Evidence map›Paper›PMID 33622908›Full record

SynthesisIn vivo (Athens, Greece)

Pelvic Insufficiency Fractures in Cervical Cancer After Radiation Therapy: A Meta-Analysis and Review.

Youn Kyung Chung, Young-Kyun Lee, Byung-Ho Yoon, Dong Hoon Suh, Kyung-Hoi Koo

Open access · diamondAbstract readMeta-Analysis
In one paragraph

Synthesis in In vivo (Athens, Greece). 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
3.8field-weighted citation impact, top 6% 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, 29 citations in OpenAlex.

  1. Pooled it
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  8. Review
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  13. Symptom burden and health-related quality of life six months after hyperbaric oxygen therapy in cancer survivors with pelvic radiation injuries.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
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  14. Review
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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

5 authors at 3 institutions in 1 country.

Youn Kyung Chung *Obstetrics and Gynecology, National Cancer Center, Goyang, Republic of Korea.
Young-Kyun Lee *Department of Orthopedic Surgery, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
Byung-Ho YoonDepartment of Orthopedic Surgery, Inje University College of Medicine, Seoul Paik Hospital, Seoul, Republic of Korea.
Dong Hoon SuhDepartment of Obstetrics and Gynecology, Seoul National University Bundang Hospital, Seongnam, Republic of Korea; sdhwcj@naver.com.
Kyung-Hoi KooDepartment of Orthopedic Surgery, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
Seoul National University Bundang Hospital · KRInje University Seoul Paik Hospital · KRNational Cancer Center · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe aim of the study was to estimate the prevalence of pelvic insufficiency fractures (PIFs) after radiation therapy (RT) in patients with cervical cancer. PATIENTS AND

methodsA total of 3,633 patients from 15 cohort studies were included. Proportion meta-analysis was performed to estimate prevalence and subgroup analysis was performed according to imaging modalities for diagnosis of PIF. For continuous variables (age and length of follow-up), meta-regression analysis was performed.

resultsPooled prevalence estimate of PIF was 14% (95% CI=10-19). Incidence of PIF was higher in studies that used MRI as a diagnostic tool (17%, 95% CI=12-22) than non-MRI (8%, 95% CI=2-14). In meta-regression, we found a significant association of prevalence of PIF with age (p=0.021) but not with length of follow-up (p=0.118).

conclusionPIF after RT in patients with cervical cancer is not rare. Physicians need to pay attention to PIFs, especially in patients with high-risk factors for osteoporotic fracture.

Indexed as

Fractures, StressPelvic BonesUterine Cervical NeoplasmsFemaleHumansPelvisRisk FactorsCervical cancerinsufficiency fractureosteoporosissurvivoral care

Identifiers

PMID33622908
PMCPMC8045108
OpenAlexW3129498292

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.