Textbook outcome in ovarian cancer with peritoneal carcinomatosis: a systematic review.
Silvia Carbonell-Morote, Pedro Antonio Cascales-Campos, Álvaro Arjona-Sánchez et al.
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In 30 seconds
This systematic review evaluated the definitions, achievement rates, and clinical relevance of Textbook Outcome (TO) in patients with ovarian cancer and peritoneal carcinomatosis undergoing cytoreductive surgery. Three observational studies were included, revealing TO achievement rates between 20.5% and 55.9%. The review suggests that TO is associated with improved overall survival, although evidence is limited.
Key findings
- TO achievement rates ranged from 20.5% to 55.9% across studies.
- Two studies showed a significant association between TO achievement and improved overall survival.
- Substantial inter-hospital variability in TO rates was noted in one population-based study.
Why it matters
Understanding the role of Textbook Outcome as a quality metric in ovarian cancer surgery can help clinicians assess surgical performance and patient outcomes, ultimately guiding quality improvement efforts in oncologic care.