Evidence map›Paper›PMID 30703105›Full record

Trial reportPloS one2019

Current management of cervical cancer in Poland-Analysis of the questionnaire trial for the years 2002-2014 in relation to ASCO 2016 recommendations.

Tomasz Basta, Paweł Knapp, Paweł Blecharz, Lubomir Bodnar, Iwona Gawron, Dorota Babczyk, Magdalena Piróg, Tomasz Kluz, Anna Markowska, Anna Horbaczewska and 1 more

Abstract readClinical TrialMulticenter Study
In one paragraph

Trial report in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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

11 authors.

Tomasz BastaDepartment of Gynecology and Obstetrics, Jagiellonian University Medical College, Krakow, Poland.
Paweł KnappDepartment of Gynecology and Gynecological Oncology, Faculty of Medicine, Medical University in Bialystok, Bialystok, Poland.ORCID 0000-0003-3008-616X
Paweł BlecharzGynecologic Oncology Department, Centre of Oncology, Maria Sklodowska-Curie Memorial Institute, Krakow Branch, Krakow, Poland.
Lubomir BodnarDepartment of Clinical Oncology, Military Institute of Medicine in Warsaw, Warsaw, Poland.
Iwona GawronDepartment of Gynecology and Obstetrics, Jagiellonian University Medical College, Krakow, Poland.
Dorota BabczykDepartment of Gynecology and Obstetrics, Jagiellonian University Medical College, Krakow, Poland.
Magdalena PirógDepartment of Gynecology and Obstetrics, Jagiellonian University Medical College, Krakow, Poland.
Tomasz KluzDepartment of Obstetrics and Gynecology, Fryderyk Chopin University Hospital No 1, Faculty of Medicine, Rzeszow University, Rzeszow, Poland, Poland.
Anna MarkowskaDepartment of Perinatology and Gynecology, Poznan University of Medical Sciences, Poznan, Poland.
Anna HorbaczewskaDepartment of Gynecology and Obstetrics, Jagiellonian University Medical College, Krakow, Poland.
Robert JachDepartment of Gynecology and Obstetrics, Jagiellonian University Medical College, Krakow, Poland.ORCID 0000-0002-3999-5071

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess the survival of patients with cervical cancer (CC). Since the recommendations concerning cervical cancer management adopted by Polish medical societies do not differ significantly from the ESGO or non-European guidelines, and the fact that evaluation of the system for CC treatment in Poland, as well as the mortality rate of Polish women with CC, which is 70% higher than the average for European Union (EU) countries, justifies the hypothesis that treatment of CC in Poland deviates from the Polish and international recommendations. This article puts forward the current management of cervical cancer in Poland and discusses it in the context of ASCO guidelines. MATERIAL AND

methodsA survey retrospective multicenter analysis of the medical records of 1247 patients with cervical cancer who underwent treatment for disease and who had completed at least two years of follow-up.

resultsAlthough concurrent radiotherapy and chemotherapy is a standard treatment of FIGO IB to IVA cervical cancer patients in enhanced- and maximum-resources settings, in our analysis, we found that the percentage of women subjected to chemotherapy was lower than in countries where total survival rates were lower.

conclusionWithin the IA to II A cervical cancer patients studied group, the methods of treatment remained in line with ASCO guidelines for countries with the highest standard of care. Although concurrent radiotherapy and chemotherapy is a standard treatment of FIGO IB to IVA cervical cancer patients in enhanced- and maximum-resources settings, in our analysis, we found that the percentage of women subjected to chemotherapy was lower than in countries where total survival rates were lower. Our findings, together with the inconsistencies within the cervical cancer screening program, may be one of the explanations of poorer survival rate of women with cervical cancer in Poland.

Indexed as

Surveys and QuestionnairesAdultAgedDisease-Free SurvivalFemaleHumansMiddle AgedNeoplasm StagingPolandPractice Guidelines as TopicRetrospective StudiesSocieties, MedicalSurvival RateUterine Cervical Neoplasms

Identifiers

PMID30703105
PMCPMC6354992

What OpenQuestion holds

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Registered trials

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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.