Evidence map›Paper›PMID 35436892›Full record

SynthesisWorld journal of surgical oncology2022

Leiomyosarcoma in the extremities and trunk wall: systematic review and meta-analysis of the oncological outcomes.

Sudhir Kannan, Han Hong Chong, Bryan Chew, Jay Dee Ferguson, Euan Galloway, Thomas McCulloch, Kenneth S Rankin, Robert U Ashford

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in World journal of surgical oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
4.7field-weighted citation impact, top 4% 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

17 citing papers in PubMed, 32 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Leiomyosarcoma of lower urinary tract: Literature review.Central European journal of urology · 2025
    Review
  7. Article
  8. Article
  9. Histology-Tailored Approach to Soft Tissue Sarcoma.Annals of surgical oncology · 2024
    Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. 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 3 institutions in 1 country.

Sudhir KannanHealth Education England, Waterfront 4 Goldcrest Way, Newburn Riverside, Newcastle upon Tyne, NE15 8NY, UK. drsudhirkannan@gmail.com.ORCID http://orcid.org/0000-0003-4060-3829
Han Hong ChongUniversity Hospitals of Leicester NHS Trust, Gwendolen Rd, Leicester, LE5 4PW, UK.
Bryan ChewUniversity Hospitals of Leicester NHS Trust, Gwendolen Rd, Leicester, LE5 4PW, UK.
Jay Dee FergusonNewcastle University, Newcastle upon Tyne, NE1 7RU, UK.
Euan GallowayNottinghamshire University Hospitals, City Hospital, Hucknall Rd, Nottingham, NG5 1PB, UK.
Thomas McCullochNottinghamshire University Hospitals, City Hospital, Hucknall Rd, Nottingham, NG5 1PB, UK.
Kenneth S RankinNewcastle upon Tyne Hospitals NHS Foundation Trust, Freeman Rd, High Heaton, Newcastle upon Tyne, NE7 7DN, UK.
Robert U AshfordUniversity Hospitals of Leicester NHS Trust, Gwendolen Rd, Leicester, LE5 4PW, UK.
University Hospitals of Leicester NHS Trust · GBNewcastle upon Tyne Hospitals NHS Foundation Trust · GBNewcastle University · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLeiomyosarcomas are aggressive malignancies which can occur on the trunk and extremities whose pathogenesis is poorly understood. We aim to quantify the prognostic impact of various clinical and pathological markers on survival and recurrence of leiomyosarcomas.

methodsWe conducted a systematic review as per PRISMA protocol. Survival, local recurrence, and metastasis were the outcome measures. Data were extracted from the studies for the outcome variables; the resultant odds ratios (OR) and 95% confidence interval (CI) were used for the synthesis of a forest plot.

resultsOur search revealed thirteen studies comprising 1380 patients. Seven of these 13 publications were since 2012. Our analysis showed that tumor size larger than 5 cm adversely affected the outcome with an OR 3.39 (2.26-5.10, p < 0.01). Other factors which reduced the overall survival were positive margins of excision OR 2.12 (1.36-3.32, p < 0.01). A reduced risk of metastasis has strongly associated the use of radiotherapy with OR 10.84 (4.41-26.61, p < 0.01). Only a few studies analyzed the impact of factors on local recurrence.

conclusionsSize larger than 5 cm and positive margins of excision are associated with poor overall survival. In comparison, the use of adjuvant radiotherapy was associated with a lower metastatic rate. There is a need for methodically high-quality studies with more uniform study design and reporting to evaluate the impact of various risk factors on local recurrence and metastases. LEVEL OF EVIDENCE: Level 1 Prognostic.

Indexed as

LeiomyosarcomaSoft Tissue NeoplasmsExtremitiesHumansMargins of ExcisionNeoplasm Recurrence, LocalPrognosisProportional Hazards ModelsRetrospective StudiesExtremitiesLeiomyosarcomaOutcomesSoft tissueTrunk wall

Identifiers

PMID35436892
PMCPMC9014567
OpenAlexW4224092338

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.