PMID- 34378405 OWN - NLM STAT- MEDLINE DCOM- 20220204 LR - 20220204 IS - 1744-8301 (Electronic) IS - 1479-6694 (Linking) VI - 17 IP - 32 DP - 2021 Nov TI - Risk factors for progression or death after first-line platinum-based chemotherapy in real-world patients in the USA with ovarian cancer from 2011 to 2018. PG - 4263-4274 LID - 10.2217/fon-2021-0018 [doi] AB - Aim: Patient chart data from the USA during the period of January 2011 through October 2018 were used to assess risk factors for progression in advanced ovarian cancer after response to first-line platinum-based chemotherapy. Patients & methods: Patients with stage III/IV ovarian cancer who completed first-line platinum-based chemotherapy after primary or interval debulking surgery were identified from the Flatiron Health database. Cox proportional hazards modeling was used to assess associations between baseline factors and time to next treatment (TTNT) or overall survival (OS). Results: Patients at stage IV or who received interval debulking surgery had shorter TTNT and OS than patients at stage III or who received primary debulking surgery, respectively. OS was worse in patients with residual disease and in BRCA wild-type. Conclusion: Multiple factors were associated with shorter TTNT or OS in this retrospective real-world analysis. FAU - Westin, Shannon N AU - Westin SN AUID- ORCID: 0000-0002-1922-0156 AD - Department of Gynecologic Oncology & Reproductive Medicine, University of Texas MD Anderson Cancer Center, Houston, TX 77230, USA. FAU - Louie-Gao, Melinda AU - Louie-Gao M AUID- ORCID: 0000-0002-2777-5960 AD - Department of Statistics, GlaxoSmithKline, Waltham, MA 02451, USA. FAU - Gupta, Divya AU - Gupta D AD - Department of Clinical Development, GlaxoSmithKline, Waltham, MA 02451, USA. FAU - Thaker, Premal H AU - Thaker PH AUID- ORCID: 0000-0002-0568-6959 AD - Department of Obstetrics & Gynecology, Division of Gynecologic Oncology, Washington University School of Medicine, St Louis, MO 63110, USA. LA - eng GR - GlaxoSmithKline/ PT - Journal Article PT - Observational Study DEP - 20210811 PL - England TA - Future Oncol JT - Future oncology (London, England) JID - 101256629 RN - 49DFR088MY (Platinum) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Disease Progression MH - Female MH - Genes, BRCA1 MH - Genes, BRCA2 MH - Humans MH - Middle Aged MH - Mutation MH - Ovarian Neoplasms/*drug therapy/genetics/mortality MH - Platinum/therapeutic use MH - Proportional Hazards Models MH - Retrospective Studies MH - Risk Factors MH - Time Factors MH - Young Adult OTO - NOTNLM OT - epithelial ovarian carcinoma OT - ovarian cancer OT - ovarian carcinoma OT - prognosis OT - risk factors EDAT- 2021/08/12 06:00 MHDA- 2022/02/05 06:00 CRDT- 2021/08/11 08:44 PHST- 2021/08/12 06:00 [pubmed] PHST- 2022/02/05 06:00 [medline] PHST- 2021/08/11 08:44 [entrez] AID - 10.2217/fon-2021-0018 [doi] PST - ppublish SO - Future Oncol. 2021 Nov;17(32):4263-4274. doi: 10.2217/fon-2021-0018. Epub 2021 Aug 11.