Evidence map›Paper›PMID 34545531›Full record

ArticleAnnals of surgical oncology2022

Open Versus Minimally Invasive Radical Hysterectomy in Cervical Cancer: The CIRCOL Group Study.

Glauco Baiocchi, Reitan Ribeiro, Ricardo Dos Reis, Deraldo Fernando Falcao, Andre Lopes, Ronaldo Lucio Rangel Costa, Gabriel Lowndes Souza Pinto, Marcelo Vieira, Lillian Yuri Kumagai, Carlos Chaves Faloppa and 8 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Annals of surgical oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 10% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. ROCC/GOG-3043: a randomized controlled trial of robotic versus open surgery for early-stage cervical cancer.International journal of gynecological cancer : official journal of the International Gynecological Cancer Society · 2025
    Article
  4. Article
  5. Article
  6. Radical Hysterectomy for Early Stage Cervical Cancer.International journal of environmental research and public health · 2022
    Review
  7. Article
  8. Article
  9. 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

18 authors at 5 institutions in 1 country.

Glauco BaiocchiDepartment of Gynecologic Oncology, AC Camargo Cancer Center, São Paulo, Brazil. glbaiocchi@yahoo.com.br.ORCID http://orcid.org/0000-0002-8193-5582
Reitan RibeiroDepartment of Gynecologic Oncology, Erasto Gaertner Hospital PPGTS/Pontifícia Universidade Católica do Paraná, Curitiba, Brazil.
Ricardo Dos ReisDepartment of Gynecologic Oncology, Barretos Cancer Hospital, Barretos, Brazil.
Deraldo Fernando FalcaoDepartment of Gynecologic Oncology, Aristides Maltez Hospital, Salvador, Brazil.
Andre LopesDepartment of Gynecologic Oncology, Instituto Brasileiro de Controle do Cancer, Sao Paulo, Brazil.
Ronaldo Lucio Rangel CostaDepartment of Gynecologic Oncology, Instituto Brasileiro de Controle do Cancer, Sao Paulo, Brazil.
Gabriel Lowndes Souza PintoDepartment of Gynecologic Oncology, Instituto Brasileiro de Controle do Cancer, Sao Paulo, Brazil.
Marcelo VieiraDepartment of Gynecologic Oncology, Barretos Cancer Hospital, Barretos, Brazil.
Lillian Yuri KumagaiDepartment of Gynecologic Oncology, AC Camargo Cancer Center, São Paulo, Brazil.
Carlos Chaves FaloppaDepartment of Gynecologic Oncology, AC Camargo Cancer Center, São Paulo, Brazil.
Henrique MantoanDepartment of Gynecologic Oncology, AC Camargo Cancer Center, São Paulo, Brazil.
Levon Badiglian-FilhoDepartment of Gynecologic Oncology, AC Camargo Cancer Center, São Paulo, Brazil.
Audrey Tieko TsunodaDepartment of Gynecologic Oncology, Erasto Gaertner Hospital PPGTS/Pontifícia Universidade Católica do Paraná, Curitiba, Brazil.
Tariane Friedrich FoiatoDepartment of Gynecologic Oncology, Erasto Gaertner Hospital PPGTS/Pontifícia Universidade Católica do Paraná, Curitiba, Brazil.
Carlos Eduardo Mattos Cunha AndradeDepartment of Gynecologic Oncology, Barretos Cancer Hospital, Barretos, Brazil.
Leonardo Oliveira PalmeiraDepartment of Gynecologic Oncology, Aristides Maltez Hospital, Salvador, Brazil.
Bruna Tirapelli GonçalvesDepartment of Gynecologic Oncology, AC Camargo Cancer Center, São Paulo, Brazil.
Paulo Henrique ZanvettorDepartment of Gynecologic Oncology, Aristides Maltez Hospital, Salvador, Brazil.
AC Camargo Hospital · BRHospital de Câncer de Barretos · BRHospital São Rafael · BRInstituto Brasileiro de Controle do Câncer · BRPontifícia Universidade Católica do Paraná · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo analyze the survival outcomes of patients in a Brazilian cohort who underwent minimally invasive surgery (MIS) compared with open surgery for early stage cervical cancer.

methodsA multicenter database was constructed, registering 1280 cervical cancer patients who had undergone radical hysterectomy from 2000 to 2019. For the final analysis, we included cases with a tumor ≤ 4 cm (stages Ia2 to Ib2, FIGO 2018) that underwent surgery from January 2007 to December 2017. Propensity score matching was also performed.

resultsA total of 776 cases were ultimately analyzed, 526 of which were included in the propensity score matching analysis (open, n = 263; MIS, n = 263). There were 52 recurrences (9.9%), 28 (10.6%) with MIS and 24 (9.1%) with open surgery (p = 0.55); and 34 deaths were recorded, 13 (4.9%) and 21 (8.0%), respectively (p = 0.15). We noted a 3-year disease-free survival (DFS) rate of 88.2% and 90.3% for those who received MIS and open surgery, respectively (HR 1.32; 95% CI: 0.76-2.29; p = 0.31) and a 5-year overall survival (OS) rate of 91.8% and 91.1%, respectively (HR 0.80; 95% CI: 0.40-1.61; p = 0.53). There was no difference in 3-year DFS rates between open surgery and MIS for tumors ≤ 2 cm (95.7% vs. 90.8%; p = 0.16) or > 2 cm (83.9% vs. 85.4%; p = 0.77). Also, the 5-year OS between open surgery and MIS did not differ for tumors ≤ 2 cm (93.1% vs. 93.6%; p = 0.82) or > 2 cm (88.9% vs. 89.8%; p = 0.35).

conclusionsSurvival outcomes were similar between minimally invasive and open radical hysterectomy in this large retrospective multicenter cohort.

Indexed as

LaparoscopyUterine Cervical NeoplasmsDisease-Free SurvivalFemaleHumansHysterectomyMinimally Invasive Surgical ProceduresNeoplasm StagingRetrospective Studies

Identifiers

PMID34545531
OpenAlexW3200220864

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.