From: Textbook outcome in ovarian cancer and its impact on survival: comparative study
Non TO n(%) 161 (44.1) | TO n(%) 204 (55.9) | p value | |
---|---|---|---|
PATIENTS CHARACTERISTICS | |||
Age* | 64 (56.8–67.1) | 58.1 (55.1–68.0) | < 0.0001 |
BMI median (IQR) | 25.9 (22.6–29) | 25.9 (22.8–29.6) | 0.45 |
ASA | 0.12 | ||
1 2 3 4 | 8 (5.0) 63 (39.1) 85 (52.8) 5 (3.1) | 7 (3.4) 105 (51.5) 88 (43.1) 4 (2.0) | |
Charlson age score* | 2(2–3) | 2(1–3) | < 0.001 |
Histology | 0.23 | ||
• Low grade • High grade • Endometroid • Others | 1 (0.3) 147 (40.3) 3 (0.8) 2 (0.5) | 0 (0.0) 188 (51.5) 7 (1.9) 8 (2.2) | |
Preoperative DATA | |||
Hb * g/dL | 12 (1.8–12) | 12 (11–12) | 0.68 |
Neutrophils*) l/mm3 | 5305 (3810–7230) | 5390 (3990–6810) | 0.96 |
Lymphocytes * l/mm3 | 1410 (1220–1890) | 1410 (1190–1480) | 0.46 |
Platelets *x103/µL | 232.000 (194.000–29.000) | 22.000 (165.000-287.000) | 0.34 |
CEA * ng/mL | 1.93 (1.40–2.40) | 2 (1.3–2.6) | 0.88 |
CA 125 * ng/mL | 53 (23–236) | 31 (16–163) | 0.04 |
CA19.9 *ng/mL | 22.65 (13.6-48.45) | 11 (7–35) | 0.06 |
HE4 *U/mL | 136 (94–193) | 71 (63–100) | 0.02 |
INTRAOPERATIVE DATA | |||
Surgical time (min) | 350 (300–450) | 300 (250–375) | < 0.0001 |
Total PCI | < 0.0001 | ||
< 10 11–20 > 20 | 51 (14) 59 (16.2) 50 (13.7) | 143 (39.3) 51 (14.0) 10 (2.7) | |
PCI median (IQR) | 15 (8–22) | 6 (3–12) | < 0.0001 |
Intestinal resection | < 0.0001 | ||
No Yes | 79 (21.6) 82 (22.5) | 153 (41.9) 51 (14) | |
Anastomosis number | < 0.0001 | ||
1 2 3 4 | 80 (21.9) 60 (16.4) 19 (5.2) 2 (0.5) | 155 (42.5) 43 (11.8) 6 (1.6) 0 (0) | |
HIPEC | 0.04 | ||
No Yes | 35 (9.6) 126 (34.5) | 28 (7.7) 176 (48.4) | |
HIPEC | 0.14 | ||
Cisplatin Paclitaxel | 42 (11.5) 84 (23) | 73 (20) 102 (27.9) | |
Time to return chemotherapy* | 6 (5–8) | 4 (4–6) | < 0.0001 |
POSTOPERATIVE RESULTS | |||
Clavien Dindo Complications ** | < 0.0001 | ||
0 I II IIIa IIIb Iva IVb V | 30 (8.2) 2 (0.5) 58 (15.9) 37 (1.1) 15 (4.1) 4 (1.1) 8 (2.2) 7 (1.9) | 122 (33.4) 10 (2.7) 72 (19.7) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) | |
C reactive protein (CRP) 3º day* | 124 (101.3-116.9) | 63.5 (31.9–86.5) | 0.003 |
C reactive protein (CRP) 5º day* | 117.1 (84.1-196.2) | 36.4 (10–45) | 0.001 |
Medical complication | < 0.001 | ||
No yes | 104 (28.5) 57 (15.6) | 187 (51.2) 17 (4.7) | |
Surgical complication | < 0.001 | ||
No Yes | 95 (26) 66 (18.1) | 189 (51.8) 15 (4.1) | |
Fistula or dehiscence | 0.01 | ||
No Yes | 156 (42.7) 5 (1.4) | 204 (56.4) 0 (0.0) | |
SSI superficial | 0.14 | ||
No YES | 156 (42.7) 5 (1.4) | 202 (55.3) 2 (0.5) | |
Ileus | 0.14 | ||
No Yes | 145 (39.7) 16 (4.4) | 197 (54) 7 (1.9) | |
Catheter infection | 0.05 | ||
No Yes | 158 (43.6) 3 (0.8) | 204 (55.9) 0 (0.0) | |
Relapse | 0.32 | ||
No Yes | 52 (14.2) 109 (29.9) | 76 (2.8) 128 (35.1) | |
Length of stay (days) ** | 11 (7–14) | 7 (5–8) | < 0.001 |
Survival in months after surgery median (IQR) | 27 (14-48.2) | 41 (24.5–67) | < 0.0001 |