Optimizing Initial Management of Advanced- Stage Ovarian Cancer
Başlık:
Optimizing Initial Management of Advanced- Stage Ovarian Cancer
Yazar:
Byrne, Maureen E., author. (orcid)0000-0002-4168-2680
ISBN:
9780438030527
Yazar Ek Girişi:
Fiziksel Tanımlama:
1 electronic resource (38 pages)
Genel Not:
Source: Masters Abstracts International, Volume: 57-06M(E).
Advisors: Ginger J. Gardner Committee members: Janice Gabrilove; Alexia Iasonos; Kara Long-Roche; Alan Moskowitz.
Özet:
Objectives: A previously published a predictive model in which the suboptimal rate at primary debulking surgery (PDS) for advanced ovarian carcinoma was directly proportional to a predictive value score based on 9 clinical and radiologic criteria. The objective of this study was to determine the feasibility of implementation and evaluate the accuracy of the predictive score.
Methods: From July 1, 2015 to June 30, 2017, all patients seen by a gynecologic oncologist and medically appropriate for surgical management at MSKCC were assigned a predictive value score. Patients with a score of 0-6 were deemed "low-risk" for a suboptimal surgical outcome and were recommended to have PDS. Patients with a score greater than or equal to 7 were considered "high-risk" and were triaged to a laparoscopic assessment of resectability.
Results: Of the 139 "low-risk" patients who received PDS, 96% had an optimal outcome, 78% attained complete gross resection (CGR), and 4% had suboptimal outcomes. The cytoreduction rates for the 22 "high-risk" patients who received PDS were 91% optimal, 55% CGR, and 9% suboptimal. Using our algorithm, 91% of "low-risk" patients and 50% of "high-risk" patients ultimately underwent PDS. Conclusions: Implementation of a preoperative scoring system to determine PDS resectability for ovarian cancer is feasible. With external validation, this tool may be utilized in pretreatment assessment in order to further optimize patient selection and cytoreductive outcomes.
Notlar:
School code: 1734
Tüzel Kişi Ek Girişi:
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Yer Numarası | Demirbaş Numarası | Shelf Location | Lokasyon / Statüsü / İade Tarihi |
---|---|---|---|
XX(694603.1) | 694603-1001 | Proquest E-Tez Koleksiyonu | Arıyor... |
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