Evidence map›Paper›PMID 33649001›Full record

ReviewInternational journal of gynecological cancer : official journal of the International Gynecological Cancer Society2021

Management of pregnancy in women with cancer.

Vera Wolters, Joosje Heimovaara, Charlotte Maggen, Elyce Cardonick, Ingrid Boere, Liesbeth Lenaerts, Frédéric Amant

Registry-linked trialOpen access · hybridAbstract readReview
In one paragraph

Review in International journal of gynecological cancer : official journal of the International Gynecological Cancer Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02749474 (Maternal Cancer Diagnosis and Treatment During Pregnancy), which is not on this map. Cited by 62 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 3 pooled it
7.5field-weighted citation impact, top 2% 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.

NCT02749474 unknown statusnot on this map

Maternal Cancer Diagnosis and Treatment During Pregnancy:a Registry for Maternal, Fetal, and Neonatal Outcomes With Longitudinal Follow up of Child Development and Maternal Psychological Well Being

Typeobservational_patient_registrySponsorThe Cooper Health SystemRan2003 to 2025Enrolled400ConditionsPregnancy, Cancer, Cancer in Pregnancy, Gestational Breast Cancer, Pregnancy Related
3 · Its place in the literature

Who cites it

62 citing papers in PubMed, 3 syntheses or guidelines pooled it, 126 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Article
  5. Review
  6. Colorectal Cancer Treatment During Pregnancy.Journal of the advanced practitioner in oncology · 2026
    Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Review
  12. Observational
  13. Observational
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Cancer in pregnancy: FIGO Best practice advice and narrative review.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025
    Review

2 more citing papers are in PubMed but not listed here.

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

7 authors at 5 institutions in 3 countries.

Vera WoltersDepartment of Gynecology, Antoni van Leeuwenhoek Nederlands Kanker Instituut, Amsterdam, The Netherlands.
Joosje HeimovaaraDepartment of Oncology, KU Leuven, Leuven, Belgium.ORCID 0000-0002-0550-2793
Charlotte MaggenDepartment of Obstetrics and Gynecology, University Hospitals Leuven and Department of Oncology, KU Leuven, Leuven, Belgium.
Elyce CardonickDepartment of Obstetrics and Gynecology, Cooper University Health Care, Camden, New Jersey, USA.
Ingrid BoereDepartment of Medical Oncology, Erasmus MC Cancer Centre, Rotterdam, The Netherlands.
Liesbeth LenaertsDepartment of Oncology, KU Leuven, Leuven, Belgium.
Frédéric AmantDepartment of Gynecology, Antoni van Leeuwenhoek Nederlands Kanker Instituut, Amsterdam, The Netherlands frederic.amant@uz.kuleuven.ac.be.
KU Leuven · BECooper University Health Care · USErasmus MC Cancer Institute · NLNetherlands Cancer Institute-Antoni van Leeuwenhoek Hospital · NLThe Netherlands Cancer Institute · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

As the incidence of cancer in pregnancy has been increasing in recent decades, more specialists are confronted with a complex oncologic-obstetric decision-making process. With the establishment of (inter)national registries, including the International Network on Cancer, Infertility and Pregnancy, and an increasing number of smaller cohort studies, more evidence on the management of cancer during pregnancy is available. As fetal, neonatal, and short-term pediatric outcomes after cancer treatment are reassuring, more women receive treatment during pregnancy. Prenatal treatment should adhere to standard treatment as much as possible to optimize maternal prognosis, always taking into account fetal well-being. In order to guarantee the optimal treatment for both mother and child, a multidisciplinary team of specialists with expertise should be involved. Apart from oncologic treatment, a well-considered obstetric and perinatal management plan discussed with the future parents is crucial. Results of non-invasive prenatal testing are inconclusive in women with cancer and alternatives for prenatal anomaly screening should be used. Especially in women treated with chemotherapy, serial ultrasounds are strongly recommended to follow-up fetal growth and cervical length. After birth, a neonatal assessment allows the identification of any cancer or treatment-related adverse events. In addition, placental histologic examination aims to assess the fetal risk of metastasis, especially in women with malignant melanoma or metastatic disease. Breastfeeding is discouraged when systemic treatment needs to be continued after birth. At least a 3-week interval between the last treatment and nursing is recommended to prevent any treatment-induced neonatal effects from most non-platinum chemotherapeutic agents.

Indexed as

Antineoplastic AgentsFemaleHumansNeoplasmsPregnancyPregnancy Complications, NeoplasticPregnancy OutcomePregnancy TrimestersPrenatal CareAntineoplastic Agentscarcinomaradiotherapysurgery

Identifiers

PMID33649001
PMCPMC7925815
OpenAlexW3135364967

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.