Cancers, Volume 14, Issue 18
2022 September-2 - 201 articles
Cover Story: Ovarian cancer is treated with cytoreductive surgery to remove all visible cancer, in addition to platinum chemotherapy. Ultra-radical surgery, i.e., surgery involving upper abdominal organs, e.g., splenectomy, diaphragm resection, and bowel surgery, achieves this goal even when cancer has spread widely across the abdominal cavity. We analyzed cancer registry data to identify whether cancer centres practicing ultra-radical surgery have better survival than those who practice less radical surgery, including every patient with advanced ovarian cancer in the catchment of 11 UK cancer centres. We found that centres practicing ultra-radical surgery have better median survival than those who do not, even after adjusting for age and deprivation. The strength of the study is the population-based nature of the data. View this paper - Issues are regarded as officially published after their release is announced to the table of contents alert mailing list .
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