Evidence map›Paper›PMID 36269389›Full record

ArticleJournal of cancer research and clinical oncology2023

The long-term outcomes of clinical responders to neoadjuvant chemotherapy followed by radical surgery in locally advanced cervical cancer.

Weili Li, Ping Liu, Fangjie He, Lixin Sun, Hongwei Zhao, Li Wang, Jianxin Guo, Ying Yang, Xiaonong Bin, Jinghe Lang and 1 more

Open access · greenAbstract read
In one paragraph

Article in Journal of cancer research and clinical oncology, 2023. 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
0.2field-weighted citation impact, top 44% 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, 1 citations in OpenAlex.

  1. Article
  2. Review
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

11 authors at 6 institutions in 1 country.

Weili Li *Department of Obstetrics and Gynecology, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China.
Ping Liu *Department of Obstetrics and Gynecology, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China.
Fangjie He *Department of Obstetrics and Gynecology, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China.
Lixin Sun *Department of Obstetrics and Gynecology, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China.
Hongwei ZhaoDepartment of Gynecologic Oncology, Shanxi Provincial Cancer Hospital, Taiyuan, 030013, China.
Li WangDepartment of Gynecology, The Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou, 450008, China.
Jianxin GuoDepartment of Obstetrics and Gynecology, Research Institute of Surgery, Daping Hospital, Army Medical University, Chongqing, 400042, China.
Ying YangDepartment of Obstetrics and Gynecology, Xinqiao Hospital, Army Medical University, Chongqing, 400042, China.
Xiaonong BinDepartment of Epidemiology, College of Public Health, Guangzhou Medical University, Guangzhou, 511436, China.
Jinghe LangDepartment of Obstetrics and Gynecology, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China.
Chunlin ChenDepartment of Obstetrics and Gynecology, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China. ccl1@smu.edu.cn.ORCID http://orcid.org/0000-0002-1708-3047
Nanfang Hospital · CNArmy Medical University · CNShanxi Provincial Cancer Hospital · CNChinese Academy of Medical Sciences & Peking Union Medical College · CNGuangzhou Medical University · CNZhengzhou University · CN

Funding

National Natural Science Fund of Guangdong 2015A030311024National Science and Technology Support Program of China 2014BAI05B03Science and Technology Plan of Guangzhou 158100075
6 · The paper itself

Abstract

objectiveTo compare the long-term oncological outcome of neoadjuvant chemotherapy before radical surgery (NCRS) and definitive chemoradiotherapy (DR) for stage IB2 and IIA2 cervical squamous cell carcinoma.

methodsThe clinical outcome of 480 patients with stage IB2 and IIA2 cervical cancer (308 clinical responders, 111 clinical non-responders, 61 unclear) who underwent NCRS (and subgroup assessments) were compared with those of 233 patients who underwent DR.

resultsThe clinical response rate was 73.5% in the NCRS group. Multivariate COX regression analyses revealed that NCRS was not correlated with the 5-year overall survival (OS) rate (p = 0.067) or disease-free survival (DFS) rate (p = 0.249). In a subgroup of NCRS, the clinical response group was also shown to be a protective independent factor of 5 year OS rate compared to the DR group (aHR, 0.403; 95% CI, 0.209-0.777), but had no correlation with the 5 year DFS rate (p = 0.089). On the other hand, the clinical non-response group had no correlation with the 5 year OS rate (p = 0.780) or DFS rate (p = 0.669).

conclusionClinical responders who underwent NCRS exhibited a better oncological outcome compared to those who underwent DR. International Clinical Trials Registry Platform Search Port, http://apps.who.int/trialsearch/ ; CHiCTR1800017778.

Indexed as

Neoadjuvant TherapyUterine Cervical NeoplasmsChemotherapy, AdjuvantDisease-Free SurvivalFemaleHumansHysterectomyNeoplasm StagingRetrospective StudiesTreatment OutcomeCervical cancerClinical responseLaparotomyNeoadjuvant chemotherapyRadiotherapy

Identifiers

PMID36269389
PMCPMC11798248
OpenAlexW4306976610

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Registered trials

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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.