Evidence map›Paper›PMID 38024019›Full record

ArticleCureus2023

Endometrial Carcinoma: A Comprehensive Analysis of Clinical Parameters, Treatment Modalities, and Prognostic Outcomes at a Tertiary Oncology Center in the UAE.

Khalid S Balaraj, Nandan M Shanbhag, Abdulrahman Bin Sumaida, Syed Mansoor Hasnain, Omran A El-Koha, Rajmane Puratchipithan, Khalifa M Al Kaabi, Emad A Dawoud, Muhammad Y Nasim, Thikra A Hassan and 1 more

Abstract read
In one paragraph

Article in Cureus, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. 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

11 authors.

Khalid S BalarajOncology/Radiation Oncology, Tawam Hospital, Al Ain, ARE.
Nandan M ShanbhagOncology/Palliative Care, Tawam Hospital, Al Ain, ARE.
Abdulrahman Bin SumaidaOncology/Radiation Oncology, Tawam Hospital, Al Ain, ARE.
Syed Mansoor HasnainRadiation Oncology, Tawam Hospital John Hopskins Medicine, Al-Ain, ARE.
Omran A El-KohaRadiation Oncology, Tawam Hospital, Al Ain, ARE.
Rajmane PuratchipithanRadiation Oncology, Tawam Hospital, Al Ain, ARE.
Khalifa M Al KaabiRadiation Oncology, Tawam Hospital, Al Ain, ARE.
Emad A DawoudOncology, Tawam Hospital, Al Ain, ARE.
Muhammad Y NasimOncology, Tawam Hospital, Al Ain, ARE.
Thikra A HassanGynecologic Oncology, Tawam Hospital, Al Ain, ARE.
Shilpi RoyRadiation Oncology, Tawam Hospital, Al Ain, ARE.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Endometrial carcinoma (EC) remains a pressing global health issue, with a discernible upsurge in incidence, especially in developed countries. Notably, the United Arab Emirates (UAE) has witnessed a surge in EC cases, demanding an in-depth, region-specific exploration into the disease's clinical, treatment, and prognostic facets against the backdrop of its unique socio-genetic and environmental contours. Aim This study aimed to profess a comprehensive understanding of EC by examining clinical parameters, treatment modalities, and prognostic outcomes in the UAE context, thereby seeking to delineate potential correlations between varied therapeutic combinations, patient demographics, and tumor characteristics in affecting prognostic outcomes. Materials and methods A retrospective cohort study involving 93 patients diagnosed with EC from January 2011 to March 2023 at a leading oncology center in the UAE was conducted. Data, including demographic information, clinical presentation, treatment modalities, and prognostic outcomes, were meticulously extracted and analyzed. The R software (version 4.2.2) facilitated exhaustive statistical analyses, involving descriptive statistics, correlation analyses with the polycor package, and survival analyses utilizing the Kaplan-Meier method and Cox regression analysis via the survival and survminer packages, respectively. Results Although the correlation matrix revealed a noticeable relationship between "Family history" and "Age," most parameters displayed independence, offering a robust platform for ensuing multivariate analyses. Kaplan-Meier survival curves, stratified by therapeutic modalities, exhibited no statistically significant survival differences across therapeutic cohorts (p-values: 0.44, 0.86, and 0.83). Conversely, the composite Cox regression model underscored "non-national" demographic, Diabetes Mellitus II, and stromal invasion as pivotal prognostic factors, indicating the multifactorial nature of survival in EC patients and emphasizing demographic and tumor characteristics over therapeutic modalities as influential prognostic determinants. Conclusion In conclusion, while therapy types were not directly correlated with survival, demographic and tumor traits prominently impacted prognostic outcomes, advocating for an intricate, multidimensional approach to managing EC in the UAE. This study hopes to sow seeds for subsequent research, shaping clinically and culturally apt practices and policies in the region's healthcare landscape.

Indexed as

adjuvant therapieschemotherapyendometrial carcinomamicrosatellite instabilitymolecular subtypespole ultramutatedprognosissurgical interventiontreatment modalitiesuterine cancer

Identifiers

PMID38024019
PMCPMC10640855

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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.