Evidence map›Paper›PMID 31250386›Full record

Observational studyObesity surgery2019

Obesity in Patients with Endometrial Cancer: May It Affect the Surgical Outcomes of Laparoscopic Approach?

Z M Gambacorti-Passerini, C López-De la Manzanara Cano, C Pérez Parra, M C Cespedes Casas, L Sánchez Hipólito, C Martín Francisco, J R Muñoz-Rodríguez

Open access · greenAbstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Obesity surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Impact of Obesity on Clinical and Financial Outcomes of Minimally Invasive Hysterectomy for Benign Conditions.Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC · 2022
    Article
  5. Article
  6. 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

7 authors at 1 institution in 1 country.

Z M Gambacorti-PasseriniDepartment of Obstetrics and Gynecology, Ciudad Real University General Hospital, Calle del Obispo Rafael Torija, s/n, 13005, Ciudad Real, Spain. zgambacorti@sescam.jccm.es.ORCID 0000-0002-8802-1433
C López-De la Manzanara CanoDepartment of Obstetrics and Gynecology, Ciudad Real University General Hospital, Calle del Obispo Rafael Torija, s/n, 13005, Ciudad Real, Spain.
C Pérez ParraDepartment of Obstetrics and Gynecology, Ciudad Real University General Hospital, Calle del Obispo Rafael Torija, s/n, 13005, Ciudad Real, Spain.
M C Cespedes CasasDepartment of Obstetrics and Gynecology, Ciudad Real University General Hospital, Calle del Obispo Rafael Torija, s/n, 13005, Ciudad Real, Spain.
L Sánchez HipólitoDepartment of Obstetrics and Gynecology, Ciudad Real University General Hospital, Calle del Obispo Rafael Torija, s/n, 13005, Ciudad Real, Spain.
C Martín FranciscoDepartment of Obstetrics and Gynecology, Ciudad Real University General Hospital, Calle del Obispo Rafael Torija, s/n, 13005, Ciudad Real, Spain.
J R Muñoz-RodríguezTranslational Research Unit, Ciudad Real University General Hospital, Ciudad Real, Spain.
Hospital General Universitario de Ciudad Real · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the impact of obesity on surgical outcomes for women with endometrial cancer (EC) managed by laparoscopic surgery. Minimal invasive surgery has been incorporated in the surgical management of EC, improving perioperative outcomes. However, this approach may become more challenging in case of obesity. So it is important to accurately evaluate and establish the most appropriate surgical approach for these patients. MATERIALS AND

methodsFrom January 2008 through April 2016, we conducted a prospective observational study, including all consecutive patients with a histological diagnosis of EC undergoing surgical staging by laparoscopy at our institution. Patients were classified in two groups (obese vs non-obese) according to their body mass index. Information about short- and long-term outcomes were recorded and analyzed during an outpatient follow-up.

resultsBetween January 2008 and April 2016, 83 women underwent laparoscopic surgery for EC at our institution. Forty-six (56.6%) of them were classified as obese. Surgical outcomes were similar in both groups. No significant difference was reported in surgical time, number of lymph nodes removed, blood loss, length of hospital stay, and incidence of intra- or postoperative complications. Also, long-term outcomes did not show any statistical significant difference: recurrence rate was 6.4% (3/47) among obese patients and 13.9% (5/36) among non-obese (p = 0.251). No difference was reported even in time to recurrence (log-rank p = 0.280) and in survival time (log-tank p = 0.132) between the two groups.

conclusionsOur results show that obesity did not impair the outcomes of laparoscopic surgery for EC. This surgical approach may be offered to obese patients with the same level of safety, radicality, and efficiency as for the normal-weight population.

Indexed as

Endometrial NeoplasmsLaparoscopyObesityFemaleHumansLength of StayPostoperative ComplicationsProspective StudiesTreatment OutcomeEndometrial cancerLaparoscopyObesitySurgical approach

Identifiers

PMID31250386
OpenAlexW2954596503

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.