Evidence map›Paper›PMID 36337265›Full record

ArticleGynecologic oncology reports2022

Stage and outcomes of invasive cervical cancer patients in Botswana: A prospective cohort study from 2013 to 2020.

Surbhi Grover, Jessica George, Shawna Tuli, Katie Lichter, Rohini Bhatia, Barati Monare, Ganen Chinniah, Lisa Bazzett-Matabele, Memory Bvochora-Nsingo, Sebathu Chiyapo and 7 more

Abstract read
In one paragraph

Article in Gynecologic oncology reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
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

13 citing papers in PubMed.

  1. Trial
  2. Observational
  3. Article
  4. Review
  5. Review
  6. Review
  7. Article
  8. Article
  9. Observational
  10. Article
  11. Article
  12. Impact of HIV infection on access to cancer care and survival among women with invasive cervical cancer in Côte d'Ivoire: A prospective cohort study.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2023
    Article
  13. 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

17 authors.

Surbhi GroverDepartment of Radiation Oncology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, USA.
Jessica GeorgeDonald Bren School of Information and Computer Sciences, University of California, Irvine, CA, USA.
Shawna TuliDonald Bren School of Information and Computer Sciences, University of California, Irvine, CA, USA.
Katie LichterDepartment of Radiation Oncology, University of California San Francisco, San Francisco, CA, USA.
Rohini BhatiaDepartment of Radiation Oncology and Molecular Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Barati MonareBotswana-University of Pennsylvania Partnership, Gaborone, Botswana.
Ganen ChinniahCollege of Arts and Sciences, University of Pennsylvania, Philadelphia, PA, USA.
Lisa Bazzett-MatabeleDepartment of Obstetrics and Gynecology, Yale University School of Medicine, New Haven, CT, USA.
Memory Bvochora-NsingoDepartment of Oncology, Gaborone Private Hospital, Gaborone, Botswana.
Sebathu ChiyapoPrincess Marina Hospital, Gaborone, Botswana.
Dawn BalangDepartment of Oncology, Gaborone Private Hospital, Gaborone, Botswana.
Tlotlo RalefalaPrincess Marina Hospital, Gaborone, Botswana.
Peter VuylstekeCentre Hospitalier Universitaire, Site Sainte-Elisabeth, UCLouvain, Namur, Belgium; University of Botswana, Gaborone, Botswana.
Rebecca LuckettDepartment of Obstetrics & Gynecology, University of Botswana, Gaborone, Botswana.
Sanghyuk ShinSue & Bill Gross School of Nursing, University of California, Irvine, CA, USA.
Nicola ZetolaDepartment of Radiation Oncology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, USA.
Doreen Ramogola-MasireDepartment of Obstetrics & Gynecology, University of Botswana, Gaborone, Botswana.

Funding

Prognostic value of quantitative HPV viral load in determining cervical cancer treatment response and recurrenceK08CA230170 · NCI · UNIVERSITY OF PENNSYLVANIA · PI GROVER, SURBHI · 2019 to 2023
$1.4M
Evaluation of triage strategies and screening intervals in a human papillomavirus based cervical cancer screening program in women living with human immunodeficiency virus in BotswanaK08CA271949 · NCI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI Rebecca Luckett · 2022 to 2026
$1.3M
NCI NIH HHS K08 CA230170NCI NIH HHS K08 CA271949
6 · The paper itself

Abstract

Objective: To present the stage distribution, patterns of care, and outcomes of patients from Botswana with invasive cervical cancer, living with or without HIV. Methods: Between 2013 and 2020, women with cervical cancer were prospectively enrolled in an observational cohort study. Results: A total of 1,043 patients were enrolled; 69% were women living with HIV. The median age of the cohort was 47 years (interquartile range [IQR] 40-58 years), with women living with HIV presenting at a younger age compared to women without HIV (44 versus 61 years, p < 0.001). Among women living with HIV, the median CD4 count at the time of cancer diagnosis was 429.5 cells/μL (IQR 240-619.5 cells/μL), 13% had a detectable viral load, and 95% were on antiretroviral therapy. In regard to treatment, 6% (n = 58) underwent surgery, 33% (n = 341) received radiation therapy, 51% (n = 531) received chemoradiation, and 7% (n = 76) did not receive treatment. Stage distribution in the cohort was as follows: I 17% (n = 173), II 37% (n = 388), III 35% (n = 368), and IV 8% (n = 88). For all patients, 2-year OS was 67%. In multivariable Cox regression, worse OS was associated with stage: II (HR 1.91, p = 0.007), III (HR 3.99, p < 0.001), and IV (HR 5.06, p < 0.001) compared to stage I. Improved OS was associated with hemoglobin > 10 g/dL (HR 0.51, p < 0.001) compared to Hb ≤ 10 g/dL. Conclusions: Among women in Botswana with cervical cancer, most patients presented with stage II or III disease warranting radiation therapy or chemoradiation. While two-thirds of cervical cancer patients were women living with HIV, HIV did not impact OS.

Indexed as

Cervical cancerChemoradiationHIVOutcomesStage

Identifiers

PMID36337265
PMCPMC9634011

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.