Does adding intraperitoneal paclitaxel to standard intraperitoneal regimen yield incremental survival? A propensity score-matched cohort study

Springer Science and Business Media LLC - Tập 35 - Trang 1-4 - 2016
Yen-Hou Chang1,2, Chien-Hsing Lu3,4,5,2, Ming-Shyen Yen1,2, Wai-Hou Lee1,2, Yi Chang1, Wei-Pin Chang6, Chi-Mu Chuang1,2
1Institute of Clinical Medicine, School of Medicine, National Yang-Ming University, Taipei, China
2Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, China
3Department of Obstetrics and Gynecology, Taichung Veterans General Hospital, Taichung, China
4Institute of Biomedical Sciences, National Chung Hsing University, Taichung, China
5Rong-Hsing Research Center for Translational Medicine, National Chung Hsing University, Taichung, China
6Department of Healthcare Management, Yuanpei University, Hsinchu, China

Tóm tắt

We recruited consecutive patients with stage III epithelial ovarian, tubal, and peritoneal cancers who had optimal residual tumor after primary cytoreductive surgery and who received intraperitoneal chemotherapy between 2002 and 2012. Two propensity score-matched sample cohorts were created. We found that the addition of paclitaxel as a second intraperitoneal agent on a 3-week dosing schedule did not yield significant incremental survival benefits over the intraperitoneal delivery of a single cisplatin-based regimen. If our findings could be confirmed by a prospective randomized study, then it would be interesting to explore the efficacy of shifting back to a dose-dense intraperitoneal delivery of paclitaxel or a dose-dense delivery of a new formulation of paclitaxel for the patients with stage III epithelial ovarian, tubal, and peritoneal cancers.

Tài liệu tham khảo

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