Predictors of survival in patients with recurrent ovarian cancer undergoing secondary cytoreductive surgery based on the pooled analysis of an international collaborative cohort
2011

Survival Factors in Ovarian Cancer Surgery

Sample size: 1100 publication Evidence: high

Author Information

Author(s): Zang R Y, Harter P, Chi D S, Sehouli J, Jiang R, Tropé C G, Ayhan A, Cormio G, Xing Y, Wollschlaeger K M, Braicu E I, Rabbitt C A, Oksefjell H, Tian W J, Fotopoulou C, Pfisterer J, du Bois A, Berek J S

Primary Institution: Ovarian Cancer Program, Department of Gynecologic Oncology, Fudan University Cancer Hospital, Shanghai, China

Hypothesis

This study aims to identify prognostic factors and to develop a risk model predicting survival in patients undergoing secondary cytoreductive surgery for recurrent epithelial ovarian cancer.

Conclusion

The prognostic model may help predict survival benefits from secondary cytoreduction in patients with recurrent ovarian cancer.

Supporting Evidence

  • Complete secondary cytoreductive surgery is linked to improved survival.
  • Patients with no residual disease after surgery had a median survival of 57.7 months.
  • The study included data from multiple international centers.

Takeaway

Doctors can use a new scoring system to figure out which ovarian cancer patients might live longer after surgery.

Methodology

Data from 1100 patients who underwent secondary cytoreductive surgery were pooled and analyzed to develop a risk model for survival.

Potential Biases

Selection bias may exist due to the nature of the surgical cohort.

Limitations

The study faced issues with missing data and did not include salvage chemotherapy as a prognostic factor.

Participant Demographics

The median age at recurrence was 56 years, with a range from 16 to 84 years.

Statistical Information

P-Value

p<0.0001

Confidence Interval

95% CI: 1.45–2.03

Statistical Significance

p<0.0001

Digital Object Identifier (DOI)

10.1038/bjc.2011.328

Want to read the original?

Access the complete publication on the publisher's website

View Original Publication