Evidence map›Paper›PMID 33789183›Full record

Observational studyJournal of gynecology obstetrics and human reproduction2021

The impact of the COVID-19 coronavirus pandemic on the surgical management of gynecological cancers: Analysis of the multicenter database of the French SCGP and the FRANCOGYN group.

Théo Jouen, Tristan Gauthier, Henri Azais, Sofiane Bendifallah, Pauline Chauvet, Herve Fernandez, Yohan Kerbage, Vincent Lavoue, Lise Lecointre, Camille Mimoun and 8 more

Open access · greenAbstract readHistorical ArticleMulticenter StudyObservational Study
In one paragraph

Observational study in Journal of gynecology obstetrics and human reproduction, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.8field-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

11 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. COVID-19 mortality risk among women with ovarian cancer: a matched case-control study.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologicas · 2026
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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

18 authors at 11 institutions in 1 country.

Théo JouenDepartement of Obstetrics and Gynecology, Angers University Hospital, Angers, France.
Tristan GauthierDepartement of Obstetrics and Gynecology, Limoges University Hospital, Limoges, France.
Henri AzaisDepartement of Obstetrics and Gynecology, Georges-Pompidou European Hospital AP-HP, Paris, France.
Sofiane BendifallahDepartement of Obstetrics and Gynecology, Tenon Hospital AP-HP, Paris, France.
Pauline ChauvetDepartement of Obstetrics and Gynecology, Clermont-Ferrand University Hospital, Clermont-Ferrand, France.
Herve FernandezDepartement of Obstetrics and Gynecology, Bicêtre Hospital AP-HP, Paris, France.
Yohan KerbageDepartement of Obstetrics and Gynecology, Lille University Hospital, Lille, France.
Vincent LavoueDepartement of Obstetrics and Gynecology, Rennes University Hospital, Rennes, France.
Lise LecointreDepartement of Obstetrics and Gynecology, Strasbourg University Hospital, Strasbourg, France.
Camille MimounDepartement of Obstetrics and Gynecology, Lariboisière Hospital AP-HP, Paris, France.
Lobna OuldamerDepartement of Obstetrics and Gynecology, Tours University Hospital, Tours, France.
Stéphanie SeidlerDepartement of Obstetrics and Gynecology, Georges-Pompidou European Hospital AP-HP, Paris, France.
Marc SiffertDepartement of Obstetrics and Gynecology, Bichat Hospital AP-HP, Paris, France.
Anne-Lyse VallinDepartement of Obstetrics and Gynecology, Creteil University Hospital, Créteil, France.
Andrew SpiersDepartement of Obstetrics and Gynecology, Angers University Hospital, Angers, France.
Philippe DescampsDepartement of Obstetrics and Gynecology, Angers University Hospital, Angers, France.
Aymeline LacorreDepartement of Obstetrics and Gynecology, Limoges University Hospital, Limoges, France.
Guillaume LegendreDepartement of Obstetrics and Gynecology, Angers University Hospital, Angers, France; CESP-INSERM, U1018, Team 7, Reproductive and sexual health, Paris-Sud University, 94276 Villejuif, France. Electronic address: guillaume.legendre@chu-angers.fr.
Assistance Publique – Hôpitaux de Paris · FRUniversité d'Angers · FRUniversité de Limoges · FRBicêtre Hospital · FRCentre de recherche en Epidémiologie et Santé des Populations · FRCentre Hospitalier Universitaire de Rennes · FRHôpital Européen Georges-Pompidou · FRSorbonne Université · FRUniversité de Strasbourg · FRUniversité de Tours · FRUniversité Paris-Est Créteil · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe coronavirus SARS-CoV-2 (COVID-19) pandemic has put tremendous pressure on the French healthcare system. Almost all hospital departments have had to profoundly modify their activity to cope with the crisis. In this context, the surgical management of cancers has been a topic of debate as care strategies were tailored to avoid any delay in treatment that could be detrimental to patient wellbeing while being careful not to overload intensive care units. The primary objective of this study was to observe changes in the surgical management of pelvic cancers during the COVID-19 pandemic in France. MATERIAL AND

methodsThis study analyzed data from the prospective multi-center cohort study conducted by the French Society for Pelvic and Gynecological Surgery (SCGP) with methodological support from the French (FRANCOGYN) Group. All members of the SCGP received by e-mail a link allowing them to include patients who were scheduled to undergo gynecological carcinologic surgery between March 16th 2020 and May 11th 2020. Demographic data, the characteristics of cancers and the impact of the crisis in terms of changes to the usual recommended coarse of care were collected.

resultsA total of 181 patients with a median age 63 years were included in the cohort. In total, 31 patients had cervical cancer, 76 patients had endometrial cancer, 52 patients had ovarian or tubal cancer, 5 patients had a borderline tumor of the ovary, and 17 patients had vulvar cancer. During the study period, the care strategy was changed for 49 (27%) patients with postponed for 35 (19.3%) patients, and canceled for 7 (3.9%) patients. Surgical treatment was maintained for 139 (76.8%) patients. Management with neoadjuvant chemotherapy was offered to 19 (10,5%) patients and a change in surgical choice was made for 5 (2,8%) patients. In total, 8 (4,4%) patients tested positive for COVID-19. Data also shows a greater number of therapeutic changes in cases of ovarian cancer as well as a cancelation of a lumbo-aortic lymphadenectomy in one patient with cervical cancer. Hospital consultants estimated a direct detrimental impact of the COVID-19 pandemic for 39 patients, representing 22% of gynecological cancers.

conclusionThis study provided observational data of the impact of the COVID-19 health crisis on the surgical management of gynecological cancers.

Indexed as

AgedCohort StudiesCommunicable Disease ControlCOVID-19Databases, FactualFemaleFranceGenital Neoplasms, FemaleGynecologic Surgical ProceduresHistory, 21st CenturyHumansMiddle AgedPandemicsQuarantineSARS-CoV-2Borderline tumorCancer of vulvaCancersCervical cancerCOVID-19Endometrial cancerGynecologicOvarian cancerPandemicPelvicSARS-CoV-2VIRUSWomen

Identifiers

PMID33789183
PMCPMC8004475
OpenAlexW3150895340

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.