Page 13 - Ovarian Cancer Surgery - Quality Indicators
P. 13

Original studies presenting survival multivariate analysis in patients with advanced ovarian cancer
treated with primary cytoreductive surgery continued

Authorreference            Year    N       Optimal   Residual  Multivariate analysis*
                                   Total   criteria  disease   HR/OR 95% CI
                                                                                            p-value

Progression-free survival  2013    428     no gross  ≤ 5 mm    1.64   1.19-2.26             0.002
                           2013    428     no gross  > 5 mm    1.80   1.20-2.70             0.005
    Landrum et al.161      2012    2261    no gross  > 1 mm    1.6    1.3-2.1               < 0.001
    Landrum et al.161      2010    573     no gross  ≤ 10 mm   1.51   1.05-2.19             0.028
    Polterauer et al.162   2010    573     no gross  > 10 mm   1.82   1.28-2.59             0.001
    Wimberger et al.163    2012    189     no gross  > 1 mm    2.03   1.25-3.31             < 0.01
    Wimberger et al.163    2009    3,1262  no gross  ≤ 10 mm   2.03   1.81-2.27             < 0.0001
    Chang et al.164        2014    251     < 10 mm   ≥ 10 mm   2.371  1.221-4.606           0.011
    du Bois et al.165      2009    118     < 10 mm   ≥ 10 mm   0.50   0.31-0.80             0.004
    Fu et al.167           2009    200     <10 mm    ≥ 10 mm   1.91   1.21-3.03             < 0.05
    Gerestein et al.168    2011    75      ≤ 10 mm   > 10 mm   2.30   1.19-4.45             0.013
    Pecorelli et al.175    2012    203     ≤ 10 mm   > 10 mm   2.61   1.58-4.29             < 0.01
    Abaid et al.170
    Chang et al.171

Progression-free interval

Everett et al.176          2006    2003    ≤ 10 mm   > 10 mm   2.96   NA                    < 0.001

Disease-specific overall survival

Aletti et al.177           2007    49      < 10 mm   ≤ 20 mm   1.40   0.55-2.87             0.049
Aletti et al.177           2007    49
                                           < 10 mm   > 20 mm   2.56   1.13-5.99             0.049

Disease-specific survival

Rutten et al.184           2015 227        no gross  < 10 mm   2.04   1.11-3.76             0.02

Rutten et al.184           2015 227        no gross  > 10 mm   1.84   1.05-3.21             0.03

Disease-free survival

Kumpulainen et al.178 2009 234             ≤ 10 mm   > 10 mm   4.446 2.497-7.917 < 0.0001

* Cox regression analysis was used for multivariate analyses of prognostic variables, 1 15 of the 226 included patients had
FIGO stage II, 2 277 of the 3,126 included patients had FIGO stages IIB and IIC, 3 98 patients 49% had initial

chemotherapy, CI confidence interval, HR hazard ratio, NA data not available, OR odd ratio.

Table 2. Original studies presenting survival multivariate analysis in patients with advanced ovarian
cancer treated with delayed cytoreductive surgery

Authorreference            Year    N       Optimal   Residual  Multivariate analysis*
                                   Total   criteria  disease
                                                               HR/OR 95% CI                 p-value

Overall survival           2013 124        no gross  < 10 mm   1.39 0.89-2.19 0.14

    Muraji et al.206       2013 124        no gross  > 10 mm   3.78 2.06-6.94 < 0.001
    Muraji et al.206
    Bilici et al.205       2010 52         < 10 mm > 10 mm 0.28 0.003-0.37 0.002

Disease-specific survival

Rutten et al.184           2015    462     no gross  < 10 mm   1.79 1.26-2.53 < 0.001
Rutten et al.184           2015    462     no gross  > 10 mm   3.11 2.01-4.81 < 0.001

* Cox regression analysis was used for multivariate analyses of prognostic variables, 1 98 patients 49% had initial
chemotherapy, CI confidence interval, HR hazard ratio, NA data not available.

                                            OVARIAN CANCER SURGERY - QUALITY INDICATORS 
                                                                                  13
   8   9   10   11   12   13   14   15   16   17   18