Does time interval between surgery and intraperitoneal chemotherapy administration in advanced ovarian cancer carry a prognostic impact? An NRG Oncology/Gynecologic Oncology Group study ancillary study

作者: Arlene E Garcia-Soto , James J Java , Wilberto Nieves Neira , J Matthew Pearson , David E. Cohn

DOI: 10.1016/J.YGYNO.2016.10.003

关键词:

摘要: Abstract Objectives To determine the relationship of time from surgery to intraperitoneal (IP) chemotherapy (TSIC) initiation with survival patients stage III epithelial ovarian cancer (EOC) using ancillary data cooperative group clinical trials. Methods Data 420 EOC treated IP under GOG-0114 and 172 were reviewed. The Cox proportional hazards model was used evaluate independent prognostic factors estimate their covariate-adjusted effects on PFS OS. Results median TSIC 62.5days (interquartile range 28–83). longer for in vs those GOG-172 (83 26days, p 2 −0.141, 95%CI −0.217, −0.064, Conclusions In this study, not associated improved OS cancer. significantly entire cohort, suggesting increase TSIC. However, found when only GOG or 114 analyzed separately. Hence, between needs be studied further.

参考文章(23)
David R. Cox, Regression Models and Life-Tables Springer Series in Statistics. ,vol. 34, pp. 527- 541 ,(1992) , 10.1007/978-1-4612-4380-9_37
Elizabeth A. Saffer, Nurten Gunduz, Bernard Fisher, Influence of the Interval between Primary Tumor Removal and Chemotherapy on Kinetics and Growth of Metastases Cancer Research. ,vol. 43, pp. 1488- 1492 ,(1983)
H. B. Mann, D. R. Whitney, On a Test of Whether one of Two Random Variables is Stochastically Larger than the Other Annals of Mathematical Statistics. ,vol. 18, pp. 50- 60 ,(1947) , 10.1214/AOMS/1177730491
E. L. Kaplan, Paul Meier, Nonparametric Estimation from Incomplete Observations Springer Series in Statistics. ,vol. 53, pp. 319- 337 ,(1992) , 10.1007/978-1-4612-4380-9_25
Torbjørn Paulsen, Janne Kærn, Kristina Kjærheim, Tor Haldorsen, Claes Tropé, Influence of interval between primary surgery and chemotherapy on short-term survival of patients with advanced ovarian, tubal or peritoneal cancer. Gynecologic Oncology. ,vol. 102, pp. 447- 452 ,(2006) , 10.1016/J.YGYNO.2006.01.035
Jason D. Wright, Thomas J. Herzog, Alfred I. Neugut, William M. Burke, Yu-Shiang Lu, Sharyn N. Lewin, Dawn L. Hershman, Effect of radical cytoreductive surgery on omission and delay of chemotherapy for advanced-stage ovarian cancer. Obstetrics & Gynecology. ,vol. 120, pp. 871- 881 ,(2012) , 10.1097/AOG.0B013E31826981DE
Giovanni D. Aletti, Harry J. Long, Karl C. Podratz, William A. Cliby, Is time to chemotherapy a determinant of prognosis in advanced-stage ovarian cancer? Gynecologic Oncology. ,vol. 104, pp. 212- 216 ,(2007) , 10.1016/J.YGYNO.2006.07.045