Evidence map›Paper›PMID 35712971›Full record

Observational studyJournal of gynecologic oncology2022

Incidence and risk factors for the development of cerebral metastasis in cervical cancer patients.

Juliana de Brito Rangel, Alessandra Grasso Giglio, Cristiane Lemos Cardozo, Anke Bergmann, Luiz Claudio Santos Thuler

Open access · diamondAbstract readObservational Study
In one paragraph

Observational study in Journal of gynecologic oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 28% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. 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

5 authors at 2 institutions in 1 country.

Juliana de Brito RangelFederal University of Rio de Janeiro State (UNIRIO), Rio de Janeiro, Brazil.ORCID 0000-0003-3459-0435
Alessandra Grasso GiglioFederal University of Rio de Janeiro State (UNIRIO), Rio de Janeiro, Brazil.ORCID 0000-0002-6716-5884
Cristiane Lemos CardozoBrazilian National Cancer Institute (INCA), Rio de Janeiro, Brazil.ORCID 0000-0001-5792-1431
Anke BergmannBrazilian National Cancer Institute (INCA), Rio de Janeiro, Brazil.ORCID 0000-0002-1972-8777
Luiz Claudio Santos ThulerFederal University of Rio de Janeiro State (UNIRIO), Rio de Janeiro, Brazil.ORCID 0000-0003-2550-6537
Universidade Federal do Rio de Janeiro · BRInstituto Nacional de Câncer - INCA · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveCerebral metastasis (CM) in cervical cancer (CC) cases, although rare, results in high lethality rates. The present study aimed to assess CM incidence in a Brazilian reference CC center and evaluate the risk factors for CM development. Retrospective observational study of patients diagnosed with CC between 2010 and 2017.

methodsCumulative CM incidence and incidence density were evaluated. Characteristics associated to CM development risks were identified using crude (cOR) or adjusted (aOR) odds ratios.

resultsA total of 3,397 patients were included in this study. Patient age ranged from 18 to 101 years, with a mean age of 48.8±14.0. After a mean follow-up time of 3.2±2.1 years, 51 CM cases were identified, resulting in a cumulative incidence of 1.5% (95% confidence intervals [CI]=1.12-1.97) and an incidence density at the end of the 6th year of 27.4 per 1,000 women/year. Advanced clinical stage (aOR=3.15; 95% CI=1.16-8.58; p=0.025), the presence of previous lung metastasis (aOR=4.04; 95% CI=1.82-8.94; p=0.001) and the adenocarcinoma (aOR=2.90; 95% CI=1.46-5.76; p=0.002), adenosquamous carcinoma (aOR=7.33; 95% CI=2.87-18.73; p<0.001), undifferentiated carcinoma (aOR=14.37; 95% CI=3.77-54.76; p<0.001) and neuroendocrine carcinoma (aOR=21.31; 95% CI=6.65-68.37, p<0.001) histological types were associated with a higher risk for CM development. CM risk was higher in the first years of follow-up, with no cases observed after the 6th year.

conclusionCC patients in advanced clinical stages, displaying previous lung metastasis and non-squamous histological types are at high risk of developing CM.

Indexed as

Carcinoma, Squamous CellLung NeoplasmsUterine Cervical NeoplasmsAdolescentAdultAgedAged, 80 and overFemaleHumansIncidenceMiddle AgedNeoplasm StagingRetrospective StudiesRisk FactorsYoung AdultBrain, Uterine Cervical NeoplasmsNeoplasm MetastasisRisk Factors

Identifiers

PMID35712971
PMCPMC9428298
OpenAlexW4283079847

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.