Prognostic Value of Serum Creatinine Levels in Patients with Epithelial Ovarian Cancer.

Aim: To evaluate preoperative serum creatinine level as a prognostic parameter in patients with primary epithelial ovarian cancer (EOC). Patients and Methods: In a retrospective cohort study, serum levels of creatinine were evaluated in 498 patients with EOC. Data were extracted from our prospectively maintained database. Results were correlated with clinicopathological parameters and patient survival. Results: The mean pre-therapeutic serum creatinine level in patients with EOC was 0.84 +/- 0.40 mg/dI. A serum creatinine level of 1.2 mg/dl or higher was found in 22 (4.4%) patients and associated with poor survival. In a multivariate logistic regression analysis, the serum creatinine level was a significant independent prognostic parameter of overall survival. Conclusion: The preoperative serum level of creatinine may be useful as an additional independent prognostic parameter in patients with EOC.