Evidence map›Paper›PMID 38473315›Full record

ReviewCancers2024

The Role of Systematic Lymphadenectomy in Low-Grade Serous Ovarian Cancer: A Systematic Review and Meta-Analysis.

Rosa Montero-Macías, Juan José Segura-Sampedro, Pascal Rigolet, Fabrice Lecuru, Andrea Craus-Miguel, Juan Manuel Castillo-Tuñón

Open access · goldAbstract readReview
In one paragraph

Review in Cancers, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
3.2field-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

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. 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

6 authors at 6 institutions in 2 countries.

Rosa Montero-MacíasDepartment of Gynecology and Obstetrics, Hospital Center of Poissy Saint Germain en Laye, 78300 Poissy, France.ORCID 0000-0002-8159-2903
Juan José Segura-SampedroSection of Peritoneal, Retroperitoneal and Soft Tissue Oncological Surgery, General & Digestive Surgery Service, La Paz University Hospital, IdiPAZ, 28046 Madrid, Spain.ORCID 0000-0003-0565-3791
Pascal RigoletCurie Institute, Paris-Saclay University, CNRS UMR 9187, Inserm U1196, CEDEX F-91898, 91400 Orsay, France.
Fabrice LecuruBreast, Gynecology and Reconstructive Surgery Unit, Curie Institute, 75005 Paris, France.
Andrea Craus-MiguelHealth Research Institute of the Balearic Islands (IdISBa), 07009 Palma de Mallorca, Spain.
Juan Manuel Castillo-TuñónHPB and Oncological Surgery Department, Virgen Macarena University Hospital, 41009 Seville, Spain.ORCID 0000-0002-8180-6780
Centre Hospitalier Intercommunal de Poissy · FRCentre National de la Recherche Scientifique · FRHealth Research Institute of the Balearic Islands · ESHospital Universitario La Paz · ESHospital Universitario Virgen Macarena · ESUniversité Paris Cité · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the role of systematic lymphadenectomy in low-grade serous ovarian cancer (LGSOC) and determine its impact on clinical outcomes in overall survival (OS) and disease-free survival (DFS) terms.

methodsA comprehensive, systematic computer literature search on PubMed was performed using the following Medical Subject Headings (MeSH) terms: "low grade serous ovarian cancer" AND/OR "lymphadenectomy" AND/OR "staging" AND/OR "ovarian cancer" AND/OR "cytoreduction". Separate searches were performed with MeSH terms on MEDLINE and EMBASE to extract all the relevant literature available. We included only patients with histologically confirmed LGSOC.

resultsThree studies were considered in the quantitative analysis. Systematic lymphadenectomy in LGSOC failed to provide a significant OS or PFS benefit in LGSOC when compared to no lymphadenectomy in the entire (all the stages) population (for OS: HR = 1.15, 95% CI [0.42, 3.18] I2 = 84% and for PFS: HR = 1.46, 95% CI [0.63, 3.41], I2 = 71%), nor did it in the subtype analysis regarding FIGO stages. For FIGO early-stage I-II LGSOC, the DFS data were pooled (HR = 1.48, 95% CI [0.58, 3.78], I2 = 75%). In patients with advanced-stage (FIGO II-IV), we also failed to prove survival benefit for lymphadenectomy in OS (HR = 1.74, 95% CI [0.87, 3.48], I2 = 11%) or DFS (HR = 1.48, 95% CI [0.58, 3.78], I2 = 75%) compared to no lymphadenectomy.

conclusionMore extensive prospective research is mandatory to understand the real impact of lymphadenectomy on survival in LGSOC. The existing literature does not provide strong evidence.

Indexed as

low-grade ovarian cancerlymphadenectomyoverall survivalperiod-free disease

Identifiers

PMID38473315
PMCPMC10931268
OpenAlexW4392232635

What OpenQuestion holds

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LicenceCC BY
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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.