Cochrane · systematic review · CD005340

Intraperitoneal chemotherapy for the initial management of primary epithelial ovarian cancer

Jaaback, K, Johnson, N, Lawrie, TA · Cochrane Database of Systematic Reviews · 2016 · Cochrane Library

Gynaecological, Neuro-oncology and Orphan Cancer2 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
10
current version
GRADE rated
9
No studies
1
Included studies
NR
No studies 1 · 10%Ungraded 0 · 0%Very low 0 · 0%Low 0 · 0%Moderate 0 · 0%High 9 · 90%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Current version only

Summary of survival outcomes

Population: Women with newly diagnosed epithelial ovarian cancer
CD005340.PUB4 (current) · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Overall survival
HR 0.81 [0.72, 0.9]8 studies · 2026 participantsHigh
Progression‐free survival
HR 0.78 [0.7, 0.86]5 studies · 1311 participantsHigh

Summary of severe adverse effects

Population: Women with newly diagnosed epithelial ovarian cancer
CD005340.PUB4 (current) · 8 questions
OutcomeEffectEvidenceStatus / GRADE
Severe adverse effects (G3/4) outcomes
no estimate extractedNRNo studies
fever
RR 1.64 [1.13, 2.38]5 studies · 1797 participantsHigh
fatigue
RR 2.32 [1.06, 5.07]3 studies · 1171 participantsHigh
gastrointestinal AEs
RR 1.71 [1.28, 2.26]5 studies · 1339 participantsHigh
infection
RR 3.34 [2.06, 5.43]3 studies · 1171 participantsHigh
metabolic AEs
RR 4.45 [2.72, 7.26]2 studies · 873 participantsHigh
pain
RR 7.47 [4.41, 12.67]3 studies · 1235 participantsHigh
hearing loss
RR 0.67 [0.46, 0.99]3 studies · 1009 participantsHigh

Summary of survival outcomes

Population: Women with newly diagnosed epithelial ovarian cancer
CD005340.PUB3 · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Overall survival
HR 0.81 [0.72, 0.9]8 studies · 2026 participantsHigh
Progression‐free survival
HR 0.78 [0.7, 0.86]5 studies · 1311 participantsHigh

Summary of severe adverse effects

Population: Women with newly diagnosed epithelial ovarian cancer
CD005340.PUB3 · 8 questions
OutcomeEffectEvidenceStatus / GRADE
Severe adverse effects (G3/4) outcomes
no estimate extractedNRNo studies
fever
RR 1.64 [1.13, 2.38]5 studies · 1797 participantsHigh
fatigue
RR 2.32 [1.06, 5.07]3 studies · 1171 participantsHigh
gastrointestinal AEs
RR 1.71 [1.28, 2.26]5 studies · 1339 participantsHigh
infection
RR 3.34 [2.06, 5.43]3 studies · 1171 participantsHigh
metabolic AEs
RR 4.45 [2.72, 7.26]2 studies · 873 participantsHigh
pain
RR 7.47 [4.41, 12.67]3 studies · 1235 participantsHigh
hearing loss
RR 0.67 [0.46, 0.99]3 studies · 1009 participantsHigh