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. 2021 Dec 3;11:795390. doi: 10.3389/fonc.2021.795390

Table 3.

Summary of articles on ovarian cancer.

Study Chemotherapeutic Agent Primary Investigation Cohort Characteristics Study cohort Impact on OS Impact on DFS CC Coverage PCI Coverage Main Findings (with focus on peritoneal recurrence)
Spiliotis et al., 2014 (35) Cisplatin and paclitaxel RCT
CRS + HIPEC vs CRSa
Recurrent OC with locally advanced disease (FIGO IIIc/IV) 120 Improved median OS in HIPEC group, 26.7 vs 13.4 months, p=0.006 Not covered CC 0-2 included. OS significantly higher in CC 0, 30.9 vs 16.9 months, p=0.038 Mentioned, but not used as criteria for selection No specific mention on recurrence
Driel et al., 2018 (OVHIPEC) (17) Cisplatin RCT
CRS + HIPEC vs CRSa
Primary OC with significant abdominal disease/PM 245 Improved median OS in HIPEC group, 45.7 vs 33.9 months. Hazard ratio, p=0.02 Failed to achieve significance, RFS in HIPEC group, 14.2 vs 10.7 months R-1 considered (complete cytoreduction, equivalent to CC 0) Not covered Reduced peritoneal recurrence in the HIPEC group given by increased median recurrence-free in the surgery-plus-HIPEC group (14.2 months vs. 10.7 months).
Ceresoli et al., 2018 (12) Cisplatin and paclitaxel PSM Cohort Study
CRS + HIPEC vs CRSa
Primary OC with locally advanced disease (including PM) 56 after matching Improved median OS in HIPEC group, no median reached in OS vs median 32.53 in control. (p=0.048) No significance, median DFS of 13.96 months in HIPEC vs 13.23 months. (p=0.454) CC 0-3, CC scores used for PS matching. 93% of HIPEC cohort was CC0. Mentioned, but not used for selection nor PS matching No significance in peritoneal recurrence amidst significantly improved OS in HIPEC. Peritoneal recurrence of 75% in HIPEC vs 82.1% in control (p=0.515), median DFS of 13.96 in HIPEC vs 13.23 months (p=0.454).