Evidence map›Paper›PMID 31853712›Full record

ArticleArchives of gynecology and obstetrics2020

Reasons for low cervical cancer survival in new accession European Union countries: a EUROCARE-5 study.

Magdalena Bielska-Lasota, Silvia Rossi, Michalina Krzyżak, Annemie Haelens, Augius Domenic, Roberta De Angelis, Adam Maciejczyk, Miguel Rodríguez-Barranco, Vesna Zadnik, Pamela Minicozzi and 1 more

Open access · greenAbstract read
PubMed Publisher
In one paragraph

Article in Archives of gynecology and obstetrics, 2020. 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
0.5field-weighted citation impact, top 30% 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, 9 citations in OpenAlex.

  1. Retrospection ofMini reviews in medicinal chemistry · 2026
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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

11 authors at 7 institutions in 6 countries.

Magdalena Bielska-LasotaDepartment of Health Promotion and Chronic Diseases Prevention, National Institute of Public Health - National Institute of Hygiene, Warsaw, Poland.
Silvia RossiDepartment of Oncology and Molecular Medicine, Istituto Superiore Di Sanità, Rome, Italy.
Michalina KrzyżakDepartment of Hygiene, Epidemiology and Ergonomics, Medical University of Bialystok, Bialystok, Poland.
Annemie HaelensResearch Department, Belgian Cancer Registry, Brussels, Belgium.
Augius DomenicMalta National Cancer Registry, DHIR, G'Mangia, Malta.
Roberta De AngelisDepartment of Oncology and Molecular Medicine, Istituto Superiore Di Sanità, Rome, Italy.
Adam MaciejczykLower Silesia Oncology Centre, Wroclaw, Poland.
Miguel Rodríguez-BarrancoAndalusian School of Public Health, Instituto de Investigación Biosanitaria de Granada (Ibs.Granada), Granada, Spain.
Vesna ZadnikEpidemiology and Cancer Registry, Institute of Oncology Ljubljana, Ljubljana, Slovenia.
Pamela MinicozziAnalytical Epidemiology and Health Impact Unit, Research Department, Fondazione IRCCS Istituto Nazionale Dei Tumori, Milan, Italy. pamela.minicozzi@lshtm.ac.uk.ORCID http://orcid.org/0000-0002-7273-7947
EUROCARE-5 Working Group
Istituto Superiore di Sanità · ITInstitute of Oncology Ljubljana · SIMedical University of Białystok · PLCentro de Investigación Biomédica en Red de Epidemiología y Salud Pública · ESHeritage Malta · MTLondon School of Hygiene & Tropical Medicine · GBNarodowy Instytut Zdrowia Publicznego PZH – Państwowy Instytut Badawczy · PL

Funding

Compagnia di San Paolo naEuropean Action Against Cancer naEuropean Commission 20102202Fondazione Cariplo (IT) naMinistero della Salute 1529710
6 · The paper itself

Abstract

purposeWith better access to early diagnosis and appropriate treatment, cervical cancer (CC) burden decreased in several European countries. In Eastern European (EE) countries, which accessed European Union in 2004, CC survival was worse than in the rest of Europe. The present study investigates CC survival differences across five European regions, considering stage at diagnosis (local, regional and metastatic), morphology (mainly squamous versus glandular tumours) and patients' age.

methodsWe analysed 101,714 CC women diagnosed in 2000-2007 and followed-up to December 2008. Age-standardised 5-year relative survival (RS) and the excess risks of cancer death in the 5 years after diagnosis were computed.

resultsEE women were older and less commonly diagnosed with glandular tumours. Proportions of local stage cancers were similar across Europe, while morphology- and stage-specific RS (especially for non-metastatic disease) were lower in Eastern Europe. Adjusting for age and morphology, excess risk of local stage CC death for EE patients remained higher than that for other European women.

conclusionStage, age and morphology alone do not explain worse survival in Eastern Europe: less effective care may play a role, probably partly due to fewer or inadequate resources being allocated to health care in this area, compared to the rest of Europe.

Indexed as

AdolescentAdultAgedAged, 80 and overEuropean UnionFemaleHumansMiddle AgedRetrospective StudiesSurvival RateUterine Cervical NeoplasmsCervical cancerEuropeMorphologyPopulation-based studyStage at diagnosisSurvival

Identifiers

PMID31853712
OpenAlexW2995005969

What OpenQuestion holds

Textmetadata
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.