Evidence map›Paper›PMID 40757925›Full record

ArticleThe oncologist2025

Survivorship in advanced ovarian cancer: a prognostic model for overall survival and risk of recurrence.

Eliya Shachar, Yael Raz, Gilat Rotkop, Bar Levy, Adi Diner, Ido Laskov, Nadav Michan, Dan Grisaru, Ido Wolf, Tamar Safra

Erratum issuedAbstract read
In one paragraph

Article in The oncologist, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. 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. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Eliya ShacharDivision of Oncology, Tel Aviv Sourasky Medical Center, Tel Aviv 6423906, Israel.ORCID 0000-0003-3651-4321
Yael RazDivision of Oncology, Tel Aviv Sourasky Medical Center, Tel Aviv 6423906, Israel.
Gilat RotkopDivision of Oncology, Tel Aviv Sourasky Medical Center, Tel Aviv 6423906, Israel.
Bar LevyDivision of Oncology, Tel Aviv Sourasky Medical Center, Tel Aviv 6423906, Israel.
Adi DinerDivision of Oncology, Tel Aviv Sourasky Medical Center, Tel Aviv 6423906, Israel.
Ido LaskovDivision of Oncology, Tel Aviv Sourasky Medical Center, Tel Aviv 6423906, Israel.
Nadav MichanDivision of Oncology, Tel Aviv Sourasky Medical Center, Tel Aviv 6423906, Israel.
Dan GrisaruDivision of Oncology, Tel Aviv Sourasky Medical Center, Tel Aviv 6423906, Israel.
Ido WolfDivision of Oncology, Tel Aviv Sourasky Medical Center, Tel Aviv 6423906, Israel.
Tamar SafraDivision of Oncology, Tel Aviv Sourasky Medical Center, Tel Aviv 6423906, Israel.

Funding

Patient-Centered Outcomes Research Training in Urologic and Gynecologic Cancers (PCORT UroGynCan)T32CA251072 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Beth Y. Karlan, MARK S. LITWIN · 2020 to 2026
$2.1M
NCI NIH HHS T32 CA251072NIH HHSPatient-Centered Outcomes Research Training in Urologic and Gynecologic Cancers T32CA251072
6 · The paper itself

Abstract

objectiveAdvanced epithelial ovarian cancer (EOC) poses a significant clinical challenge due to its typically late diagnosis and poor prognosis. However, a subset of patients exhibit remarkably prolonged survival. Identifying prognostic factors and developing tools for estimating outcomes may provide tailored strategies for treatment escalation or de-escalation. This study aimed to identify prognostic factors associated with patient survival and develop a prognostic model estimating EOC patients' overall survival and risk of recurrence (ROR).

methodsWe conducted a retrospective analysis of 1049 women diagnosed with EOC from January 2002 until June 2024. Clinical, pathological, and molecular data, including germline BRCA pathogenic variants (PVs), and homologous recombination repair analysis were performed. Long-term survivors (LTS), defined as those surviving over 7 or 10 years, and short-term survivors (STS), defined as those surviving less than 2 years were compared. A prognostic model was developed using multivariable logistic regression to estimate survival probabilities and recurrence risk.

resultsAmong the study cohort with advanced disease (FIGO stage III-IV), 20.3% survived beyond 7 years and 9.8% beyond 10 years. Factors significantly associated with LTS included younger age, lower disease stage, complete tumor resection, BRCA PV, and treatment with poly (ADP-ribose) polymerase inhibitors. The prognostic model, integrating age, stage, BRCA status, and tumor resection, provided survival estimates and ROR for 2, 5, 7, and 10 years from diagnosis. This tool is based on retrospective logistic regression analysis of long-term and STS across all stages (I-IV).

conclusionsThis study reaffirms established prognostic factors of LTS with advanced EOC and introduces a novel prognostic calculator integrating clinical variables. The tool may assist in personalizing treatment plans and guiding clinical decisions. Validation in multi-institutional cohorts is necessary to confirm its universal utility and applicability.

Indexed as

Cancer SurvivorsCarcinoma, Ovarian EpithelialNeoplasm Recurrence, LocalOvarian NeoplasmsAdultAgedFemaleHumansMiddle AgedPrognosisRetrospective StudiesSurvival RateBRCAhomologous recombination deficiencylong-term survivorsoptimal debulkingovarian canceroverall survivalplatinum sensitivityprognostic modelrisk of recurrence

Identifiers

PMID40757925
PMCPMC12445702

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LicenceCC BY-NC
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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.