Sundar, S, Wu, J orcid.org/0000-0001-6093-599X, Hillaby, K et al. (2 more authors) (2012) A systematic review evaluating the relationship between progression free survival and post progression survival in advanced ovarian cancer. Gynecologic Oncology, 125 (2). pp. 493-499. ISSN 0090-8258
Abstract
Objective
Although overall survival is the ultimate goal of cancer therapy, many clinical and health economic decisions are taken when only progression free survival (PFS) data are available. This study evaluates the relationship between PFS and post progression survival (i.e. the time between disease progression and death) to estimate how many months a new drug for ovarian cancer might add to overall survival if the number of months the drug added to PFS (relative to a standard drug) was already known.
Methods
A literature search was conducted over Medline for randomised controlled trials published between January 1990 and July 2010 that evaluated the effect of a drug treatment in comparison to alternative drug treatment in patients with either advanced stage primary or recurrent ovarian cancer. A systematic review of progression free and post progression survival (PPS) was performed. The relationship between PFS and PPS was evaluated by a graphical method and standard statistical tests.
Results
Thirty-seven trials involving 15,850 patients met the inclusion criteria. The review found that increases in median PFS generally lead to little change in post-progression survival. Percentage gains in PFS are generally associated with no percentage gains or with very slight percentage gains or losses in post-progression survival
Conclusion
If the effect of a new drug treatment for ovarian cancer is to extend median PFS by x months, then it is reasonable to estimate that the treatment will also extend median overall survival by x months. This information will be useful for individual and collective decision making.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Keywords: | Progression free survival; Post progression survival; Overall survival; Ovarian cancer; Primary cancer; Recurrent cancer |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Dentistry (Leeds) > Applied Health and Clinical Translation (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 18 Mar 2020 16:03 |
Last Modified: | 10 Nov 2023 10:40 |
Status: | Published |
Publisher: | Elsevier |
Identification Number: | 10.1016/j.ygyno.2011.12.420 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:86884 |