Evidence map›Paper›PMID 37535272›Full record

ArticleAnnals of surgical oncology2023

Defining the Values and Quality of Life of Cancer Survivors Following Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy: An International Survey Study.

Chelsea M Knotts, Mayar A Osman, Aderinsola A Aderonmu, Nathan Bahary, Patrick L Wagner, David L Bartlett, Casey J Allen

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Article in Annals of surgical oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

5 citing papers in PubMed, 11 citations in OpenAlex.

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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

7 authors at 2 institutions in 1 country.

Chelsea M KnottsDivision of Surgical Oncology, Department of Surgery, Institute of Surgery, Allegheny Health Network Cancer Institute, Pittsburgh, PA, USA.
Mayar A OsmanDrexel University College of Medicine, Philadelphia, PA, USA.
Aderinsola A AderonmuDrexel University College of Medicine, Philadelphia, PA, USA.
Nathan BaharyInstitute of Medicine, Division of Medical Oncology, Allegheny Health Network Cancer Institute, Pittsburgh, PA, USA.
Patrick L WagnerDivision of Surgical Oncology, Department of Surgery, Institute of Surgery, Allegheny Health Network Cancer Institute, Pittsburgh, PA, USA.
David L BartlettDivision of Surgical Oncology, Department of Surgery, Institute of Surgery, Allegheny Health Network Cancer Institute, Pittsburgh, PA, USA.
Casey J AllenDivision of Surgical Oncology, Department of Surgery, Institute of Surgery, Allegheny Health Network Cancer Institute, Pittsburgh, PA, USA. casey.allen@ahn.org.ORCID http://orcid.org/0000-0001-9890-7417
Allegheny Health Network · USDrexel University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdvances in treatment of peritoneal surface malignancies including cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (CRS±HIPEC) have led to long-term survivorship, yet the subsequent quality of life (QOL) and values of these patients are unknown. PATIENTS AND

methodsSurvivors were offered surveys via online support groups. Novel items assessed how patients prioritized experience, costs, longevity, and wellbeing.

resultsOf the 453 gastrointestinal/hepatobiliary (GI/HPB) surgical patients that responded, 74 underwent CRS±HIPEC and were 54±12 years old, 87% female, and 93% white. Respondents averaged 29 months from diagnosis, with a maximum survival of 20 years. With a moderate level of agreement (W = 39%), rankings of value metrics among respondents were predictable (p < 0.001). Longevity and functional independence were ranked highest; treatment experience and cost of treatment were ranked lowest (p < 0.001). Those who underwent CRS±HIPEC or other GI/HPB surgeries reported the same rank order. QOL in CRS±HIPEC survivors, both mental (M-QOL) (44±13) and physical (P-QOL) (41±11) were lower than in the general population (50±10); p < 0.001. Impairments persisted throughout survivorship, but M-QOL improved over time (p < 0.05). When comparing CRS±HIPEC with other GI/HPB cancer surgery survivors, M-QOL (43±13 versus 43±14, p = 0.85) and P-QOL (40±11 versus 42±12, p = 0.41) were similar.

conclusionsAlthough CRS±HIPEC survivors experience long-term mental and physical health impairments, they were similar to those experienced by survivors of other GI/HPB cancer surgeries, and their QOL improved significantly throughout survivorship. As CRS±HIPEC survivors prioritize longevity above all other metrics, survival benefit may outweigh a temporary reduction in QOL.

Indexed as

Cancer SurvivorsHyperthermia, InducedNeoplasmsAdultAgedAntineoplastic Combined Chemotherapy ProtocolsCombined Modality TherapyCytoreduction Surgical ProceduresFemaleHumansMaleMiddle AgedQuality of LifeRetrospective StudiesSurvival RateHIPECPatient-reported outcomesPertioneal malignancyValue-based healthcare

Identifiers

PMID37535272
OpenAlexW4385513956

What OpenQuestion holds

Textmetadata
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.