Evidence map›Paper›PMID 37958299›Full record

ReviewCancers2023

Optimal Management for Stage IVB Endometrial Cancer: A Systematic Review.

Vito Andrea Capozzi, Elisa Scarpelli, Alessandra De Finis, Isabella Rotondella, Davide Scebba, Asya Gallinelli, Carlotta Montrucchio, Giulia Martignon, Martina Leotta, Tullio Ghi and 1 more

Open access · goldAbstract readReview
In one paragraph

Review in Cancers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

14 citing papers in PubMed, 12 citations in OpenAlex.

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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

11 authors at 1 institution in 1 country.

Vito Andrea CapozziDepartment of Obstetrics and Gynecology, University of Parma, 43125 Parma, Italy.ORCID 0000-0003-4720-5663
Elisa ScarpelliDepartment of Obstetrics and Gynecology, University of Parma, 43125 Parma, Italy.
Alessandra De FinisDepartment of Obstetrics and Gynecology, University of Parma, 43125 Parma, Italy.ORCID 0000-0003-2664-5424
Isabella RotondellaDepartment of Obstetrics and Gynecology, University of Parma, 43125 Parma, Italy.
Davide ScebbaDepartment of Obstetrics and Gynecology, University of Parma, 43125 Parma, Italy.
Asya GallinelliDepartment of Obstetrics and Gynecology, University of Parma, 43125 Parma, Italy.
Carlotta MontrucchioDepartment of Obstetrics and Gynecology, University of Parma, 43125 Parma, Italy.
Giulia MartignonDepartment of Obstetrics and Gynecology, University of Parma, 43125 Parma, Italy.ORCID 0009-0007-7881-1742
Martina LeottaDepartment of Obstetrics and Gynecology, University of Parma, 43125 Parma, Italy.
Tullio GhiDepartment of Obstetrics and Gynecology, University of Parma, 43125 Parma, Italy.
Roberto BerrettaDepartment of Obstetrics and Gynecology, University of Parma, 43125 Parma, Italy.ORCID 0000-0003-2324-5409
University of Parma · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

(1) Background: Endometrial cancer (EC) is a common gynecological malignancy, often diagnosed at an early stage with a high overall survival rate. Surgical treatment is the primary approach, guided by pathological and molecular characteristics. Stage IVB EC, characterized by intra and/or extra-abdominal metastasis, presents a significant challenge with no clear consensus on optimal management. (2) Methods: A systematic literature review was conducted from January to May 2023, covering studies from 2000 to 2023. Eligible studies included retrospective case series, prospective trials, and randomized clinical trials. (3) Results: Of 116 studies identified, 21 were deemed relevant: 7 on primary surgery, 10 on neoadjuvant chemotherapy (NACT), and 4 on adjuvant treatment. Notably, the impact of residual tumor after primary surgery was a critical factor affecting survival. The use of NACT followed by interval debulking surgery showed promise, particularly in cases deemed unresectable. Adjuvant treatment, combining radiotherapy and chemotherapy, demonstrated improved survival but lacked consensus regarding its role. (4) Conclusions: Stage IVB EC poses a complex challenge with limited evidence to guide management. Optimal cytoreduction remains crucial, and NACT should be considered for unresectable cases. Multimodality adjuvant therapy may benefit patients, even with disease spread beyond the pelvis. Future advances in molecular classification and targeted therapies are expected to enhance treatment strategies.

Indexed as

adjuvant treatmentadvanced-stage endometrial cancerdebulking surgeryendometrial cancerstage IVB endometrial cancer

Identifiers

PMID37958299
PMCPMC10649928
OpenAlexW4387909459

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.