Shim 2016.
Study characteristics | ||
Methods | Retrospective study | |
Participants | 276 women with FIGO stage III or IV ovarian cancer consecutively treated Median age at diagnosis was 54 years (range: 20 to 80 years) 258 (93.5%) women received postoperative platinum‐based chemotherapy South Korea |
|
Residual disease details | Speciality of surgeon not reported Surgery followed by platinum‐taxane chemotherapy The 25%, 50% and 75% quartiles of intervals from surgery to start of chemotherapy were 18, 22 and 28 days, respectively |
|
Outcomes | Time to chemotherapy (TTC) was analysed and correlated with outcome The following were significant prognostic factors for progression‐free survival in multivariate analysis:
|
|
Risk of bias (QUIPS) | 1. Study participation (a‐f): high risk Abstract only therefore insufficient information on study participation 2. Study attrition (a‐e): unclear risk Unclear if patients with incomplete follow‐up were excluded before arriving at the stated sample size. Insufficient information to permit judgement. 3. Prognostic factor measurement (a‐f): low risk Valid and reliable measurement of RD Outcome level assessment: Outcome: overall survival Not reported Outcome: progression‐free survival 4. Outcome measurement (a‐c): low risk Definition of PFS not provided but it usually has a standard definition 5. Adjustment for other prognostic factors (a‐g): high risk Time to chemotherapy arbitrarily categorised. Model predicting PFS adjusted for time to chemotherapy and preoperative albumin level. 6. Statistical analysis and reporting (a‐d): high risk No conceptual framework; unclear on reasons why the particular specific set of variables were selected for multivariate model. PFS used as outcome but no overall survival. |
|
Notes | Findings are from an abstract OS not reported Mean and median length of follow‐up were not reported Although delayed TTC (> 28 days) did not possess prognostic significance in women without postoperative residual disease (n = 94), it significantly correlated with progression‐free survival in women with postoperative RD (n = 164, HR 1.893, 95% CI 1.209 to 2.962) |