Evidence map›Paper›PMID 35552938›Full record

Trial reportAnnals of surgical oncology2022

Adjuvant Use of PlasmaJet Device During Cytoreductive Surgery for Advanced-Stage Ovarian Cancer: Results of the PlaComOv-study, a Randomized Controlled Trial in The Netherlands.

G M Nieuwenhuyzen-de Boer, W Hofhuis, N Reesink-Peters, S Willemsen, I A Boere, I G Schoots, J M J Piek, L N Hofman, J J Beltman, W J van Driel and 8 more

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Annals of surgical oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.6field-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

10 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. ASO Author Reflections: The PlasmaJetAnnals of surgical oncology · 2022
    Article
  10. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 13 institutions in 1 country.

G M Nieuwenhuyzen-de BoerDepartment of Gynecologic Oncology, Erasmus MC Cancer Institute, University Medical Center Rotterdam, Rotterdam, The Netherlands. g.nieuwenhuyzen-deboer@erasmusmc.nl.
W HofhuisDepartment of Obstetrics and Gynecology, Franciscus Gasthuis and Vlietland, Rotterdam, The Netherlands.
N Reesink-PetersDepartment of Obstetrics and Gynecology, Medisch Spectrum Twente, Enschede, The Netherlands.
S WillemsenDepartment of Epidemiology, Erasmus MC, Rotterdam, The Netherlands.
I A BoereDepartment of Medical Oncology, Erasmus MC Cancer Institute, University Medical Center Rotterdam, Rotterdam, The Netherlands.
I G SchootsDepartment of Radiology and Nuclear Medicine, Erasmus MC Cancer Institute, University Medical Center Rotterdam, Rotterdam, The Netherlands.
J M J PiekDepartment of Obstetrics and Gynecology, Catharina Cancer Institute, Eindhoven, The Netherlands.
L N HofmanDepartment of Obstetrics and Gynecology, Albert Schweitzer Hospital, Dordrecht, The Netherlands.
J J BeltmanDepartment of Obstetrics and Gynecology, Leiden University Medical Centre, Leiden, The Netherlands.
W J van DrielDepartment of Gynecology, Center of Gynecological Oncology Amsterdam, Netherlands Cancer Institute, Amsterdam, The Netherlands.
H M J WernerDepartment of Obstetrics and Gynecology, GROW, School for Oncology and Developmental Biology, Maastricht University Medical Centre, Maastricht, The Netherlands.
A BaalbergenDepartment of Obstetrics and Gynecology, Reinier de Graaf Gasthuis, Delft, The Netherlands.
A M L D van Haaften-de JongDepartment of Obstetrics and Gynecology, Haga Hospital, The Hague, The Netherlands.
M DormanDepartment of Obstetrics and Gynecology, Bravis Hospital, Bergen op Zoom, The Netherlands.
L HaansDepartment of Obstetrics and Gynecology, Haags Medical Centre, The Hague, The Netherlands.
I NedelcuDepartment of Obstetrics and Gynecology, Groene Hart Hospital, Gouda, The Netherlands.
P C Ewing-GrahamDepartment of Pathology, Erasmus MC Cancer Institute, Rotterdam, The Netherlands.
H J van BeekhuizenDepartment of Gynecologic Oncology, Erasmus MC Cancer Institute, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Erasmus MC Cancer Institute · NLAlbert Schweitzer Ziekenhuis · NLBravis Ziekenhuis · NLErasmus MC · NLGroene Hart Ziekenhuis · NLHaga Hospital · NLLeiden University Medical Center · NLMaastricht University Medical Centre · NLMedisch Spectrum Twente · NLRadboud University Nijmegen · NLReinier de Graaf Hospital · NLSint Franciscus Gasthuis · NLThe Netherlands Cancer Institute · NL

Funding

ZonMw 843001805
6 · The paper itself

Abstract

objectiveStandard surgical treatment of advanced-stage ovarian carcinoma with electrosurgery cannot always result in complete cytoreductive surgery (CRS), especially when many small metastases are found on the mesentery and intestinal surface. We investigated whether adjuvant use of a neutral argon plasma device can help increase the complete cytoreduction rate. PATIENTS AND

methods327 patients with FIGO stage IIIB-IV epithelial ovarian cancer (EOC) who underwent primary or interval CRS were randomized to either surgery with neutral argon plasma (PlasmaJet) (intervention) or without PlasmaJet (control group). The primary outcome was the percentage of complete CRS. The secondary outcomes were duration of surgery, blood loss, number of bowel resections and colostomies, hospitalization, 30-day morbidity, and quality of life (QoL).

resultsComplete CRS was achieved in 119 patients (75.8%) in the intervention group and 115 patients (67.6%) in the control group (risk difference (RD) 8.2%, 95% confidence interval (CI) -0.021 to 0.181; P = 0.131). In a per-protocol analysis excluding patients with unresectable disease, complete CRS was obtained in 85.6% in the intervention group and 71.5% in the control group (RD 14.1%, 95% CI 0.042 to 0.235; P = 0.005). Patient-reported QoL at 6 months after surgery differed between groups in favor of PlasmaJet surgery (95% CI 0.455-8.350; P = 0.029). Other secondary outcomes did not differ significantly.

conclusionsAdjuvant use of PlasmaJet during CRS for advanced-stage ovarian cancer resulted in a significantly higher proportion of complete CRS in patients with resectable disease and higher QoL at 6 months after surgery. (Funded by ZonMw, Trial Register NL62035.078.17.)

trial registrationApproved by the Medical Ethics Review Board of the Erasmus University Medical Center Rotterdam, the Netherlands, NL62035.078.17 on 20-11-2017. Recruitment started on 30-1-2018.

Indexed as

Ovarian NeoplasmsPlasma GasesCarcinoma, Ovarian EpithelialCytoreduction Surgical ProceduresFemaleHumansNetherlandsQuality of LifePlasma Gases

Identifiers

PMID35552938
PMCPMC9246793
OpenAlexW4280600557

What OpenQuestion holds

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LicenceCC BY
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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.