Evidence map›Paper›PMID 41965808›Full record

ArticleJournal of ovarian research2026

Prevalence of ovarian cancer cachexia in patients undergoing cytoreductive surgery at the University of Colorado between 2014-2024.

Eseohi Ehimiaghe, Andrew Nicklawsky, Stephanie Wang, Kathleen C Torkko, Spyridon A Mastryoannis, Andrea Bonetto, Leah J Novinger

Abstract read
In one paragraph

Article in Journal of ovarian research, 2026. 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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2 · The registry

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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

7 authors.

Eseohi EhimiagheDepartment of Obstetrics & Gynecology, Division of Gynecologic Oncology, University of Colorado Anschutz Medical Campus, Aurora, CO, 80045, USA.
Andrew NicklawskyComprehensive Cancer Center, University of Colorado Anschutz Medical Campus, Aurora, CO, 80045, USA.
Stephanie WangDepartment of Obstetrics & Gynecology, Division of Gynecologic Oncology, University of Colorado Anschutz Medical Campus, Aurora, CO, 80045, USA.
Kathleen C TorkkoComprehensive Cancer Center, University of Colorado Anschutz Medical Campus, Aurora, CO, 80045, USA.
Spyridon A MastryoannisDepartment of Obstetrics & Gynecology, Division of Gynecologic Oncology, University of Colorado Anschutz Medical Campus, Aurora, CO, 80045, USA.
Andrea BonettoComprehensive Cancer Center, University of Colorado Anschutz Medical Campus, Aurora, CO, 80045, USA.
Leah J NovingerComprehensive Cancer Center, University of Colorado Anschutz Medical Campus, Aurora, CO, 80045, USA. leah.novinger@cuanschutz.edu.

Funding

University of Colorado Cancer Center Support Grant - Lung Cancer Patient-Derived Xenografts with Autologous Human Immune SystemsP30CA046934 · NCI · UNIVERSITY OF COLORADO DENVER · PI James V Degregori · 1988 to 2026
$117.0M
NIH Prior Approval Process ProfessionalUL1TR002535 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2018 to 2022
$51.1M
Targeting RANKL for the treatment of muscle and bone defects in cachexiaR01AR079379 · NIAMS · UNIVERSITY OF COLORADO DENVER · PI Andrea Bonetto · 2021 to 2026
$2.1M
IGFBP1 mediates a liver-bone-muscle axis in colorectal cancer cachexiaR01AR080051 · NIAMS · UNIVERSITY OF COLORADO DENVER · PI Andrea Bonetto · 2022 to 2026
$2.1M
National Institutes of Health, United States R01AR079379NCATS NIH HHS UL1 TR002535NCI NIH HHS P30 CA046934NIAMS NIH HHS R01 AR079379NIAMS NIH HHS R01 AR080051
6 · The paper itself

Abstract

backgroundCancer cachexia is an underrecognized condition characterized by weight loss and muscle wasting resulting from altered metabolism and systemic inflammation. While this comorbid condition is associated with surgical complications and poorer prognosis in other cancer types, its prevalence in epithelial ovarian cancer is not well described. We evaluated the prevalence of cachexia in patients with epithelial ovarian cancer and clinical characteristics associated with cachexia.

methodsA retrospective cohort study with longitudinal follow up was performed on 374 patients who underwent cytoreductive surgery for epithelial ovarian cancer. Adult patients, without risk factors for sarcopenia, who underwent surgery from January 2014-June 2024 were evaluated for preoperative weight, skeletal muscle index, demographics, physical and tumor characteristics, oncologic treatment, and outcomes with cancer cachexia.

resultsCancer cachexia was common (> 50% of cohort) and more frequently observed in patients who had interval cytoreductive surgery (odds ratio [OR] 3.34, 95% CI 2.16–5.06), required preoperative paracentesis or thoracentesis (OR 4.45, 95% CI 2.73–7.28), had advanced-stage disease (OR 3.76, 95% CI 2.17–6.57), serous histology (OR 1.87, 95% CI 1.12–3.11), and aberrant p53 expression (OR 1.77, 95% CI 1.11–2.78). Median Cancer Antigen 125 (CA-125) was higher in the population of patients with cachexia than among those without (p < 0.0001), though discriminatory performance was modest. Cachexia was associated with shorter disease-free survival and overall survival. Median disease-free survival was 19.8 months in patients with cachexia compared with 42.0 months in those without (log-rank p < 0.0001). Median overall survival was 51.2 months versus 72.0 months, respectively (log-rank p = 0.02).

conclusionsOver half of patients with epithelial ovarian cancer will have cachexia at the time of cytoreductive surgery. Risk factors for cachexia include interval cytoreductive surgery, need for paracentesis, advanced stage, serous histology, and aberrant p53 expression. Disease-free survival and overall survival are worse in patients with cachexia compared to those without.

Indexed as

CachexiaCarcinoma, Ovarian EpithelialCytoreduction Surgical ProceduresOvarian NeoplasmsAdultAgedFemaleHumansMiddle AgedPrevalenceRetrospective StudiesRisk FactorsCancer cachexiaChemotherapyEpithelial ovarian cancerSarcopenia

Identifiers

PMID41965808
PMCPMC13195947

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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.