Evidence map›Paper›PMID 27958682›Full record

ArticleJournal of gynecologic oncology2017

Chemoradiotherapy followed by consolidation chemotherapy involving paclitaxel and carboplatin and in FIGO stage IIIB/IVA cervical cancer patients.

Seiji Mabuchi, Fumiaki Isohashi, Mika Okazawa, Fuminori Kitada, Shintaro Maruoka, Kazuhiko Ogawa, Tadashi Kimura

Open access · diamondAbstract read
In one paragraph

Article in Journal of gynecologic oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
3.0field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 41 citations in OpenAlex.

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  8. Impact of different post-operative treatment modalities on long-term outcomes in International Federation of Gynecology and Obstetrics (FIGO) 2018 stage IIICp cervical cancer.International journal of gynecological cancer : official journal of the International Gynecological Cancer Society · 2023
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  16. Consolidation chemotherapy in early-stage cervical cancer patients with lymph node metastasis after radical hysterectomy.International journal of gynecological cancer : official journal of the International Gynecological Cancer Society · 2020
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  19. Clinical Effect of Radiotherapy Combined with Chemotherapy for Non-Surgical Treatment of the Esophageal Squamous Cell Carcinoma.Medical science monitor : international medical journal of experimental and clinical research · 2018
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Seiji MabuchiDepartment of Obstetrics and Gynecology, Osaka University, Graduate School of Medicine, Osaka, Japan. smabuchi@gyne.med.osaka-u.ac.jp.ORCID http://orcid.org/0000-0003-1803-1166
Fumiaki IsohashiDepartment of Radiation Oncology, Osaka University, Graduate School of Medicine, Osaka, Japan.ORCID http://orcid.org/0000-0001-6342-4693
Mika OkazawaDepartment of Obstetrics and Gynecology, Osaka University, Graduate School of Medicine, Osaka, Japan.ORCID http://orcid.org/0000-0002-6439-856X
Fuminori KitadaDepartment of Obstetrics and Gynecology, Suita Tokusyukai Hospital, Osaka, Japan.ORCID http://orcid.org/0000-0001-7387-0814
Shintaro MaruokaDepartment of Radiology, Suita Tokusyukai Hospital, Osaka, Japan.ORCID http://orcid.org/0000-0002-0239-7107
Kazuhiko OgawaDepartment of Radiation Oncology, Osaka University, Graduate School of Medicine, Osaka, Japan.ORCID http://orcid.org/0000-0001-8872-7690
Tadashi KimuraDepartment of Obstetrics and Gynecology, Osaka University, Graduate School of Medicine, Osaka, Japan.ORCID http://orcid.org/0000-0002-4391-6866
The University of Osaka · JPOsaka City University · JPSuita Tokushukai Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the efficacy and toxicity of paclitaxel plus carboplatin (TC)-based concurrent chemoradiotherapy (CCRT) followed by consolidation chemotherapy in the International Federation of Gynecology and Obstetrics (FIGO) stage IIIB/IVA cervical cancer patients.

methodsWe reviewed the medical records of FIGO stage IIIB/IVA cervical cancer patients (n=30) who had been intended to be treated with TC-based CCRT followed by consolidation chemotherapy (TC-CCRT-group) from April 2012-May 2016. Patients who had been treated with CCRT involving a single platinum agent (CCRT-group; n=52) or definitive radiotherapy alone (RT-group; n=74) from January 1997-September 2012 were also identified and used as historical controls. Survival was calculated using the Kaplan-Meier method and compared using the log-rank test.

resultsOf the 30 patients included in the TC-CCRT-group, 22 patients (73.3%) completed the planned TC-based CCRT. The most frequently observed acute grade 3/4 hematological toxicities were leukopenia and neutropenia, and diarrhea was the most common acute grade 3/4 non-hematological toxicity. After a median follow-up of 35 months, 9 patients (30.0%) had developed recurrent disease. The patients' estimated 3-year progression-free survival (PFS) and overall survival (OS) rates were 67.9% and 90.8%, respectively. In comparisons with historical control groups, the survival outcomes of TC-CCRT-group was significantly superior to CCRT-group in terms of OS (p=0.011) and significantly superior to RT-group in terms of both PFS (p=0.009) and OS (p<0.001).

conclusionTC-based CCRT followed by consolidation chemotherapy is safe and effective. A randomized controlled study needs to be conducted to further evaluate the efficacy of this multimodal approach in this patient population.

Indexed as

AdultAgedAntineoplastic AgentsAntineoplastic Combined Chemotherapy ProtocolsCarboplatinCarcinoma, Squamous CellCase-Control StudiesChemoradiotherapyCisplatinCombined Modality TherapyConsolidation ChemotherapyDisease-Free SurvivalFemaleHumansMiddle AgedNeoplasm StagingAntineoplastic AgentsCarboplatinCisplatinPaclitaxelChemoradiotherapyConsolidation ChemotherapyPrognosisUterine Cervical Neoplasms

Identifiers

PMID27958682
PMCPMC5165064
OpenAlexW2551754312

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.