Evidence map›Paper›PMID 36744538›Full record

ReviewCancer medicine2023

The significance of margins in pediatric Non-Rhabdomyosarcoma soft tissue sarcomas: Consensus on surgical margin definition harmonization from the INternational Soft Tissue SaRcoma ConsorTium (INSTRuCT).

Monika Sparber-Sauer, Andrea Ferrari, Sheri L Spunt, Christian Vokuhl, Dana Casey, Timothy B Lautz, William H Meyer, David O Walterhouse, Kristian W Pajtler, Rita Alaggio and 7 more

Open access · goldAbstract readReviewConsensus Statement
In one paragraph

Review in Cancer medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
4.7field-weighted citation impact, top 5% 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

11 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Article
  3. Sarcomas in Adolescents and Young Adults.Current oncology reports · 2026
    Review
  4. Performance of a tracked ultrasound navigation setup for pediatric tumor surgery: a phantom study.International journal of computer assisted radiology and surgery · 2026
    Article
  5. Review
  6. Review
  7. Article
  8. Article
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  10. Article
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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 at 15 institutions in 5 countries.

Monika Sparber-SauerKlinikum der Landeshauptstadt Stuttgart gKAöR, Olgahospital, Stuttgart Cancer Center, Zentrum für Kinder-, Jugend- und Frauenmedizin, Pädiatrie 5 (Pädiatrische Onkologie, Hämatologie, Immunologie), Stuttgart, Germany.ORCID 0000-0001-9551-2399
Andrea FerrariPediatric Oncology Unit, Fondazione IRCCS Istituto Nazionale Tumori, Milan, Italy.
Sheri L SpuntDepartment of Pediatrics, Stanford University School of Medicine, Palo Alto, California, United States.ORCID 0000-0002-1669-2676
Christian VokuhlSection of Pediatric Pathology, University of Bonn, Bonn, Germany.
Dana CaseyDepartment of Radiation Oncology, University of North Carolina School of Medicine, Chapel Hill, North Carolina, United States.ORCID 0000-0001-6851-7653
Timothy B LautzDivision of Pediatric Surgery, Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois, United States.
William H MeyerJimmy Everest Section of Pediatric Hematology Oncology, Department of Pediatrics, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, United States.
David O WalterhouseDivision of Pediatric Hematology/Oncology/Stem Cell Transplant, Department of Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, Illinois, United States.
Kristian W PajtlerHopp-Children's Cancer Center, NCT Heidelberg (KiTZ), Heidelberg, Germany.
Rita AlaggioPathology Unit, Department of Laboratories, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Andreas SchmidtDepartment of Pediatric Surgery and Pediatric Urology, University Children's Hospital, Eberhard Karls University Tuebingen, Tuebingen, Germany.
Akmal SafwatOncology Department and Danish Center for Particle Therapy, Aarhus University Hospital, Aarhus, Denmark.
Beate TimmermannDepartment of Particle Therapy, University Hospital Essen, West German Proton Therapy Centre Essen (WPE), West German Cancer Center (WTZ), German Cancer Consortium (DKTK), Germany.
Patrizia Dall'IgnaPediatric Surgery, Department of Emergencies and Organ Transplantation, University of Bari, Bari, Italy.
Sonja ChenDepartment of Pathology and Laboratory Medicine, Nationwide Children's Hospital, Columbus, Ohio, United States.ORCID 0000-0001-6174-8723
Aaron R WeissDepartment of Pediatrics, Maine Medical Center, Portland, Maine, United States.
Daniel OrbachSIREDO Oncology Center (Care, Innovation and Research for Children, Adolescents and Young Adults with Cancer), PSL University, Institut Curie, Paris, France.ORCID 0000-0002-2520-139X
German Cancer Research Center · DENorthwestern University · USAarhus University Hospital · DKBambino Gesù Children's Hospital · ITFondazione IRCCS Istituto Nazionale dei Tumori · ITMaine Medical Center · USNationwide Children's Hospital · USOlgahospital · DEPalo Alto University · USUniversité Paris Sciences et Lettres · FRUniversity Children's Hospital Tübingen · DEUniversity of Bari Aldo Moro · ITUniversity of Bonn · DEUniversity of North Carolina at Chapel Hill · USUniversity of Oklahoma Health Sciences Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMargin status following surgery in children, adolescents, and young adults with soft tissue sarcomas is controversial and has been defined differently by various specialties, with definitions changing over time and by cooperative group. The International Soft Tissue Sarcoma Consortium (INSTRuCT) is a collaboration of the Children's Oncology Group (COG) Soft Tissue Sarcoma Committee, European pediatric Soft Tissue sarcoma Study Group (EpSSG), and the European Cooperative Weichteilsarkom Studiengruppe (CWS) devoted to improving patient outcomes by pooling and mining cooperative group clinical trial data.

methodsThe INSTRuCT non-rhabdomyosarcoma soft tissue sarcoma (NRSTS) working group aimed to develop international harmonized recommendations regarding surgical margin assessment and definitions in children and adolescents with soft tissue tumors. RESULTS AND

conclusionThis review addresses accepted principles and areas of controversy, including the perspectives of surgeons, pathologists, radiation oncologists, and pediatric oncologists, to develop a framework for building common guidelines for future research.

Indexed as

SarcomaSoft Tissue NeoplasmsAdolescentChildHumansMargins of ExcisionYoung Adultmarginspediatric/adolescent oncologyradiotherapysoft tissue sarcomasurgery

Identifiers

PMID36744538
PMCPMC10242312
OpenAlexW4319294912

What OpenQuestion holds

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LicenceCC BY
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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.