Evidence map›Paper›PMID 36890292›Full record

ArticleJournal of gynecologic oncology2023

Fertility and prognosis assessment between bleomycin/etoposide/cisplatin and paclitaxel/carboplatin chemotherapy regimens in the conservative treatment of malignant ovarian germ cell tumors: a multicenter and retrospective study.

Ran Chu, Penglin Liu, Jingying Chen, Xiaodong Cheng, Kezhen Li, Yanci Che, Jianliu Wang, Li Li, Xi Zhang, Shu Yao and 10 more

Open access · diamondAbstract readMulticenter Study
In one paragraph

Article in Journal of gynecologic oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
2.9field-weighted citation impact, top 10% 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Fertility-Sparing Management in Ovarian Cancer: A Systematic Review.International journal of women's health · 2026
    Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Clinical Challenges in the Management of Malignant Ovarian Germ Cell Tumours.International journal of environmental research and public health · 2023
    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

20 authors at 5 institutions in 1 country.

Ran Chu *Department of Obstetrics and Gynecology, Qilu Hospital of Shandong University, Jinan, P.R. China.ORCID 0000-0002-1133-5186
Penglin Liu *Department of Obstetrics and Gynecology, Qilu Hospital of Shandong University, Jinan, P.R. China.ORCID 0000-0002-2330-3616
Jingying Chen *Department of Obstetrics and Gynecology, Qilu Hospital of Shandong University, Jinan, P.R. China.ORCID 0000-0001-6212-3004
Xiaodong Cheng *Department of Gynecologic Oncology, Women's Hospital, School of Medicine, Zhejiang University, Hangzhou, P.R. China.ORCID 0000-0002-6073-7261
Kezhen Li *Department of Obstetrics and Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, P.R. China.ORCID 0000-0001-7943-5389
Yanci Che *Department of Gynecology, The Affiliated Hospital of Qingdao University, Qingdao, P.R. China.ORCID 0000-0002-3044-5567
Jianliu WangDepartment of Obstetrics and Gynecology, Peking University People's Hospital, Beijing, P.R. China.ORCID 0000-0003-0338-0427
Li LiDepartment of Obstetrics and Gynecology, Qilu Hospital of Shandong University, Jinan, P.R. China.ORCID 0000-0002-0169-736X
Xi ZhangDepartment of Obstetrics and Gynecology, Qilu Hospital of Shandong University, Jinan, P.R. China.ORCID 0000-0001-7005-7211
Shu YaoDepartment of Obstetrics and Gynecology, Qilu Hospital of Shandong University, Jinan, P.R. China.ORCID 0000-0002-8650-5290
Li SongDepartment of Obstetrics and Gynecology, Qilu Hospital of Shandong University, Jinan, P.R. China.ORCID 0000-0002-7467-0563
Ying ZhaoDepartment of Obstetrics and Gynecology, Qilu Hospital of Shandong University, Jinan, P.R. China.ORCID 0000-0003-2415-0911
Changzhen HuangDepartment of Obstetrics and Gynecology, Qilu Hospital of Shandong University, Jinan, P.R. China.ORCID 0000-0001-7605-8549
Ying XueDepartment of Obstetrics and Gynecology, Qilu Hospital of Shandong University, Jinan, P.R. China.ORCID 0000-0003-3013-8388
Xiyu PanDepartment of Obstetrics and Gynecology, Qilu Hospital of Shandong University, Jinan, P.R. China.ORCID 0000-0001-7457-7978
Junting LiDepartment of Obstetrics and Gynecology, Qilu Hospital of Shandong University, Jinan, P.R. China.ORCID 0000-0001-6844-4765
Zhongshao ChenDepartment of Obstetrics and Gynecology, Qilu Hospital of Shandong University, Jinan, P.R. China.ORCID 0000-0002-3083-7501
Jie JiangDepartment of Obstetrics and Gynecology, Qilu Hospital of Shandong University, Jinan, P.R. China.ORCID 0000-0002-9634-4152
Beihua KongDepartment of Obstetrics and Gynecology, Qilu Hospital of Shandong University, Jinan, P.R. China.ORCID 0000-0002-1627-1150
Kun SongDepartment of Obstetrics and Gynecology, Qilu Hospital of Shandong University, Jinan, P.R. China.ORCID 0000-0001-6110-2770
Qilu Hospital of Shandong University · CNPeking University · CNQingdao University · CNTongji Hospital · CNWomen's Hospital, School of Medicine, Zhejiang University · CN

Funding

China Postdoctoral Science Foundation 2022M711951China Postdoctoral Science Foundation 2022TQ0197National Key Technology R&D Program of China 2022YFC2704200National Key Technology R&D Program of China 2022YFC2704202Taishan Scholar Youth Project of Shandong Province tsqn201812130
6 · The paper itself

Abstract

objectiveTo evaluate the impact of bleomycin/etoposide/cisplatin (BEP) and paclitaxel/carboplatin (PC) chemotherapy regimens on the fertility and prognostic outcomes in malignant ovarian germ cell tumor (MOGCT) patients who underwent fertility-sparing surgery (FSS).

methodsA propensity score matching algorithm was performed between the BEP and PC groups. The χ² test and the Kaplan-Meier method were used to compare the fertility outcome, disease-free survival (DFS) and overall survival (OS). The Cox proportional hazards regression analysis was used to identify risk factor of DFS.

resultsWe included 213 patients, 185 (86.9%) underwent BEP chemotherapy, and 28 (13.1%) underwent PC chemotherapy. The median age was 22 years (range, 8-44 years), and the median follow-up period was 63 months (range, 2-191 months). Fifty-one (29.3%) patients had a pregnancy plan, and 35 (85.4%) delivered successfully. In the before and after propensity score matching cohorts, there were no significant differences in spontaneous abortion, selective termination of pregnancy, during-pregnancy status, and live birth between the BEP and PC groups (p>0.05). Fourteen (6.6%) patients experienced recurrence, including 11 (5.9%) in the BEP group and 3 (10.7%) in the PC group. Four (1.9%) patients in the BEP group died. Kaplan-Meier analysis revealed no significant differences in DFS (p=0.328) and OS (p=0.446) between the BEP and PC groups, and the same survival results were observed in the after matching cohort.

conclusionThe PC regimen is as safe as the BEP regimen for MOGCT patients with fertility preservation treatment, and no differences were observed in fertility and clinical prognosis.

Indexed as

Neoplasms, Germ Cell and EmbryonalOvarian NeoplasmsAdultAntineoplastic Combined Chemotherapy ProtocolsBleomycinCarboplatinCisplatinConservative TreatmentEtoposideFemaleHumansPaclitaxelPregnancyPrognosisRetrospective StudiesYoung AdultBleomycinCarboplatinCisplatinEtoposidePaclitaxelChemotherapyFertilityFertility-Sparing SurgeryMalignant Ovarian Germ Cell TumorPrognosis

Identifiers

PMID36890292
PMCPMC9995871
OpenAlexW4323341482

What OpenQuestion holds

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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.