The Prognostic Value of Circulating Tumor DNA in Ovarian Cancer: A Meta-Analysis

Background: Studies have shown that circulating tumor DNA (ctDNA) indicates a poor prognosis in ovarian cancer. In this study, meta-analysis was used to assess the relationship between ctDNA and the prognosis of patients with epithelial ovarian cancer. Methods: The clinical trials included in this s...

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Autores principales: Yuanyuan Lu MD, Li Li PhD
Formato: article
Lenguaje:EN
Publicado: SAGE Publishing 2021
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Acceso en línea:https://doaj.org/article/5ae911caed4e42268e093c0f11bd3136
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spelling oai:doaj.org-article:5ae911caed4e42268e093c0f11bd31362021-12-02T01:03:54ZThe Prognostic Value of Circulating Tumor DNA in Ovarian Cancer: A Meta-Analysis1533-033810.1177/15330338211043784https://doaj.org/article/5ae911caed4e42268e093c0f11bd31362021-11-01T00:00:00Zhttps://doi.org/10.1177/15330338211043784https://doaj.org/toc/1533-0338Background: Studies have shown that circulating tumor DNA (ctDNA) indicates a poor prognosis in ovarian cancer. In this study, meta-analysis was used to assess the relationship between ctDNA and the prognosis of patients with epithelial ovarian cancer. Methods: The clinical trials included in this study were obtained via a search of PubMed, the Cochrane Library, the Web of Science and Embase between the period of establishment and March 2020. We selected clinical studies using qualitative or quantitative ctDNA methods to analyse the prognosis of ovarian epithelial cancer, screened the studies according to the determined inclusion and exclusion criteria, and used the modified JADAD score scale and NOS scale for evaluation, with OS (overall survival) and PFS (progression-free survival) as end events. The Cochrane Evaluation Tool was used to evaluate the quality of the randomized controlled trials. Stata 15.0 software was used to combine the effect ratio (hazard ratio, HR) and its 95% confidence interval (CI). In addition, a source analysis of ctDNA specimens, an analysis of ctDNA detection methods and a subgroup and sensitivity analysis of FIGO staging were performed. Results: A total of 8 studies were included in this meta-analysis, and ctDNA was found to be an independent risk factor for patients with epithelial ovarian cancer (OS: HR = 2.36, 95% CI [1.76,3.17], P  < .001; PFS: HR = 2.51, 95% CI [1.83,3.45]). Conclusions: The results of our analysis suggested that ctDNA is a potential biomarker that can be used to evaluate the prognosis of patients with ovarian cancer.Yuanyuan Lu MDLi Li PhDSAGE PublishingarticleNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENTechnology in Cancer Research & Treatment, Vol 20 (2021)
institution DOAJ
collection DOAJ
language EN
topic Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Yuanyuan Lu MD
Li Li PhD
The Prognostic Value of Circulating Tumor DNA in Ovarian Cancer: A Meta-Analysis
description Background: Studies have shown that circulating tumor DNA (ctDNA) indicates a poor prognosis in ovarian cancer. In this study, meta-analysis was used to assess the relationship between ctDNA and the prognosis of patients with epithelial ovarian cancer. Methods: The clinical trials included in this study were obtained via a search of PubMed, the Cochrane Library, the Web of Science and Embase between the period of establishment and March 2020. We selected clinical studies using qualitative or quantitative ctDNA methods to analyse the prognosis of ovarian epithelial cancer, screened the studies according to the determined inclusion and exclusion criteria, and used the modified JADAD score scale and NOS scale for evaluation, with OS (overall survival) and PFS (progression-free survival) as end events. The Cochrane Evaluation Tool was used to evaluate the quality of the randomized controlled trials. Stata 15.0 software was used to combine the effect ratio (hazard ratio, HR) and its 95% confidence interval (CI). In addition, a source analysis of ctDNA specimens, an analysis of ctDNA detection methods and a subgroup and sensitivity analysis of FIGO staging were performed. Results: A total of 8 studies were included in this meta-analysis, and ctDNA was found to be an independent risk factor for patients with epithelial ovarian cancer (OS: HR = 2.36, 95% CI [1.76,3.17], P  < .001; PFS: HR = 2.51, 95% CI [1.83,3.45]). Conclusions: The results of our analysis suggested that ctDNA is a potential biomarker that can be used to evaluate the prognosis of patients with ovarian cancer.
format article
author Yuanyuan Lu MD
Li Li PhD
author_facet Yuanyuan Lu MD
Li Li PhD
author_sort Yuanyuan Lu MD
title The Prognostic Value of Circulating Tumor DNA in Ovarian Cancer: A Meta-Analysis
title_short The Prognostic Value of Circulating Tumor DNA in Ovarian Cancer: A Meta-Analysis
title_full The Prognostic Value of Circulating Tumor DNA in Ovarian Cancer: A Meta-Analysis
title_fullStr The Prognostic Value of Circulating Tumor DNA in Ovarian Cancer: A Meta-Analysis
title_full_unstemmed The Prognostic Value of Circulating Tumor DNA in Ovarian Cancer: A Meta-Analysis
title_sort prognostic value of circulating tumor dna in ovarian cancer: a meta-analysis
publisher SAGE Publishing
publishDate 2021
url https://doaj.org/article/5ae911caed4e42268e093c0f11bd3136
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