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Impact of perioperative red blood cell transfusion on the prognosis of patients with epithelial ovarian cancer.


ABSTRACT:

Background

Surgery for advanced ovarian cancer tends to be extensive. We performed an analysis to determine whether perioperative red blood cell transfusion (PRBCT) is associated with a poor prognosis in women with epithelial ovarian cancer (EOC).

Methods

Our retrospective analysis included 314 women. The Mann-Whitney rank-sum test and chi-square test were used to analyze the clinical characteristics of the PRBCT and non-PRBCT groups, and Cox proportional hazard models were used for the multivariate analysis.

Results

PRBCT was associated with higher relapse and mortality rates in 121 (38.54 %) patients. After multivariate analysis, transfused patients were 1.59 times at risk of death (hazard ratio [HR] = 1.59; 95%CI, 1.12-2.25) and 1.63 times at risk of recurrence (HR = 1.63; 95%CI, 1.22-2.18) than non-transfused patients.

Conclusions

PRBCT could prolong hospital stay, and increased hospital costs were significantly associated with increased cancer recurrence and overall mortality in patients with EOC.

SUBMITTER: Zheng Y 

PROVIDER: S-EPMC10703857 | biostudies-literature | 2023 Dec

REPOSITORIES: biostudies-literature

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Publications

Impact of perioperative red blood cell transfusion on the prognosis of patients with epithelial ovarian cancer.

Zheng Yawen Y   Zhang Wenxia W   Chen Yafei Y   Yang Xingsheng X   Dong Ruiying R  

Heliyon 20231130 12


<h4>Background</h4>Surgery for advanced ovarian cancer tends to be extensive. We performed an analysis to determine whether perioperative red blood cell transfusion (PRBCT) is associated with a poor prognosis in women with epithelial ovarian cancer (EOC).<h4>Methods</h4>Our retrospective analysis included 314 women. The Mann-Whitney rank-sum test and chi-square test were used to analyze the clinical characteristics of the PRBCT and non-PRBCT groups, and Cox proportional hazard models were used f  ...[more]

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