Evidence map›Paper›PMID 39040330›Full record

ArticleHeliyon2024

Impact of surgical compliance on survival prognosis of patients with ovarian cancer and associated influencing factors: A propensity score matching analysis of the SEER database.

Yanhua Zhang, Wenlei Yao, Jianbo Zhou, Lingyan Zhang, Yanhong Chen, Fangfang Li, Haidong Gu, Hongyou Wang

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Article in Heliyon, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Yanhua ZhangDepartment of Obstetrics and Gynecology, Binhai County People's Hospital, Yancheng, 224500, Jiangsu, China.
Wenlei YaoDepartment of Obstetrics and Gynecology, Binhai County People's Hospital, Yancheng, 224500, Jiangsu, China.
Jianbo ZhouDepartment of Obstetrics and Gynecology, Binhai County People's Hospital, Yancheng, 224500, Jiangsu, China.
Lingyan ZhangDepartment of Obstetrics and Gynecology, Binhai County People's Hospital, Yancheng, 224500, Jiangsu, China.
Yanhong ChenDepartment of Obstetrics and Gynecology, Binhai County People's Hospital, Yancheng, 224500, Jiangsu, China.
Fangfang LiDepartment of Oncology, Binhai County People's Hospital, Yancheng, 224500, Jiangsu, China.
Haidong GuDepartment of Anesthetic, Binhai County People's Hospital, Yancheng, 224500, Jiangsu, China.
Hongyou WangDepartment of Obstetrics and Gynecology, Binhai County People's Hospital, Yancheng, 224500, Jiangsu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To evaluate the impact of surgical compliance on overall survival (OS) and cancer-specific survival (CSS) in ovarian cancer patients and identify factors influencing surgical compliance. Materials and methods: Data from patients with ovarian cancer in the SEER database (2004-2015) were analyzed to compare the characteristics of patients with high and low surgical compliance. Kaplan-Meier curves and Cox regression models were used to assess the impact of surgical compliance on survival outcomes. Nomograms incorporating surgical compliance and independent prognostic factors were constructed to predict OS and CSS and were validated using internal validation sets. Predictive accuracy was evaluated using Harrell's concordance index (C-index), decision curve analysis (DCA), receiver operating characteristic (ROC) curves, and calibration plots. Binary logistic regression analysis identified factors significantly affecting surgical compliance, and propensity score matching (PSM) was used to adjust for confounders. Results: Among the 41,859 patients, 783 (1.87 %) demonstrated poor surgical compliance, while 41,076 (98.13 %) exhibited good compliance. Surgical compliance has emerged as an independent prognostic indicator for ovarian cancer. Patients with high compliance had significantly better OS and CSS rates (P < 0.0001). The prognostic models were internally validated and showed strong discriminative and calibration capabilities. Factors affecting compliance included older age, advanced pathological stage, metastasis, elevated CA-125 levels, and lower income. After PSM, Kaplan-Meier analysis revealed significantly improved survival in patients with good compliance (P < 0.0001). Conclusion: Surgical compliance is a pivotal and independent predictor of overall and cancer-specific survival in patients undergoing OC. Factors contributing to lower surgical compliance include advanced age, later tumor stage, metastatic spread, elevated CA-125 levels, and reduced family income.

Indexed as

NomogramOvarian cancerPrognosisPSMSEERSurgical compliance

Identifiers

PMID39040330
PMCPMC11261776

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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.