Evidence map›Paper›PMID 34085796›Full record

ArticleJournal of gynecologic oncology2021

Sentinel lymph Node mapping versus systematic pelvic lymphadenectomy on the prognosis for patients with intermediate-high-risk Endometrial Cancer confined to the uterus before surgery: trial protocol for a non-inferiority randomized controlled trial (SNEC trial).

Jun Guan, Yu Xue, Rong Yu Zang, Ji Hong Liu, Jian Qing Zhu, Ying Zheng, Bo Wang, Hua Ying Wang, Xiao Jun Chen

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in Journal of gynecologic oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04276532 (Sentinel Lymph Node Sampling Versus Systematic Pelvic Lymphadenectomy on the Prognosis for Patients With Middle-high Risk Endometrial Cancer Confined to the Uterus Before Surgery), which is not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–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.

NCT04276532 naactive not recruitingnot on this map

Sentinel Lymph Node Sampling Versus Systematic Pelvic Lymphadenectomy on the Prognosis for Patients With Middle-high Risk Endometrial Cancer Confined to the Uterus Before Surgery: a Non-inferiority Randomized Controlled Trial

TypeinterventionalSponsorXiaojun ChenRan2020 to 2030Enrolled780ConditionsMiddle-high Risk Endometrial Cancer, Sentinel Lymph Node Sampling, PrognosisArmssentinel lymph node sampling (SLN), pelvic lymphonodectomy (PLN)
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

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

9 authors.

Jun GuanDepartment of Gynecology, Obstetrics and Gynecology Hospital, Fudan University, Shanghai, China.ORCID 0000-0003-2347-0198
Yu XueShanghai Medical college, Fudan University, Shanghai, China.ORCID 0000-0001-8319-6691
Rong Yu ZangDepartment of Obstetrics and Gynecology, Zhongshan Hospital, Fudan University, Shanghai, China.ORCID 0000-0002-1334-2398
Ji Hong LiuDepartment of Gynecology Oncology, Cancer Center, Sun Yat-sen University, Guangzhou, China.ORCID 0000-0002-5578-6157
Jian Qing ZhuDepartment of Gynecologic Oncology, Zhejiang Cancer Hospital, Hangzhou, China.ORCID 0000-0001-5736-7397
Ying ZhengDepartment of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Chengdu, China.ORCID 0000-0002-9008-9525
Bo WangDepartment of Gynecology, Obstetrics and Gynecology Hospital, Fudan University, Shanghai, China.ORCID 0000-0003-0526-0533
Hua Ying WangDepartment of Gynecology, Fudan University Shanghai Cancer Center, Shanghai, China.ORCID 0000-0002-3780-4497
Xiao Jun ChenDepartment of Gynecology, Obstetrics and Gynecology Hospital, Fudan University, Shanghai, China.ORCID 0000-0002-5493-1500

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSentinel lymph node (SLN) mapping has been recommended as an alternative staging approach to lymphadenectomy for apparent uterine-confined endometrial cancer (EC). However, the prognostic value of SLN mapping alone instead of systematic lymphadenectomy on EC patients remains unclear.

methodsA multi-center, open label, non-inferiority randomized controlled trial has been designed to identify if SLN mapping alone is not inferior to pelvic lymphadenectomy on prognosis of patients with intermediate-high-risk EC clinically confined to uterus. Eligible patients will be 1:1 randomly assigned to accept SLN mapping or pelvic lymphadenectomy. The primary endpoint is the 2-year progression-free survival (PFS). The second points are the 5-year PFS, 5-year overall survival, surgery-related adverse events and life quality. A total of 780 patients will be enrolled from 6 hospitals in China within 3-year period and followed up for 5 years.

trial registrationClinicalTrials.gov Identifier: NCT04276532.

Indexed as

Endometrial NeoplasmsSentinel Lymph NodeEquivalence Trials as TopicFemaleHumansLymphatic MetastasisLymph Node ExcisionLymph NodesMulticenter Studies as TopicNeoplasm StagingPrognosisRandomized Controlled Trials as TopicSentinel Lymph Node BiopsyEndometrial NeoplasmsIntermediate-High RiskLymphadenectomyRCTSentinel Lymph NodeUterus-Confined

Identifiers

PMID34085796
PMCPMC8192227

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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.