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HIPEC for ovarian cancer and the Australian/ New Zealand perspective Rhonda Farrell Gynaecological Oncologist Sydney

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Page 1: HISTORY of HIPEC for ovarian cancer · HIPEC for ovarian cancer and the Australian/ New Zealand perspective Rhonda Farrell Gynaecological Oncologist ... (2012) 19:3998-4000 DOI 10.1245/s10434-012-2521-1

HIPECfor ovarian cancer

and the Australian/ New Zealand perspective

Rhonda Farrell

Gynaecological Oncologist

Sydney

Page 2: HISTORY of HIPEC for ovarian cancer · HIPEC for ovarian cancer and the Australian/ New Zealand perspective Rhonda Farrell Gynaecological Oncologist ... (2012) 19:3998-4000 DOI 10.1245/s10434-012-2521-1
Page 3: HISTORY of HIPEC for ovarian cancer · HIPEC for ovarian cancer and the Australian/ New Zealand perspective Rhonda Farrell Gynaecological Oncologist ... (2012) 19:3998-4000 DOI 10.1245/s10434-012-2521-1
Page 4: HISTORY of HIPEC for ovarian cancer · HIPEC for ovarian cancer and the Australian/ New Zealand perspective Rhonda Farrell Gynaecological Oncologist ... (2012) 19:3998-4000 DOI 10.1245/s10434-012-2521-1
Page 5: HISTORY of HIPEC for ovarian cancer · HIPEC for ovarian cancer and the Australian/ New Zealand perspective Rhonda Farrell Gynaecological Oncologist ... (2012) 19:3998-4000 DOI 10.1245/s10434-012-2521-1
Page 6: HISTORY of HIPEC for ovarian cancer · HIPEC for ovarian cancer and the Australian/ New Zealand perspective Rhonda Farrell Gynaecological Oncologist ... (2012) 19:3998-4000 DOI 10.1245/s10434-012-2521-1
Page 7: HISTORY of HIPEC for ovarian cancer · HIPEC for ovarian cancer and the Australian/ New Zealand perspective Rhonda Farrell Gynaecological Oncologist ... (2012) 19:3998-4000 DOI 10.1245/s10434-012-2521-1
Page 8: HISTORY of HIPEC for ovarian cancer · HIPEC for ovarian cancer and the Australian/ New Zealand perspective Rhonda Farrell Gynaecological Oncologist ... (2012) 19:3998-4000 DOI 10.1245/s10434-012-2521-1
Page 9: HISTORY of HIPEC for ovarian cancer · HIPEC for ovarian cancer and the Australian/ New Zealand perspective Rhonda Farrell Gynaecological Oncologist ... (2012) 19:3998-4000 DOI 10.1245/s10434-012-2521-1

Table 4: Reasons why a gynaecological oncologist would not refer a patient with advanced epithelial ovarian cancer for heated intraperitoneal chemotherapy (HIPEC) (n=46)

Reason(s) N (%)

There is not enough evidence to support HIPEC 33(72)

You are concerned about potential morbidity and mortality 23(50)

You are concerned about negative effect on quality of life 16(35)

You do not think it is superior to (normothermic post-operative) Intraperitoneal chemotherapy 12(26)

You do not think it is superior to intravenous chemotherapy 12(26)

There is no HIPEC service in your hospital/city 4(9)

HIPEC for advanced epithelial ovarian cancer: What gynaecological oncologists really think Farrell R ANZJOG 2019

Page 10: HISTORY of HIPEC for ovarian cancer · HIPEC for ovarian cancer and the Australian/ New Zealand perspective Rhonda Farrell Gynaecological Oncologist ... (2012) 19:3998-4000 DOI 10.1245/s10434-012-2521-1
Page 11: HISTORY of HIPEC for ovarian cancer · HIPEC for ovarian cancer and the Australian/ New Zealand perspective Rhonda Farrell Gynaecological Oncologist ... (2012) 19:3998-4000 DOI 10.1245/s10434-012-2521-1
Page 12: HISTORY of HIPEC for ovarian cancer · HIPEC for ovarian cancer and the Australian/ New Zealand perspective Rhonda Farrell Gynaecological Oncologist ... (2012) 19:3998-4000 DOI 10.1245/s10434-012-2521-1
Page 13: HISTORY of HIPEC for ovarian cancer · HIPEC for ovarian cancer and the Australian/ New Zealand perspective Rhonda Farrell Gynaecological Oncologist ... (2012) 19:3998-4000 DOI 10.1245/s10434-012-2521-1

HIPEC studies ongoing in 2018

Ovarian Cancer 2019 update: 21 active studies