Evidence map›Paper›PMID 32365651›Full record

ArticleCancers2020

Central Pathology Review in SENTIX, A Prospective Observational International Study on Sentinel Lymph Node Biopsy in Patients with Early-Stage Cervical Cancer (ENGOT-CX2).

Kristyna Nemejcova, Roman Kocian, Christhardt Kohler, Jiri Jarkovsky, Jaroslav Klat, Alberto Berjon, Radovan Pilka, Borek Sehnal, Blanca Gil-Ibanez, Ezequiel Lupo and 37 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.4field-weighted citation impact, top 33% 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

9 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Observational
  3. Review
  4. Magnetic resonance imaging and ultrasound examination in preoperative pelvic staging of early-stage cervical cancer: post-hoc analysis of SENTIX study.Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2025
    Article
  5. Review
  6. Review
  7. Article
  8. Review
  9. The Cervical Cancer Research Network (Gynecologic Cancer InterGroup) roadmap to expand research in low- and middle-income countries.International journal of gynecological cancer : official journal of the International Gynecological Cancer Society · 2021
    Review
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

47 authors at 20 institutions in 16 countries.

Kristyna NemejcovaInstitute of Pathology, First Faculty of Medicine, Charles University and General University Hospital, 12000 Prague, Czech Republic.
Roman KocianGynecologic Oncology Center, Department of Obstetrics and Gynecology, First Faculty of Medicine, Charles University and General University Hospital, 12000 Prague, Czech Republic.
Christhardt KohlerDepartment of Special Operative and Oncologic Gynaecology, Asklepios-Clinic Hamburg, 22763 Hamburg, Germany.
Jiri JarkovskyInstitute for Biostatistics and Analyses, Faculty of Medicine, Masaryk University, 62500 Brno, Czech Republic.
Jaroslav KlatDepartment of Obstetrics and Gynecology, University Hospital Ostrava, 708 52 Ostrava Poruba, Czech Republic.
Alberto BerjonDepartment of Pathology, La Paz University Hospital, 28046 Madrid, Spain.
Radovan PilkaDepartment of Obstetrics and Gynecology, Faculty of Medicine and Dentistry, Palacky University, University Hospital Olomouc, 77520 Olomouc, Czech Republic.
Borek SehnalDepartment of Obstetrics and Gynecology, Bulovka Hospital, First Faculty of Medicine, Charles University, 18081 Prague, Czech Republic.
Blanca Gil-IbanezUnit of Gynecological Oncology, Institute Clinic of Gynecology, Obstetrics and Neonatology (ICGON), Hospital Clinic of Barcelona, 08036 Barcelona, Spain.
Ezequiel LupoDepartment of Pathology, Institute of Oncology Angel H. Roffo, University of Buenos Aires, Buenos Aires Autonomous City 1214, Argentina.
Almerinda PetizDepartment of Gynecology, Francisco Gentil Portuguese Oncology Institute, 4200-072 Porto, Portugal.
Octavio Arencibia SanchezDepartments of Gynecologic Oncology, University Hospital of the Canary Islands, 35016 Las Palmas de Gran Canaria, Spain.
Peter KascakDepartment of Obstetrics and Gynecology, Faculty Hospital Trencin, 91171 Trencin, Slovakia.
Fabio MartinelliIRCCS Foundation National Cancer Institute in Milan, 20133 Milan, Italy.
Alessandro BudaDepartment of Obstetrics and Gynecology, Unit of Gynecologic Oncology Surgery, San Gerardo Hospital, 20900 Monza, Italy.
Jiri PreslDepartment of Gynaecology and Obstetrics, University Hospital Pilsen, Charles University, 30460 Prague, Czech Republic.
Marc BarahonaDepartment of Gynecology, University Hospital of Bellvitge, Biomedical Research Institute of Bellvitge, University of Barcelona, 08907 Barcelona, Spain.
Luc van LonkhuijzenCenter for Gynecologic Oncology, Academic Medical Centre, 1100DD Amsterdam, The Netherlands.
Wiktor SzatkowskiDepartment of Gynecologic Oncology, Centre of Oncology, M. Sklodowska-Curie Memorial Institute, Cracow Department, 31-115 Cracow, Poland.
Lubos MinarDepartment of Gynecology and Obstetrics, Faculty of Medicine, Masaryk University, 60200 Brno, Czech Republic.
Maja PakizUniversity Clinic for Gynaecology and Perinatology, University Medical Centre Maribor, 2000 Maribor, Slovenia.
Pavel HavelkaKNTB a.s, 762 75 Zlin, Czech Republic.
Cristina ZorreroGynecology Department, Instituto Valenciano de Oncología (IVO), 46009 Valencia, Spain.
Marcin MisiekDepartment of Gynecologic Oncology, Holycross Cancer Center, 25-734 Kielce, Poland.
Leon Cornelius SnymanGynaecologic Oncology Unit, Department of Obstetrics and Gynaecology, University of Pretoria, Pretoria 0001, South Africa.
Dariusz WydraDepartment of Gynecology, Gynecologic Oncology and Gynecologic Endocrinology, Medical University of 80-402 Gdansk, Poland.
Ignace VergoteDepartment of Gynecology and Obstetrics, University Hospital Leuven, Leuven Cancer Institute, 3000 Leuven, Belgium.
Alla VinnytskaLISOD - Israeli Oncological Hospital, 08720 Plyuty, Ukraine.
Mikulas RedechaDepartment of Gynaecology and Obstetrics, University Hospital, Comenius University, 82101 Bratislava, Slovakia.
Martin MichalDepartment of Obstetrics and Gynaecology, Hospital Ceske Budejovice, JSC, 37001 Ceske Budejovice, Czech Republic.ORCID 0000-0001-8580-9949
Solveig TingulstadDepartment of Gynaecology, St Olav's Hospital, 7006 Trondheim, Norway.
Barbara KippDepartment of Obstetrics and Gynecology, Cantonal Hospital of Lucerne, 6000 Lucerne, Switzerland.
Grzegorz SzewczykDepartment of Obstetrics and Gynecology, Institute of Mother and Child, 01-211 Warsaw, Poland.
Robert TothOncology Institute of East Slovakia, 04191 Košice, Slovakia.
Francisco Javier de Santiago GarciaMD Anderson Cancer Center, 28033 Madrid, Spain.
Pluvio Jesus Coronado MartinDepartment of Gynecology and Obstetrics, Hospital Clinico San Carlos, 28040 Madrid, Spain.
Robert PokaInstitute of Obstetrics and Gynaecology, Faculty of Medicine, University of Debrecen, 4032 Debrecen, Hungary.
Karl TamussinoMedical University of Graz, 8036 Graz, Austria.
Mathieu LuyckxDepartment of Gynecology, Universite catholique de Louvain, Cliniques Universitaires St Luc, 1200 Brussels, Belgium.
Maxime FastrezDepartment of Obstetrics and Gynaecology, St Pierre University Hospital, Universite Libre de Bruxelles, 1000 Brussels, Belgium.
Juan Carlos StaringerDepartment of Gynecology and Obstetrics, Hospital Español de Buenos Aires, Buenos Aires 2975, Argentina.
Anna GermanovaGynecologic Oncology Center, Department of Obstetrics and Gynecology, First Faculty of Medicine, Charles University and General University Hospital, 12000 Prague, Czech Republic.
Andrea PlaiknerDepartment of Special Operative and Oncologic Gynaecology, Asklepios-Clinic Hamburg, 22763 Hamburg, Germany.
Sylva BajsovaDepartment of Obstetrics and Gynecology, University Hospital Ostrava, 708 52 Ostrava Poruba, Czech Republic.
Pavel DundrInstitute of Pathology, First Faculty of Medicine, Charles University and General University Hospital, 12000 Prague, Czech Republic.
Nina Mallmann-GottschalkDepartment of Gynecology, Medical Faculty, University of Cologne, 50937 Cologne, Germany.
David CibulaGynecologic Oncology Center, Department of Obstetrics and Gynecology, First Faculty of Medicine, Charles University and General University Hospital, 12000 Prague, Czech Republic.
Charles University · CZAsklepios Kliniken Hamburg · DEMasaryk University · CZUniversity Hospital Ostrava · CZAmsterdam UMC Location University of Amsterdam · NLAzienda Ospedaliera San Gerardo · ITBellvitge University Hospital · ESCliniques Universitaires Saint-Luc · BEComenius University Bratislava · SKFundación Instituto Valenciano de Oncología · ESGdańsk Medical University · PLHoly Cross University · PLHospital Británico de Buenos Aires · ARHospital Clínic de Barcelona · ESHospital Clínico San Carlos · ESHospital Universitario La Paz · ESInstituto Português de Oncologia Francisco Gentil · PTKU Leuven · BEMD Anderson Cancer Center Madrid · ESMedical University of Graz · AT

Funding

Ministerstvo Zdravotnictví Ceské Republiky No 16-31643AMinisterstvo Zdravotnictví Ceské Republiky NV19-03-00023Ministry of Health, Czech Republic Project RVO 64165
6 · The paper itself

Abstract

The quality of pathological assessment is crucial for the safety of patients with cervical cancer if pelvic lymph node dissection is to be replaced by sentinel lymph node (SLN) biopsy. Central pathology review of SLN pathological ultrastaging was conducted in the prospective SENTIX/European Network of Gynaecological Oncological Trial (ENGOT)-CX2 study. All specimens from at least two patients per site were submitted for the central review. For cases with major or critical deviations, the sites were requested to submit all samples from all additional patients for second-round assessment. From the group of 300 patients, samples from 83 cases from 37 sites were reviewed in the first round. Minor, major, critical, and no deviations were identified in 28%, 19%, 14%, and 39% of cases, respectively. Samples from 26 patients were submitted for the second-round review, with only two major deviations found. In conclusion, a high rate of major or critical deviations was identified in the first round of the central pathology review (28% of samples). This reflects a substantial heterogeneity in current practice, despite trial protocol requirements. The importance of the central review conducted prospectively at the early phase of the trial is demonstrated by a substantial improvement of SLN ultrastaging quality in the second-round review.

Indexed as

cervical cancermetastasessentinel lymph node

Identifiers

PMID32365651
PMCPMC7281480
OpenAlexW3021571615

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.