Department of Obstetrics and Gynecology, Inha University Hospital, Inha University College of Medicine, Incheon, Korea.
Department of Obstetrics and Gynecology, Ajou University School of Medicine, Suwon, Korea.
J Gynecol Oncol. 2024 Jan;35(1):e43. doi: 10.3802/jgo.2024.35.e43. Epub 2023 Dec 27.
Since the latest practice guidelines for ovarian cancer were developed by the Korean Society of Gynecologic Oncology (KSGO) in 2021, many studies have examined the efficacy and safety of various treatments for epithelial ovarian cancer (EOC). Therefore, the need to develop recommendations for EOC treatments has been raised. This study searched the literature using 4 key items and the Population, Intervention, Comparison, and Outcome: the efficacy and safety of poly-ADP ribose polymerase inhibitors in newly diagnosed advanced EOC; the efficacy and safety of intraperitoneal plus intravenous chemotherapy in optimally debulked advanced EOC; the efficacy and safety of secondary cytoreductive surgery in platinum-sensitive recurrent ovarian cancer; and the efficacy and safety of the addition of bevacizumab to platinum-based chemotherapy in first platinum-sensitive recurrent EOC patients who received prior bevacizumab. The evidence for these recommendations, according to each key question, was evaluated using a systematic review and meta-analysis. The committee of ovarian cancer of the KSGO developed updated guidelines for treatments of EOC.
自 2021 年韩国妇科肿瘤学会 (KSGO) 制定了卵巢癌最新实践指南以来,许多研究已经检验了各种上皮性卵巢癌 (EOC) 治疗方法的疗效和安全性。因此,提出了制定 EOC 治疗建议的需求。本研究使用 4 个关键项目和人群、干预、比较和结果进行文献检索:新诊断晚期 EOC 中聚 ADP 核糖聚合酶抑制剂的疗效和安全性;最佳减瘤的晚期 EOC 中腹腔内加静脉化疗的疗效和安全性;铂敏感复发性卵巢癌中二次细胞减灭术的疗效和安全性;以及在先前接受贝伐单抗治疗的铂敏感复发性 EOC 患者中,将贝伐单抗添加到铂类化疗中的疗效和安全性。根据每个关键问题,使用系统评价和荟萃分析评估了这些建议的证据。KSGO 的卵巢癌委员会为 EOC 的治疗制定了更新的指南。