Evidence map›Paper›PMID 34793667›Full record

ArticleCancer research and treatment2022

Identification of Patients with Recurrent Epithelial Ovarian Cancer Who Will Benefit from More Than Three Lines of Chemotherapy.

Aeran Seol, Ga Won Yim, Joo Yeon Chung, Se Ik Kim, Maria Lee, Hee Seung Kim, Hyun Hoon Chung, Jae-Weon Kim, Noh Hyun Park, Yong Sang Song

Open access · diamondAbstract read
In one paragraph

Article in Cancer research and treatment, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 39% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
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

10 authors at 3 institutions in 1 country.

Aeran SeolDepartment of Obstetrics and Gynecology, Seoul National University Hospital, Korea.
Ga Won YimDepartment of Obstetrics and Gynecology, Dongguk University College of Medicine, Goyang, Korea.
Joo Yeon ChungDepartment of Obstetrics and Gynecology, Seoul National University Hospital, Korea.
Se Ik KimDepartment of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea.
Maria LeeDepartment of Obstetrics and Gynecology, Seoul National University Hospital, Korea.
Hee Seung KimDepartment of Obstetrics and Gynecology, Seoul National University Hospital, Korea.
Hyun Hoon ChungDepartment of Obstetrics and Gynecology, Seoul National University Hospital, Korea.
Jae-Weon KimDepartment of Obstetrics and Gynecology, Seoul National University Hospital, Korea.
Noh Hyun ParkDepartment of Obstetrics and Gynecology, Seoul National University Hospital, Korea.
Yong Sang SongDepartment of Obstetrics and Gynecology, Seoul National University Hospital, Korea.
Seoul National University Hospital · KRSeoul National University · KRDongguk University · KR

Funding

Ministry of Science and ICTNational Research Foundation of Korea 2020R1G1A1005711Seoul National University College of Medicine 800-20210297
6 · The paper itself

Abstract

purposeThis study aimed to identify patients who would benefit from third and subsequent lines of chemotherapy in recurrent epithelial ovarian cancer (EOC). MATERIALS AND

methodsRecurrent EOC patients who received third, fourth, or fifth-line palliative chemotherapy were retrospectively analyzed. Patients' survival outcomes were assessed according to chemotherapy lines. Based on the best objective response, patients were divided into good-response (stable disease or better) and poor response (progressive disease or those who died before response assessment) groups. Survival outcomes were compared between the two groups, and factors associated with chemotherapy responses were investigated.

resultsA total of 189 patients were evaluated. Ninety-four and 95 patients were identified as good and poor response group respectively, during the study period of 2008 to 2021. The poor response group showed significantly worse progression-free survival (median, 2.1 months vs. 9.7 months; p < 0.001) and overall survival (median, 5.0 months vs. 22.9 months; p < 0.001) compared with the good response group. In multivariate analysis adjusting for clinicopathologic factors, short treatment-free interval (TFI) (hazard ratio [HR], 5.557; 95% confidence interval [CI], 2.403 to 12.850), platinum-resistant EOC (HR, 2.367; 95% CI, 1.017 to 5.510), and non-serous/endometrioid histologic type (HR, 5.045; 95% CI, 1.152 to 22.088) were identified as independent risk factors for poor response. There was no difference in serious adverse events between good and poor response groups (p=0.167).

conclusionThird and subsequent lines of chemotherapy could be carefully considered for palliative purposes in recurrent EOC patients with serous or endometrioid histology, initial platinum sensitivity, and long TFIs from the previous chemotherapy regimen.

Indexed as

Ovarian NeoplasmsAntineoplastic Combined Chemotherapy ProtocolsCarcinoma, Ovarian EpithelialFemaleHumansNeoplasm Recurrence, LocalProgression-Free SurvivalRetrospective StudiesDrug therapyEpithelial ovarian carcinomaPrognosisRecurrenceSurvivalTreatment response

Identifiers

PMID34793667
PMCPMC9582485
OpenAlexW3213590538

What OpenQuestion holds

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Registered trials

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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.