Evidence map›Paper›PMID 38948328›Full record

ArticlePleura and peritoneum2024

Outcome of patients with peritoneal metastasis from ovarian cancer treated with Pressurized IntraPeritoneal Aerosol Chemotherapy (PIPAC).

Ingrid Terese Foslund, Sahra Aisha Vinholt von Magius, Alan Patrick Ainsworth, Sönke Detlefsen, Claus Wilki Fristrup, Anja Oer Knudsen, Michael Bau Mortensen, Line Schmidt Tarpgaard, Kirsten Marie Jochumsen, Martin Graversen

Abstract read
In one paragraph

Article in Pleura and peritoneum, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Trial
  2. Review
  3. 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.

Ingrid Terese FoslundOdense PIPAC Centre, Odense University Hospital, Odense, Denmark.
Sahra Aisha Vinholt von MagiusOdense PIPAC Centre, Odense University Hospital, Odense, Denmark.
Alan Patrick AinsworthOdense PIPAC Centre, Odense University Hospital, Odense, Denmark.
Sönke DetlefsenOdense PIPAC Centre, Odense University Hospital, Odense, Denmark.ORCID https://orcid.org/0000-0002-9466-2333
Claus Wilki FristrupOdense PIPAC Centre, Odense University Hospital, Odense, Denmark.
Anja Oer KnudsenOdense PIPAC Centre, Odense University Hospital, Odense, Denmark.
Michael Bau MortensenOdense PIPAC Centre, Odense University Hospital, Odense, Denmark.ORCID https://orcid.org/0000-0002-7270-5005
Line Schmidt TarpgaardOdense PIPAC Centre, Odense University Hospital, Odense, Denmark.
Kirsten Marie JochumsenDepartment of Obstetrics and Gynaecology, Odense University Hospital, Odense, Denmark.
Martin GraversenOdense PIPAC Centre, Odense University Hospital, Odense, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: There are few data on Pressurized IntraPeritoneal Aerosol Chemotherapy with cisplatin and doxorubicin (PIPAC C/D) in women with primary unresectable or recurrent platinum-resistant peritoneal metastasis (PM) from ovarian cancer (OC). We evaluated survival, histological and cytological response, Quality of Life (QoL) and toxicity after PIPAC C/D in these patients. Methods: Retrospective analysis of patients from the prospective PIPAC-OPC1 and -OPC2 studies. The histological response was evaluated by the Peritoneal Regression Grading Score (PRGS). QoL questionnaires were collected at baseline and after third PIPAC or 60 days. Adverse events were collected until 30 days after the last PIPAC. Demographic and survival data were analysed based on intention to treat. Response, QoL and toxicity were analysed per protocol (≥1 PIPAC). Results: Twenty-nine patients were included. Five patients (17 %) were non-accessible at PIPAC 1. One patient was excluded due to liver metastases at PIPAC 1. Thus, 23 patients had 76 PIPACs (median 2, range 1-12). Median overall survival was 8.2 months (95 % CI 4.4-10.3) from PIPAC 1. Biopsy data were available for 22 patients, and seven (32 %) patients had a major/complete histological response (PRGS≤2) at PIPAC 3. No cytological conversions were registered. Symptoms and function scores worsened, while emotional scores improved. Three patients had severe adverse reactions (two ileus, one pulmonary embolism); no life-threatening reactions or treatment-related mortality was observed. Conclusions: PIPAC C/D was feasible and induced histological regression in a substantial proportion of patients with platinum-resistant PM from OC. Larger studies are needed to evaluate impact on survival.

Indexed as

Ovarian CancerPeritoneal MetastasisPeritoneal Regression Grading Score (PRGS)Pressurized IntraPeritoneal Aerosol Chemotherapy (PIPAC)Quality of Life (QoL)

Identifiers

PMID38948328
PMCPMC11211650

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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.