Evidence map›Paper›PMID 39609671›Full record

ArticleWorld journal of surgical oncology2024

Postoperative follow-up compliance and survival analysis in pseudomyxoma peritonei patients treated with CRS and HIPEC: a six-year retrospective study.

Guang Yang, Qi Liu, Na Wang, Guanying Yu, Peiming Guo, Lan Ye

Abstract read
In one paragraph

Article in World journal of surgical oncology, 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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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Guang Yang *Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China.
Qi Liu *School of Clinical Medicine, Shandong Second Medical University, Weifang, Shandong, China.
Na Wang *Oncology Department, Jinan Zhangqiu District People's Hospital, Jinan, Shandong, China.
Guanying YuDepartment of Gastrointestinal Surgery, Central Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, China.
Peiming GuoDepartment of Gastrointestinal Surgery, Central Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, China.
Lan YeCancer Center, The Second Hospital of Shandong University, Jinan, Shandong, China. sdeyyelan@email.sdu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPMP is a rare clinical syndrome characterized by the accumulation of mucinous material in the peritoneal cavity. The combination of CRS and HIPEC is the standard treatment, known to improve survival outcomes. However, follow-up adherence is critical for early detection of recurrence and extending survival. This study is the first to specifically investigate postoperative follow-up adherence in PMP patients treated with CRS and HIPEC.

aimsTo explore the socio-demographic and clinical determinants of follow-up adherence and its impact on survival in PMP patients treated with CRS and HIPEC.

methodsThis single-center, six-year retrospective study included 111 PMP patients who underwent CRS and HIPEC. Patients were categorized into compliant (control) and non-compliant (study) groups. Follow-up was initiated by the physician, with patients returning for regular visits as recommended. Kaplan-Meier analysis was used to evaluate survival outcomes, while univariate analysis identified factors influencing follow-up adherence.

resultsAmong 111 patients, 32 died by August 2024, with 1-, 3-, and 5-year survival rates of 88%, 66%, and 53%, respectively. High PCI scores (P < 0.001) and poorer histopathological types (P = 0.002) were significant predictors of reduced survival. Non-compliance with follow-up showed a trend toward decreased survival (P = 0.07). Significant risk factors for non-compliance included lower ASA scores (P = 0.020), middle- and low-income levels (P = 0.034), and parental survival status (P = 0.003). Middle- and low-income patients also experienced longer delays in seeking medical advice and had fewer cases detected through routine health screenings (P = 0.019).

conclusionsFollow-up compliance has a potential impact on survival outcomes in PMP patients treated with CRS and HIPEC. Socio-demographic factors significantly influence adherence, highlighting the need for tailored interventions to enhance patient management.

Indexed as

Cytoreduction Surgical ProceduresHyperthermic Intraperitoneal ChemotherapyPeritoneal NeoplasmsPseudomyxoma PeritoneiAdultAgedCombined Modality TherapyFemaleFollow-Up StudiesHumansHyperthermia, InducedMaleMiddle AgedPatient CompliancePrognosisRetrospective StudiesCytoreductive surgery (CRS)Follow-up complianceHyperthermic intraperitoneal chemotherapy (HIPEC)Pseudomyxoma peritonei (PMP)Psycho-oncologyRisk factorsSurvival analysis

Identifiers

PMID39609671
PMCPMC11603861

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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.