Evidence map›Paper›PMID 35712972›Full record

ArticleJournal of gynecologic oncology2022

Evaluation of perioperative management of advanced ovarian (tubal/peritoneal) cancer patients: a survey from MITO-MaNGO Groups.

Stefano Greggi, Francesca Falcone, Giovanni D Aletti, Marco Cascella, Francesca Bifulco, Nicoletta Colombo, Sandro Pignata

Abstract read
In one paragraph

Article in Journal of gynecologic oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Stefano GreggiDepartment of Gynecologic Oncology, Istituto Nazionale Tumori, IRCSS, "Fondazione G. Pascale", Naples, Italy. s.greggi@istitutotumori.na.it.ORCID 0000-0001-5601-5111
Francesca FalconeDepartment of Gynecologic Oncology, Istituto Nazionale Tumori, IRCSS, "Fondazione G. Pascale", Naples, Italy.ORCID 0000-0002-3729-2321
Giovanni D AlettiDepartment of Gynecologic Surgery, European Institute of Oncology, IRCCS; Department of Oncology and Hemato-Oncology, University of Milan, Milan, Italy.ORCID 0000-0003-4602-5601
Marco CascellaDivision of Anesthesia and Pain Management, Istituto Nazionale Tumori, IRCSS, "Fondazione G. Pascale", Naples, Italy.ORCID 0000-0002-5236-3132
Francesca BifulcoDivision of Anesthesia and Pain Management, Istituto Nazionale Tumori, IRCSS, "Fondazione G. Pascale", Naples, Italy.ORCID 0000-0003-1116-3502
Nicoletta ColomboGynecologic Oncology Program, European Institute of Oncology, IRCCS, Milan, Italy.ORCID 0000-0002-4197-2506
Sandro PignataDepartment of Urology and Gynecology, Istituto Nazionale Tumori, IRCSS, "Fondazione G. Pascale", Naples, Italy.ORCID 0000-0002-8836-2633

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe European Society of Gynaecological Oncology (ESGO)-quality indicators (QIs) for advanced ovarian cancer (AOC) have been assessed only by few Italian centers, and data are not available on the proportion of centers reaching the score considered for a satisfactory surgical management. There is great consensus that the Enhanced Recovery After Surgery (ERAS) approach is beneficial, but there is paucity of data concerning its application in AOC. This survey was aimed at gathering detailed information on perioperative management of AOC patients within MITO-MaNGO Groups.

methodsA 66-item questionnaire, covering ESGO-QIs for AOC and ERAS items, was sent to MITO/MaNGO centers reporting to operate >20 AOC/year.

resultsThirty/34 questionnaires were analyzed. The median ESGO-QIs score was 31.5, with 50% of centers resulting with a score ≥32 which provides satisfactory surgical management. The rates of concordance with ERAS guidelines were 46.6%, 74.1%, and 60.7%, respectively, for pre-operative, intra-operative, and post-operative items. The proportion of overall agreement was 61.3%, and with strong recommendations was 63.1%. Pre-operative diet, fasting/bowel preparation, correction of anaemia, post-operative feeding and early mobilization were the most controversial. A significant positive correlation was found between ESGO-QIs score and adherence to ERAS recommendations.

conclusionThis survey reveals a satisfactory surgical management in only half of the centers, and an at least sufficient adherence to ERAS recommendations. Higher the ESGO-QIs score stronger the adherence to ERAS recommendations, underlining the correlations between case volume, appropriate peri-operative management and quality of surgery. The present study is a first step to build a structured platform for harmonization within MITO-MaNGO networks.

Indexed as

Genital Neoplasms, FemaleMangiferaOvarian NeoplasmsCarcinoma, Ovarian EpithelialFemaleHumansSurveys and QuestionnairesEnhanced Recovery After SurgeryOvarian NeoplasmsPerioperative Care

Identifiers

PMID35712972
PMCPMC9428297

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.