Evidence map›Paper›PMID 30360020›Full record

ArticleThe Korean journal of internal medicine2019

The prognostic factors influencing overall survival in uterine cervical cancer with brain metastasis.

Hyera Kim, Kang Kook Lee, Mi Hwa Heo, Jin Young Kim

Open access · goldAbstract readComparative Study
In one paragraph

Article in The Korean journal of internal medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 17% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Therapeutic Options for Brain Metastases in Gynecologic Cancers.Current treatment options in oncology · 2022
    Review
  5. Article
  6. Tumor-Derived Exosomes Modulate Primary Site Tumor Metastasis.Frontiers in cell and developmental biology · 2022
    Review
  7. Article
  8. Review
  9. Article
  10. Patterns of metastases in cervical cancer: a population-based study.International journal of clinical and experimental pathology · 2020
    Article
  11. Article
  12. Cancer management and research · 2020
    Article
  13. Article
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

4 authors at 2 institutions in 1 country.

Hyera KimDivision of Hematology and Oncology, Department of Internal Medicine, Keimyung University Dongsan Medical Center, Daegu, Korea.
Kang Kook LeeDivision of Hematology and Oncology, Department of Internal Medicine, Keimyung University Dongsan Medical Center, Daegu, Korea.
Mi Hwa HeoDivision of Hematology and Oncology, Department of Internal Medicine, Keimyung University Dongsan Medical Center, Daegu, Korea.
Jin Young KimDivision of Hematology and Oncology, Department of Internal Medicine, Keimyung University Dongsan Medical Center, Daegu, Korea.
Keimyung University · KRKeimyung University Dongsan Medical Center · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsThe occurrence of brain metastasis (BM) has increased due to improved overall survival (OS) in uterine cervical cancer. However, research about prognostic factors and therapeutic guidelines for BM in uterine cervical cancer remains scarce due to the rarity of BM in this type of cancer. The present study evaluated the clinical characteristics and prognostic factors influencing OS in patients with BM from uterine cervical cancer.

methodsA total of 19 BM patients of uterine cervical cancer were analyzed retrospectively from January 1995 to December 2016.

resultsThe median and mean OS of all patients was 9.6 and 15.4 months. Treatment (vs. palliative care, p < 0.001), fewer than three regimens of chemotherapy before BM (vs. ≥ 3, p < 0.013), and chemotherapy after BM (vs. absence, p < 0.001) significantly increased the OS time. The Karnofsky performance status ≥ 70 (vs. < 70, p = 0.213), single BM (vs. multiple BM, p = 0.157), and small cell carcinoma (vs. others, p = 0.351) had numerically higher OS than others. Dual therapy (vs. single therapy, p = 0.182; vs. no therapy, p = 0.076) were associated with a longer OS time, but the difference did not reach statistical significance. In addition, the graded prognostic assessment (GPA) appeared to be a better prognostic tool than the recursive partitioning analysis.

conclusionThe results of the present study suggest active multimodal treatment including neurosurgery, radiotherapy, and chemotherapy for BM of uterine cervical cancer with single BM, good performance status, histology of small cell carcinoma, and a better GPA.

Indexed as

AdenocarcinomaAdultAgedAntineoplastic Combined Chemotherapy ProtocolsBrain NeoplasmsCarcinoma, Small CellCarcinoma, Squamous CellCombined Modality TherapyFemaleHumansIncidenceKarnofsky Performance StatusMiddle AgedPrognosisRetrospective StudiesRisk FactorsBrain metastasisPrognosisUterine cervical neoplasms

Identifiers

PMID30360020
PMCPMC6823565
OpenAlexW2898277947

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.