Evidence map›Paper›PMID 37686547›Full record

ArticleCancers2023

Neoadjuvant Chemotherapy plus Interval Cytoreductive Surgery with or without Hyperthermic Intraperitoneal Chemotherapy (NIHIPEC) in the Treatment of Advanced Ovarian Cancer: A Multicentric Propensity Score Study.

Antoni Llueca, Maria Victoria Ibañez, Pedro Cascales, Antonio Gil-Moreno, Vicente Bebia, Jordi Ponce, Sergi Fernandez, Alvaro Arjona-Sanchez, Juan Carlos Muruzabal, Nadia Veiga and 16 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 12% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Textbook outcome in ovarian cancer with peritoneal carcinomatosis: a systematic review.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Pooled it
  2. Article
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  5. Review
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  7. Review
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

26 authors at 12 institutions in 1 country.

Antoni LluecaMultidisciplinary Unit of Abdominopelvic Oncology Surgery (MUAPOS), University General Hospital of Castellon, 12004 Castellon, Spain.ORCID 0000-0003-3723-8795
Maria Victoria IbañezDepartment of Mathematics, IMAC, University Jaume I (UJI), 12071 Castellon, Spain.ORCID 0000-0001-7043-8233
Pedro CascalesDepartment of General Surgery, Hospital Universitario Virgen de la Arrixaca, El Palmar, 30120 Murcia, Spain.
Antonio Gil-MorenoGynecologic Oncology Unit, Department of Gynecology, Hospital Universitari Vall d'Hebron, Universitat Autònoma de Barcelona, 08035 Barcelona, Spain.ORCID 0000-0003-1106-5590
Vicente BebiaGynecologic Oncology Unit, Department of Gynecology, Hospital Universitari Vall d'Hebron, Universitat Autònoma de Barcelona, 08035 Barcelona, Spain.
Jordi PonceDepartment of Gynecology, University Hospital of Bellvitge, 08907 Barcelona, Spain.ORCID 0000-0002-0613-2261
Sergi FernandezDepartment of Gynecology, University Hospital of Bellvitge, 08907 Barcelona, Spain.ORCID 0000-0002-9138-6978
Alvaro Arjona-SanchezUnit of Surgical Oncology and Pancreatic Surgery, University Hospital Reina Sofia, 14004 Cordoba, Spain.ORCID 0000-0002-3024-3009
Juan Carlos MuruzabalDepartment of Gynecologic Oncology, Complejo Hospitalario de Navarra, 31008 Pamplona, Spain.
Nadia VeigaDepartment of Gynecologic Oncology, Complejo Hospitalario de Navarra, 31008 Pamplona, Spain.ORCID 0000-0002-5761-5781
Berta Diaz-FeijooGynecologic Oncology Unit, Clinic Institute of Gynecology, Obstetrics, and Neonatology, Hospital Clinic of Barcelona, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Universitat de Barcelona, 08036 Barcelona, Spain.ORCID 0000-0002-6451-1817
Cristina CeladaGynecologic Oncology Unit, Clinic Institute of Gynecology, Obstetrics, and Neonatology, Hospital Clinic of Barcelona, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Universitat de Barcelona, 08036 Barcelona, Spain.
Juan Gilabert-EstellesDepartment of Obstetrics and Gynecology, University General Hospital of Valencia, 46014 Valencia, Spain.
Cristina AghababyanDepartment of Obstetrics and Gynecology, University General Hospital of Valencia, 46014 Valencia, Spain.
Javier LacuevaUnit of Peritoneal Carcinomatosis, Department of General Surgery, University General Hospital of Elche, 03203 Elche, Spain.
Alicia CaleroUnit of Peritoneal Carcinomatosis, Department of General Surgery, University General Hospital of Elche, 03203 Elche, Spain.
Juan Jose SeguraHepatobiliopancreatic Surgery and Peritoneal Oncology Surgery Unit, General Surgery and Digestive System Department, Son Espases University Hospital, 07120 Palma de Mallorca, Spain.ORCID 0000-0003-0565-3791
Karina MaiocchiMultidisciplinary Unit of Abdominopelvic Oncology Surgery (MUAPOS), University General Hospital of Castellon, 12004 Castellon, Spain.
Sara LlorcaMultidisciplinary Unit of Abdominopelvic Oncology Surgery (MUAPOS), University General Hospital of Castellon, 12004 Castellon, Spain.
Alvaro VillarinMultidisciplinary Unit of Abdominopelvic Oncology Surgery (MUAPOS), University General Hospital of Castellon, 12004 Castellon, Spain.
Maria Teresa ClimentMultidisciplinary Unit of Abdominopelvic Oncology Surgery (MUAPOS), University General Hospital of Castellon, 12004 Castellon, Spain.ORCID 0000-0002-2533-7983
Katty DelgadoMultidisciplinary Unit of Abdominopelvic Oncology Surgery (MUAPOS), University General Hospital of Castellon, 12004 Castellon, Spain.
Anna SerraMultidisciplinary Unit of Abdominopelvic Oncology Surgery (MUAPOS), University General Hospital of Castellon, 12004 Castellon, Spain.ORCID 0000-0002-7535-057X
Luis Gomez-QuilesMultidisciplinary Unit of Abdominopelvic Oncology Surgery (MUAPOS), University General Hospital of Castellon, 12004 Castellon, Spain.
Maria LluecaDepartment of Obstetrics and Gynecology, Joan XXIII University Hospital of Tarragona, 43005 Tarragona, Spain.
On Behalf Of Spain Gog And Gecop Working Group
Universitat Jaume I · ESHospital General Universitari de Castelló · ESBellvitge University Hospital · ESComplejo Hospitalario de Navarra · ESConsorci Institut D'Investigacions Biomediques August Pi I Sunyer · ESHospital General Universitario de Elche · ESHospital General Universitario De Valencia · ESUniversitat Autònoma de Barcelona · ESHospital Universitari Joan XXIII de Tarragona · ESHospital Universitario Reina Sofía · ESHospital Universitario Son Espases · ESHospital Universitario Virgen de la Arrixaca · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEpithelial ovarian cancer (EOC) is primarily confined to the peritoneal cavity. When primary complete surgery is not possible, neoadjuvant chemotherapy (NACT) is provided; however, the peritoneum-plasma barrier hinders the drug effect. The intraperitoneal administration of chemotherapy could eliminate residual microscopic peritoneal tumor cells and increase this effect by hyperthermia. Intraperitoneal hyperthermic chemotherapy (HIPEC) after interval cytoreductive surgery could improve outcomes in terms of disease-free survival (DFS) and overall survival (OS). MATERIALS AND

methodsA multicenter, retrospective observational study of advanced EOC patients who underwent interval cytoreductive surgery alone (CRSnoH) or interval cytoreductive surgery plus HIPEC (CRSH) was carried out in Spain between 07/2012 and 12/2021. A total of 515 patients were selected. Progression-free survival (PFS) and OS analyses were performed. The series of patients who underwent CRSH or CRSnoH was balanced regarding the risk factors using a statistical analysis technique called propensity score matching.

resultsA total of 170 patients were included in each subgroup. The complete surgery rate was similar in both groups (79.4% vs. 84.7%). The median PFS times were 16 and 13 months in the CRSH and CRSnoH groups, respectively (Hazard ratio (HR) 0.74; 95% CI, 0.58-0.94;

conclusionThe addition of HIPEC after interval cytoreductive surgery is safe and increases DFS in advanced EOC patients.

Indexed as

advanced ovarian cancercomplete surgeryhyperthermic intraperitoneal chemotherapyneoadjuvant chemotherapyoverall survivalprgresion free survival

Identifiers

PMID37686547
PMCPMC10486645
OpenAlexW4386223180

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.