Evidence map›Paper›PMID 41191705›Full record

ArticleSao Paulo medical journal = Revista paulista de medicina2025

Prognostic value of chemotherapy response score in advanced ovarian cancer: a single-center retrospective analysis.

Hamdullah Sözen, Yagmur Minareci, Atahan Toyran, Ibrahim Yalçin, Semen Önder, Aysel Bayram, Sidar Bağbudar, Mustafa Albayrak, Müge Ateş Tikiz, Pınar Mualla Saip and 2 more

Abstract read
In one paragraph

Article in Sao Paulo medical journal = Revista paulista de medicina, 2025. 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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0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Hamdullah SözenAssociate Professor, Department of Gynecology and Obstetrics, Division of Gynecologic Oncology, Faculty of Medicine, Istanbul University, Istanbul, Türkiye.ORCID 0000-0003-1894-1688
Yagmur MinareciAssistant Professor, Department of Gynecology and Obstetrics, Division of Gynecologic Oncology, Faculty of Medicine, Istanbul University, Istanbul, Türkiye.ORCID 0000-0003-1420-9318
Atahan ToyranFellow, Department of Gynecology and Obstetrics, Division of Gynecologic Oncology, Faculty of Medicine, Istanbul University, Istanbul, Türkiye.ORCID 0000-0003-1063-5301
Ibrahim YalçinAssociate Professor, Department of Gynecology and Obstetrics, Division of Gynecologic Oncology, Faculty of Medicine, Dokuz Eylül University, Izmir, Türkiye.ORCID 0000-0003-3469-1084
Semen ÖnderFull Professor, Department of Pathology, Faculty of Medicine, Istanbul University, Istanbul, Türkiye.ORCID 0000-0002-1384-630X
Aysel BayramAssistant Professor, Department of Pathology, Faculty of Medicine, Istanbul University, Istanbul, Türkiye.ORCID 0000-0002-5014-0074
Sidar BağbudarAssistant Professor, Department of Pathology, Faculty of Medicine, Istanbul University, Istanbul, Türkiye.ORCID 0000-0003-1633-9394
Mustafa AlbayrakAssociate Professor, Department of Gynecology and Obstetrics, Division of Gynecologic Oncology, Faculty of Medicine, Istanbul University, Istanbul, Türkiye.ORCID 0000-0003-2941-7574
Müge Ateş TikizFellow, Department of Gynecology and Obstetrics, Division of Gynecologic Oncology, Faculty of Medicine, Akdeniz University, Antalya, Türkiye.ORCID 0000-0003-0813-2094
Pınar Mualla SaipProfessor, Institute of Oncology, Department of Medical Oncology, Istanbul University, Istanbul, Türkiye.ORCID 0000-0001-6871-8519
Samet TopuzFull Professor, Department of Gynecology and Obstetrics, Division of Gynecologic Oncology, Faculty of Medicine, Istanbul University, Istanbul, Türkiye.ORCID 0000-0002-9069-0185
Mehmet Yavuz SalihogluFull Professor, Department of Gynecology and Obstetrics, Division of Gynecologic Oncology, Faculty of Medicine, Istanbul University, Istanbul, Türkiye.ORCID 0000-0003-2801-9339

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe chemotherapy response score (CRS) is a histopathological tool used to assess the tumor response in patients with high-grade serous ovarian carcinoma (HGSC) undergoing neoadjuvant chemotherapy (NACT) followed by interval debulking surgery (IDS). DESIGN AND

settingThis single-center retrospective study was conducted at the Faculty of Medicine at Istanbul University. The study included patients treated between January 1, 2010, and December 31, 2017 at a tertiary care hospital specializing in gynecologic oncology.

objectivesThis study aimed to evaluate the prognostic significance of omental and adnexal CRS in predicting overall survival (OS) and disease-free survival (DFS) in patients with advanced HGSC undergoing NACT followed by IDS.

methodsData from 79 patients with advanced HGSC treated with NACT followed by IDS between 2010 and 2017 were analyzed. CRS was applied to both omental and adnexal samples, and its association with OS and DFS was evaluated. Statistical analyses were performed using univariate and multivariate methods with a significance level of P < 0.05.

resultsOmental CRS 1-2 was identified as an independent predictor of decreased OS (hazard ratio 2.69; 95% confidence interval 1.26-5.76, P = 0.010), whereas adnexal CRS 1-2 did not significantly impact DFS or OS in multivariate analysis. Patients with omental CRS 3 had superior outcomes, with a 5-year OS rate of 72%, compared to 30.8% in the CRS 1-2 group. The median DFS of the CRS 1-2 group was 19 months, whereas that of the CRS 3 group was 35 months (P = 0.005).

conclusionsOmental CRS is a strong independent predictor of OS in patients with advanced HGSC, whereas adnexal CRS has limited prognostic value. CRS should be considered in clinical practice to guide treatment decisions, and further research is warranted to refine its use by using molecular and radiological markers.

Indexed as

Ovarian NeoplasmsAdultAgedCytoreduction Surgical ProceduresDisease-Free SurvivalFemaleHumansMiddle AgedNeoadjuvant TherapyPrognosisRetrospective StudiesTreatment Outcome

Identifiers

PMID41191705
PMCPMC12591238

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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.