Evidence map›Paper›PMID 33317612›Full record

ArticleTrials2020

Minimally invasive versus open radical trachelectomy for early-stage cervical cancer: protocol for a multicenter randomized controlled trial in China.

Xiaopei Chao, Lei Li, Ming Wu, Huanwen Wu, Shuiqing Ma, Xianjie Tan, Sen Zhong, Jinghe Lang

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03739944 (Randomized Trial of Different Surgical Approaches in Patients of Chinese Early-stage Cervical Cancer), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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.

NCT03739944 phase3unknown statusnot on this map

Randomized Trial of Different Surgical Approaches in Patients of Chinese Early-stage Cervical Cancer

TypeinterventionalSponsorLei LiRan2018 to 2023Enrolled700ConditionsUterine Cervical Neoplasm, Laparotomy, Laparoscopy, SurvivalArmsLaparotomic radical hysterectomy, Laparotomic radical trachelectomy, Laparoscopic radical hysterectomy, Laparoscopic radical trachelectomy
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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

8 authors.

Xiaopei ChaoDepartment of Obstetrics and Gynecology, Peking Union Medical College Hospital, Shuaifuyuan No. 1, Dongcheng District, Beijing, 100730, China.
Lei LiDepartment of Obstetrics and Gynecology, Peking Union Medical College Hospital, Shuaifuyuan No. 1, Dongcheng District, Beijing, 100730, China. lileigh@163.com.ORCID http://orcid.org/0000-0001-8723-3461
Ming WuDepartment of Obstetrics and Gynecology, Peking Union Medical College Hospital, Shuaifuyuan No. 1, Dongcheng District, Beijing, 100730, China. wuming@pumch.cn.
Huanwen WuDepartment of Pathology, Peking Union Medical College Hospital, Beijing, 100730, China.
Shuiqing MaDepartment of Obstetrics and Gynecology, Peking Union Medical College Hospital, Shuaifuyuan No. 1, Dongcheng District, Beijing, 100730, China.
Xianjie TanDepartment of Obstetrics and Gynecology, Peking Union Medical College Hospital, Shuaifuyuan No. 1, Dongcheng District, Beijing, 100730, China.
Sen ZhongDepartment of Obstetrics and Gynecology, Peking Union Medical College Hospital, Shuaifuyuan No. 1, Dongcheng District, Beijing, 100730, China.
Jinghe LangDepartment of Obstetrics and Gynecology, Peking Union Medical College Hospital, Shuaifuyuan No. 1, Dongcheng District, Beijing, 100730, China.

Funding

Chinese Academy of Medical Sciences Initiative for Innovative Medicine CAMS-2017-I2M-1-002
6 · The paper itself

Abstract

backgroundThere are limited data comparing the oncologic and fertility outcomes of patients with early-stage cervical cancer (CC) treated by minimally invasive radical trachelectomy (MIRT) or abdominal radical trachelectomy (ART). The purpose of this multicenter study is to compare the oncologic and fertility outcomes of patients treated by MIRT or ART in a randomized controlled manner in China.

methodsThis is a noninferiority, randomized controlled trial performed at 28 Chinese centers; the study is designed to compare the oncologic and fertility outcomes of patients treated by MIRT (robot-assisted or laparoscopic RT) or ART. Patients will be recruited if they have been diagnosed with stage IA1 (with lymphovascular space invasion), IA2, or IB1 CC (with a maximum tumor diameter ≤ 2 cm) in the FIGO 2009 staging system and histological subtypes of squamous carcinoma, adenocarcinoma, or adenosquamous carcinoma and if they are also aged 18 to 40 years. These candidates will be randomly assigned to undergo MIRT or ART. The primary endpoint will be disease-free survival. Secondary endpoints will consist of overall and disease-free survival rates, fertility outcomes, and quality of life. A total of 414 patients are needed to accomplish the study goal, with 90.1% power at a 0.050 significance level to detect an equivalence hazard ratio of 0.75 in the ART group, considering 20% loss to follow-up. DISCUSSION: The results of the trial should provide robust evidence to surgeons regarding options for the surgical approach in patients with early-stage CC who have a strong willingness to preserve fertility.

trial registrationClinicalTrials.gov NCT03739944 . Registered on November 14, 2018.

Indexed as

TrachelectomyUterine Cervical NeoplasmsChinaFemaleHumansMulticenter Studies as TopicNeoplasm StagingQuality of LifeRandomized Controlled Trials as TopicRetrospective StudiesCervical cancerClinical pregnant rateLive birth rateOverall survivalProgression-free survivalQuality of lifeRadical trachelectomyRandomised controlled trial

Identifiers

PMID33317612
PMCPMC7734762

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Registered trials

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.