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Erschienen in: Annals of Surgical Oncology 13/2023

10.08.2023 | Peritoneal Surface Malignancy

The 2022 PSOGI International Consensus on HIPEC Regimens for Peritoneal Malignancies: Epithelial Ovarian Cancer

verfasst von: Aditi Bhatt, MS, MCh, Olivier Glehen, MD, PhD, Oliver Zivanovic, MD, PhD, Donal Brennan, MB, BCh, PhD, Cedric Nadeau, MD, PhD, Willemien Van Driel, MD, PhD, Naoual Bakrin, MD, PhD

Erschienen in: Annals of Surgical Oncology | Ausgabe 13/2023

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Abstract

Background and Aim

We report the results of an international consensus on hyperthermic intraperitoneal chemotherapy (HIPEC) regimens for epithelial ovarian cancer (EOC) performed with the following goals:
  • To define the indications for HIPEC
  • To identify the most suitable HIPEC regimens for each indication in EOC
  • To identify areas of future research on HIPEC
  • To provide recommendations for some aspects of perioperative care for HIPEC

Methods

The Delphi technique was used with two rounds of voting. There were three categories of questions: evidence-based recommendations [using the Grades of Recommendation, Assessment, Development, and Evaluation (GRADE) system with the patient, intervention, comparator, and outcome (PICO) method], an opinion survey, and research recommendations.

Results

Seventy-three (67.5%) of 108 invited experts responded in round I, and 68 (62.9%) in round II. Consensus was achieved for 34/38 (94.7%) questions. However, a strong positive consensus that would lead to inclusion in routine care was reached for only 6/38 (15.7%) questions. HIPEC in addition to interval cytoreductive surgery (CRS) received a strong positive recommendation that merits inclusion in routine care. Single-agent cisplatin was the only drug recommended for routine care, and OVHIPEC-1 was the most preferred regimen. The panel recommended performing HIPEC for a minimum of 60 min with a recommended minimum intraabdominal temperature of 41°C. Nephroprotection with sodium thiosulfate should be used for cisplatin HIPEC.

Conclusions

The results of this consensus should guide clinical decisions on indications of HIPEC and the choice and various parameters of HIPEC regimens and could fill current knowledge gaps. These outcomes should be the basis for designing future clinical trials on HIPEC in EOC.
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Metadaten
Titel
The 2022 PSOGI International Consensus on HIPEC Regimens for Peritoneal Malignancies: Epithelial Ovarian Cancer
verfasst von
Aditi Bhatt, MS, MCh
Olivier Glehen, MD, PhD
Oliver Zivanovic, MD, PhD
Donal Brennan, MB, BCh, PhD
Cedric Nadeau, MD, PhD
Willemien Van Driel, MD, PhD
Naoual Bakrin, MD, PhD
Publikationsdatum
10.08.2023
Verlag
Springer International Publishing
Erschienen in
Annals of Surgical Oncology / Ausgabe 13/2023
Print ISSN: 1068-9265
Elektronische ISSN: 1534-4681
DOI
https://doi.org/10.1245/s10434-023-13932-3

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