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). |