Evidence map›Paper›PMID 37857565›Full record

Trial reportJournal of gynecologic oncology2024

Improving the efficacy and safety of concurrent chemoradiotherapy by neoadjuvant chemotherapy: a randomized controlled study of locally advanced cervical cancer with a large tumor.

Fenghu Li, Fan Mei, Shuishui Yin, Yanjun Du, Lili Hu, Wei Hong, Jiehui Li

Open access · diamondAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of gynecologic oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Article
  7. Pharmaceuticals (Basel, Switzerland) · 2025
    Article
  8. Advances in cervical cancer: current insights and future directions.Cancer communications (London, England) · 2025
    Review
  9. Article
  10. Review
  11. Article
  12. 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

7 authors at 1 institution in 1 country.

Fenghu Li *Department of Oncology, The Affiliated Hospital of Guizhou Medical University, Guiyang, China.ORCID 0000-0002-6522-8394
Fan Mei *Department of Gynecological Oncology, The Affiliated Cancer Hospital of Guizhou Medical University, Guiyang, China.ORCID 0000-0002-3707-8800
Shuishui YinDepartment of Gynecological Oncology, The Affiliated Cancer Hospital of Guizhou Medical University, Guiyang, China.ORCID 0000-0001-9206-5036
Yanjun DuDepartment of Oncology, The Affiliated Hospital of Guizhou Medical University, Guiyang, China.ORCID 0000-0002-8826-7871
Lili HuDepartment of Oncology, The Affiliated Hospital of Guizhou Medical University, Guiyang, China.ORCID 0000-0002-3683-9954
Wei HongDepartment of Oncology, The Affiliated Hospital of Guizhou Medical University, Guiyang, China.ORCID 0000-0001-8566-8488
Jiehui LiDepartment of Oncology, The Affiliated Hospital of Guizhou Medical University, Guiyang, China.ORCID 0000-0002-5204-0149
Guiyang Medical University · CN

Funding

Affiliated Cancer Hospital of Guizhou Medical University YJ2019020Guizhou anti-cancer association 014[2023]
6 · The paper itself

Abstract

objectiveTo compare the efficacy and safety of neoadjuvant chemotherapy combined with concurrent chemoradiotherapy (NACT+CCRT) vs. concurrent chemoradiotherapy (CCRT) in locally advanced cervical cancer (LACC) patients with large tumor masses.

methodsLACC patients with localized tumor diameter >4 cm, were randomly allocated in an unblinded 1:1 ratio to NACT+CCRT or CCRT groups. Patients in the NACT+CCRT group were given paclitaxel combined with cisplatin (TP) NACT every 3 weeks for 2 cycles, followed by CCRT, with the chemotherapy regimen the same as for NACT. CCRT group were given CCRT with the same as for NACT.

resultsFrom March 1, 2019, to June 30, 2021, 146 patients were included in the final analysis. Sixty-eight (93.2%) patients in the NACT+CCRT group and 66 (90.4%) patients in the CCRT group completed the expected treatment course. The complete response (CR) rate in the NACT+CCRT group was significantly higher than in the CCRT group (87.7% vs. 67.6%, χ²=54.540, p=0.000). In the NACT+CCRT group, the 1- and 2-year overall survival (OS) rates were significantly higher than those in the CCRT group (96% vs. 89% and 89% vs. 79%, χ²=5.737, p=0.017). Additionally, the rate of recurrences and distant metastases was significantly lower in the NACT+CCRT group than in the CCRT group (4.11% vs. 7.35%, χ²=4.059, p=0.021). Most treatment-related adverse events in both groups were grade 3.

conclusionCompared to CCRT, NACT+CCRT might improve the treatment completion rate, increase CR rate and 1- and 2-year OS rates, and reduce distant metastases rate for LACC patients with large tumor masses.

Indexed as

ChemoradiotherapyNeoadjuvant TherapyUterine Cervical NeoplasmsAntineoplastic Combined Chemotherapy ProtocolsCisplatinFemaleHumansNeoplasm StagingTreatment OutcomeCisplatinEfficacy and SafetyLocally Advanced Cervical CancerRandomized Controlled Study

Identifiers

PMID37857565
PMCPMC10792203
OpenAlexW4387663247

What OpenQuestion holds

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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.