Evidence map›Paper›PMID 39776385›Full record

ReviewAnaesthesia2025

Return to intended oncological therapy following advanced ovarian cancer surgery: a narrative review.

Ka Yu Tse, Mandy Man Yee Chu, Jessie Wan Kam Chiu, Shuk Tak Kwok, Michael G Irwin, Aaron Hey Yin Chan, Polly Ho, Calvin Pak Wing Cheng, Siew Fei Ngu, Karen Kar Loen Chan

Abstract readReview
In one paragraph

Review in Anaesthesia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Observational
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.

Ka Yu TseDepartment of Obstetrics and Gynaecology, The University of Hong Kong, Hong Kong SAR.ORCID 0000-0001-8330-0970
Mandy Man Yee ChuDepartment of Obstetrics and Gynaecology, The University of Hong Kong, Hong Kong SAR.ORCID 0000-0002-1525-0147
Jessie Wan Kam ChiuDepartment of Obstetrics and Gynaecology, United Christian Hospital, Hong Kong SAR.
Shuk Tak KwokDepartment of Obstetrics and Gynaecology, The University of Hong Kong, Hong Kong SAR.ORCID 0000-0003-4544-8645
Michael G IrwinDepartment of Anaesthesiology, The University of Hong Kong, Queen Mary Hospital, Hong Kong SAR.ORCID 0000-0001-5801-274X
Aaron Hey Yin ChanDepartment of Obstetrics and Gynaecology, The University of Hong Kong, Hong Kong SAR.
Polly HoDepartment of Obstetrics and Gynaecology, Queen Mary Hospital, Hong Kong SAR.
Calvin Pak Wing ChengDepartment of Psychiatry, The University of Hong Kong, Queen Mary Hospital, Hong Kong SAR.ORCID 0000-0003-4457-1908
Siew Fei NguDepartment of Obstetrics and Gynaecology, The University of Hong Kong, Hong Kong SAR.ORCID 0000-0001-9314-5468
Karen Kar Loen ChanDepartment of Obstetrics and Gynaecology, The University of Hong Kong, Hong Kong SAR.ORCID 0000-0002-4034-7469

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPatients with advanced ovarian cancer often require radical cytoreductive surgery and chemotherapy, with or without targeted therapy. Return to intended oncological therapy after surgery is a crucial metric, as delay can worsen survival. The concept of return to intended oncological therapy is important because it highlights the need for not just successful surgical outcomes, but also the ability to continue with the comprehensive cancer treatment plan.

methodsA comprehensive review of the literature was conducted to identify relevant English language studies published from January 2010 to September 2024.

resultsDelayed return to intended oncological therapy after surgery was associated with poor survival outcomes in ovarian cancer. This narrative review investigates how pre-operative counselling and education; optimisation of the patient's medical condition; meticulous surgical planning and execution; early recognition of complications; and comprehensive postoperative care influence return to intended therapy in gynaecological surgery. Effective multidisciplinary care involving anaesthetists; nurses; physiotherapists; dietitians; psychologists; and the patient's relatives or friends, can prevent complications and ensure timely return to intended oncological therapy. DISCUSSION: Awareness and management of factors affecting return to intended oncological therapy are essential for improving outcomes in patients with advanced ovarian cancer. We highlight the importance of multidisciplinary care (including enhanced recovery after surgery programmes) and the factors affecting these including age; nutrition; and occurrence of postoperative complications.

Indexed as

Ovarian NeoplasmsCytoreduction Surgical ProceduresFemaleHumansPostoperative Complicationsadvanced ovarian cancercytoreductionenhanced recoveryoncologyRIOT

Identifiers

PMID39776385
PMCPMC11744417

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.