Evidence map›Paper›PMID 31739992›Full record

ArticleGynecologic oncology2020

Sentinel lymph node mapping alone compared to more extensive lymphadenectomy in patients with uterine serous carcinoma.

Derman Basaran, Shaina Bruce, Emeline M Aviki, Jennifer J Mueller, Vance A Broach, Karen Cadoo, Robert A Soslow, Kaled M Alektiar, Nadeem R Abu-Rustum, Mario M Leitao

Open access · greenAbstract read
In one paragraph

Article in Gynecologic oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
6.8field-weighted citation impact, top 3% 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 48 citations in OpenAlex.

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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

10 authors at 1 institution in 1 country.

Derman BasaranDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, 10065, USA.
Shaina BruceDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, 10065, USA.
Emeline M AvikiDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, 10065, USA.
Jennifer J MuellerDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, 10065, USA.
Vance A BroachDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, 10065, USA.
Karen CadooDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, 10065, USA.
Robert A SoslowDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, 10065, USA.
Kaled M AlektiarDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, 10065, USA.
Nadeem R Abu-RustumDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, 10065, USA.
Mario M LeitaoDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, 10065, USA. Electronic address: leitaom@mskcc.org.
Memorial Sloan Kettering Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

objectivesThe objective of our study was to assess survival among patients with uterine serous carcinoma (USC) undergoing sentinel lymph node (SLN) mapping alone versus patients undergoing systematic lymphadenectomy (LND).

methodsWe retrospectively reviewed patients undergoing primary surgical treatment for newly diagnosed USC at our institution from 1/1/1996-12/31/2017. Patients were assigned to either SLN mapping alone (SLN cohort) or systematic LND without SLN mapping (LND cohort). Progression-free (PFS) and overall survival (OS) were estimated using Kaplan-Meier method, compared using Logrank test.

results245 patients were available for analysis: 79 (32.2%) underwent SLN, 166 (67.7%) LND. 132 (79.5%) in the LND cohort had paraaortic LND (PALND) versus none in the SLN cohort. Median age: 66 and 68 years in the SLN and LND cohorts, respectively (p>0.05). Proportion of stage I/II disease: 67.1% (n = 53) and 64.5% (n = 107) in the SLN and LND cohorts, respectively (p>0.05). Median follow-up: 23 (range, 1-96) and 66 months (range, 4-265) in the SLN and LND cohorts, respectively (p < 0.001). Two-year OS in stage I/II disease (n = 160, 60.1%): 96.6% (SE ± 3.4) and 89.6% (SE ± 2.2) in the SLN and LND cohorts, respectively (p = 0.8). Two-year OS in stage III disease (n = 77): 73.6% (SE ± 10.2) and 77.3% (SE ± 5.8) in the SLN and LND cohorts, respectively (p = 0.8).

conclusionsSLN mapping alone and systematic LND yielded similar survival outcomes in stage I-III USC. In our practice, the SLN algorithm has replaced systematic LND as the primary staging modality in this setting.

Indexed as

AdultAgedAged, 80 and overCystadenocarcinoma, SerousEndometrial NeoplasmsFemaleHumansLymph NodesMiddle AgedRetrospective StudiesSentinel Lymph NodeSentinel Lymph Node BiopsySurvival AnalysisEndometrial cancerLymphadenectomySentinel lymph nodeUterine serous carcinoma

Identifiers

PMID31739992
PMCPMC6980657
OpenAlexW2953611279

What OpenQuestion holds

Textmetadata
LicenceTDM
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.