Evidence map›Paper›PMID 41752970›Full record

ReviewLife (Basel, Switzerland)2026

A Meta-Analysis on the Long-Term Impact of Cytoreductive Surgery Plus HIPEC for Ovarian Cancer with Peritoneal Metastasis: Are We on the Right Path?

Dan Brebu, Mircea Șelaru, Ionut Flaviu Faur, Mihai Cosmin Burta, Ioana Adelina Faur, Amadeus Dobrescu, Ciprian Duță, Vlad Braicu, Andreea-Adriana Neamțu, Danau Răzvan

Abstract readReview
In one paragraph

Review in Life (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

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

10 authors.

Dan BrebuIInd Surgery Clinic, Timisoara Emergency County Hospital, 300723 Timisoara, Romania.
Mircea ȘelaruDepartment X, General Surgery II, Discipline of Surgical Emergencies, "Victor Babes" University of Medicine and Pharmacy Timisoara, Eftimie Murgu Square 2, 300041 Timisoara, Romania.
Ionut Flaviu FaurIInd Surgery Clinic, Timisoara Emergency County Hospital, 300723 Timisoara, Romania.ORCID 0000-0001-6451-7461
Mihai Cosmin BurtaIInd Surgery Clinic, Timisoara Emergency County Hospital, 300723 Timisoara, Romania.
Ioana Adelina FaurIInd Surgery Clinic, Timisoara Emergency County Hospital, 300723 Timisoara, Romania.
Amadeus DobrescuIInd Surgery Clinic, Timisoara Emergency County Hospital, 300723 Timisoara, Romania.ORCID 0000-0001-5736-572X
Ciprian DuțăX Department of General Surgery, "Victor Babes" University of Medicine and Pharmacy Timisoara, 300041 Timisoara, Romania.
Vlad BraicuIInd Surgery Clinic, Timisoara Emergency County Hospital, 300723 Timisoara, Romania.
Andreea-Adriana NeamțuPathology Department, Clinical County Emergency Hospital of Arad, Andrenyi Karoly Str, Nr. 2-4, 310037 Arad, Romania.ORCID 0000-0002-5219-5466
Danau RăzvanDepartment of Urology, "Carol Davila" University of Medicine and Pharmacy, 8 Eroii Sanitari Blvd., 050474 Bucharest, Romania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe benefit of adding hyperthermic intraperitoneal chemotherapy (HIPEC) to cytoreductive surgery (CRS) in ovarian cancer with peritoneal metastasis remains debated outside selected indications. We performed a systematic review and meta-analysis to quantify survival, perioperative morbidity, and completeness of cytoreduction using study-level data.

methodsPubMed/MEDLINE, Embase, and Web of Science were searched. Eligible English-language studies included ovarian cancer patients undergoing CRS plus HIPEC and reported at least one of the following: overall survival (OS), progression-free survival (PFS), Grade III-IV complications, or CC-0 rate. Random-effects meta-analyses were conducted using inverse-variance pooling. For HR outcomes, DerSimonian-Laird τ

resultsTwelve studies (

conclusionsCRS plus HIPEC shows a favorable signal for OS and PFS in the limited HR-eligible evidence and appears feasible, with a pooled severe complication rate of ~18% and high CC-0 rates. Current data support HIPEC primarily as a targeted intensification strategy in carefully selected patients, while broader adoption requires additional randomized, context-specific evidence.

Indexed as

cytoreductive surgeryHIPECovarian cancer

Identifiers

PMID41752970
PMCPMC12942593

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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.