Evidence map›Paper›PMID 34435979›Full record

ArticleChinese medical journal2021

Clinical features related to lymphatic metastasis in grade 3 endometroid endometrial cancer: a retrospective cross-sectional study.

Bo Wang, Qian Wang, Yue Shi, Wen-Yu Shao, Jiong-Bo Liao, Xue-Zhen Luo, Xiao-Jun Chen, Chao Wang

Open access · goldAbstract read
In one paragraph

Article in Chinese medical journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 37% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. 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 at 1 institution in 1 country.

Bo WangDepartment of Gynecology, Obstetrics and Gynecology Hospital, Fudan University, Shanghai 200011, China.
Qian WangDepartment of Gynecology, Obstetrics and Gynecology Hospital, Fudan University, Shanghai 200011, China.
Yue ShiDepartment of Gynecology, Obstetrics and Gynecology Hospital, Fudan University, Shanghai 200011, China.
Wen-Yu ShaoDepartment of Gynecology, Obstetrics and Gynecology Hospital, Fudan University, Shanghai 200011, China.
Jiong-Bo LiaoDepartment of Gynecology, Obstetrics and Gynecology Hospital, Fudan University, Shanghai 200011, China.
Xue-Zhen LuoDepartment of Gynecology, Obstetrics and Gynecology Hospital, Fudan University, Shanghai 200011, China.
Xiao-Jun ChenDepartment of Gynecology, Obstetrics and Gynecology Hospital, Fudan University, Shanghai 200011, China.
Chao WangDepartment of Gynecology, Obstetrics and Gynecology Hospital, Fudan University, Shanghai 200011, China.
Obstetrics and Gynecology Hospital of Fudan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEndometrial cancer (EC) has been one of the most general cancers with respect to gynecological malignancies; however, there are debates on clinical strategies concerning treatments especially for patients with grade 3 (G3) endometroid endometrial cancer (EEC). Present study aimed to evaluate the lymphatic metastasis (LM) related factors and figure out the necessity of lymphadenectomy for G3 EEC patients.

methodsFrom January 2009 to April 2019, 3751 EC patients were admitted to Obstetrics and Gynecology Hospital of Fudan University. Clinical characteristics include age, grade, stage, and clinical pathological features. A total of 1235 EEC patients were involved in the multivariable analysis. Three hundred and eighty-one patients were involved in the survival analysis and the data attributed to sufficient follow-up information. Kaplan-Meier curve and log-rank test were utilized to analyze the survival rate.

resultsAmong the 1235 EEC patients, 181 (14.7%) were categorized as G3 and 1054 (85.3%) were grade 1 to grade 2 (G1-2). Multivariate analysis demonstrated that lymphovascular space invasion, adnexal involvement, and cervical stroma involvement were independent risk factors of LM in G3 cohort with odds ratio 3.4, 5.8, and 8.9; 95% confidence interval 1.1-10.6, 1.5-22.4, and 2.8-28.0, respectively. LM rates increased from 3.3% (3/92) to 75% (9/12) for G3 EEC cohort as related factor numbers increased from one to three. There were no differences between G3 and G1-2 EEC in overall survival and progression free survival. Additionally, no survival advantage was observed for G3 EEC patients at early stage with different plans of adjuvant treatment.

conclusionsFor G3 EEC patients without other pathological positive factor, the LM rate is lower than those with other pathological positive factor. Survival analysis showed no difference between G3 cohort and G1-2 cohort. Also, different adjuvant treatments had no impact on the overall survival for G3 EEC patients.

Indexed as

Carcinoma, EndometrioidEndometrial NeoplasmsCross-Sectional StudiesFemaleHumansLymphatic MetastasisNeoplasm StagingPrognosisRetrospective Studies

Identifiers

PMID34435979
PMCPMC8439994
OpenAlexW3193755889

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.