Evidence map›Paper›PMID 33089619›Full record

Trial reportThe journal of obstetrics and gynaecology research2021

Thermocoagulation versus cryotherapy for the treatment of cervical precancers.

Lyufang Duan, Hui Du, Jerome L Belinson, Zhihong Liu, Aimin Xiao, Shuangyan Liu, Liwei Zhao, Chun Wang, Xinfeng Qu, Ruifang Wu

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The journal of obstetrics and gynaecology research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 12% 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, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. 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

10 authors at 4 institutions in 2 countries.

Lyufang DuanDepartment of Gynecology and Obstetrics, Peking University Shenzhen Hospital, Shenzhen, China.
Hui DuDepartment of Gynecology and Obstetrics, Peking University Shenzhen Hospital, Shenzhen, China.
Jerome L BelinsonPreventive Oncology International, Cleveland Heights, Ohio, USA.
Zhihong LiuDepartment of Gynecology and Obstetrics, Peking University Shenzhen Hospital, Shenzhen, China.
Aimin XiaoDepartment of Gynecology and Obstetrics, Peking University Shenzhen Hospital, Shenzhen, China.
Shuangyan LiuDepartment of Gynecology and Obstetrics, Peking University Shenzhen Hospital, Shenzhen, China.
Liwei ZhaoDepartment of Gynecology and Obstetrics, Peking University Shenzhen Hospital, Shenzhen, China.
Chun WangDepartment of Gynecology and Obstetrics, Peking University Shenzhen Hospital, Shenzhen, China.
Xinfeng QuSanming Project of Medicine in Shenzhen Peking University, Shenzhen Hospital, Shenzhen, China.
Ruifang WuDepartment of Gynecology and Obstetrics, Peking University Shenzhen Hospital, Shenzhen, China.
Peking University Shenzhen Hospital · CNShenzhen Institute of Information Technology · CNCleveland Research (United States) · USShenzhen Technology University · CN

Funding

Shenzhen High-level Hospital Construction FundShenzhen Key Medical Discipline Construction Fund SZXK027Shenzhen Sanming Project SZSM2020
6 · The paper itself

Abstract

aimTo compare thermocoagulation and cryotherapy for treatment of high-grade cervical intraepithelial neoplasia (CIN).

methodsFrom May 2017 to May 2018, women with CIN2/3 were randomized to thermocoagulation or cryotherapy at Peking University Shenzhen Hospital. Follow-up at 4 and 8 months included cytology and human papillomavirus (HPV) testing. Women who were HPV-positive or had atypical squamous cells of undetermined significance or higher-grade disease underwent colposcopy/biopsy.

resultsAmong 149 women enrolled, 74 were randomized to thermocoagulation, and 75 to cryotherapy (excluded four were immediately referred for thermocoagulation due to large lesions). At follow-up, there was no difference between the thermocoagulation and cryotherapy groups in HPV-negative (4/8 months: 72.5%/86.2% vs 68.6%/80.6%) and pathology-negative (97.1%/98.5% vs 94.3%/92.3%) rates (all P > 0.05). The cytology-negative rate was similar for thermocoagulation and cryotherapy at 4 months (79.7% vs 78.9%, P > 0.05), but higher for thermocoagulation at 8 months (100% vs 88.7%, P < 0.05). No lesions were observed among the four referral women at follow-up. As compared with cryotherapy, thermocoagulation was associated with shorter duration of treatment and less vaginal discharge, but higher pain during application and longer bleeding after treatment.

conclusionThermocoagulation was as effective and safe as cryotherapy and might be easily applied to treat high-grade cervical lesions.

Indexed as

Papillomavirus InfectionsUterine Cervical DysplasiaUterine Cervical NeoplasmsColposcopyCryotherapyElectrocoagulationFemaleHumansPapillomaviridaePregnancyVaginal Smearscervical intraepithelial neoplasiacomplicationcryotherapyefficacythermocoagulationtreatment

Identifiers

PMID33089619
PMCPMC7820992
OpenAlexW3093583281

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.