraindicated for medical reasons (e.g., comorbidities or poor performance status), or where complete cytoreduction cannot be achieved, neoadjuvant chemotherapy (NACT) prior to interval debulking surgery (IDS), and adjuvant chemotherapy is an alternative therapeutic option. There is currently a lack of consensus about who are the best candidates to receive NACT, and some authors have even suggested that this approach could be harmful in a subset of patients via promotion of early chemoresistance. Standard and novel imaging techniques together with a better molecular characterization of the disease have the potential to improve selection of patients, but ultimately well designed randomised clinical trials are needed to guide treatment decisions in this setting. The advent of new and effective treatment options (antiangiogenics and PARP inhibitors), now approved for use in the first line and relapse settings has opened the way to clinical trials aiming to investigate these agents as substitute or in addition to chemotherapy in the neoadjuvant setting in molecularly selected EOC patients. Here, we will review the evidence supporting the use of NACT in newly diagnosed EOCs, data highlighting the importance of its use in selected patients, new imaging methodologies and biomarkers that can guide patient selection.

Indexed as

biomarkersepithelial ovarian cancer (EOC)imagingNeoadjuvant chemotherapy (NACT)patient selection

Identifiers

PMID33490222
PMCPMC7812234
OpenAlexW3036505025

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.