Evidence map›Paper›PMID 38576345›Full record

ArticleJournal of gynecologic oncology2024

Abnormal p53 expression is associated with poor outcomes in grade I or II, stage I, endometrioid carcinoma: a retrospective single-institute study.

Yu-Wei Chang, Hsiao-Li Kuo, Tzu-Chien Chen, Jessica Chen, Ling Lim, Kung-Liahng Wang, Jen-Ruei Chen

Open access · diamondAbstract read
In one paragraph

Article 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, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
8.2field-weighted citation impact, top 2% 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, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Impact of TP53 somatic mutations on prognosis in endometrial cancer: a systematic review and meta-analysis.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
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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

7 authors at 1 institution in 1 country.

Yu-Wei ChangDepartment of Obstetrics & Gynecology, MacKay Memorial Hospital, Taipei, Taiwan.ORCID 0009-0008-1587-1075
Hsiao-Li KuoDepartment of Nursing, MacKay Memorial Hospital, Taipei, Taiwan.ORCID 0009-0004-6336-807X
Tzu-Chien ChenDepartment of Obstetrics & Gynecology, MacKay Memorial Hospital, Hsinchu Branch, Hsinchu, Taiwan.ORCID 0000-0001-6338-7079
Jessica ChenDepartment of Obstetrics & Gynecology, MacKay Memorial Hospital, Tamsui Branch, New Taipei City, Taiwan.ORCID 0009-0001-4999-2704
Ling LimDepartment of Obstetrics & Gynecology, MacKay Memorial Hospital, Tamsui Branch, New Taipei City, Taiwan.ORCID 0000-0001-7555-6394
Kung-Liahng WangDepartment of Obstetrics & Gynecology, MacKay Memorial Hospital, Taipei, Taiwan.ORCID 0000-0002-9439-0622
Jen-Ruei ChenDepartment of Obstetrics & Gynecology, MacKay Memorial Hospital, Taipei, Taiwan.ORCID 0000-0001-8475-8705
Mackay Memorial Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe Cancer Genome Atlas study revealed an association between copy-number high (p53 abnormal) genetic mutation and poor prognosis in endometrial cancer in 2013. This retrospective study investigated outcomes in patients with abnormal p53 expression and stage I, low-grade endometrial endometrioid carcinoma (EEC).

methodsWe enrolled women with stage I, grade 1 or 2 EEC who received comprehensive staging and adjuvant therapy between January 2019 and December 2022 at MacKay Memorial Hospital, Taipei, Taiwan. Pathologists interpreted immunohistochemistry stains of cancerous tissues to detect p53 mutation. We compared recurrence, survival, progression-free survival, and overall survival between p53 abnormal and p53 normal groups.

resultsOf the 115 patients included, 26 had pathologically confirmed abnormal p53 expression. Of these 26 patients, five (19.2%) experienced recurrence, and two died due to disease progression. By contrast, no patients in the normal p53 group experienced disease recurrence or died due to disease progression. Significant intergroup differences were discovered in recurrent disease status (19.4% vs. 0%, p<0.001), mortality (7.7% vs. 0%, p<0.001), and progression-free survival (p<0.001). The overall survival (p=0.055) also showed powerful worse trend.

conclusionFor patients with stage I, low-grade EEC, abnormal p53 expression may be used as an indicator of poor prognosis. Therefore, we suggest considering aggressive adjuvant therapies for these patients.

Indexed as

Carcinoma, EndometrioidEndometrial NeoplasmsNeoplasm GradingNeoplasm StagingTumor Suppressor Protein p53AdultAgedAged, 80 and overFemaleHumansMiddle AgedMutationNeoplasm Recurrence, LocalPrognosisProgression-Free SurvivalRetrospective StudiesTP53 protein, humanTumor Suppressor Protein p53Endometrial CancerEndometrioid CarcinomaLow GradeMolecular Classificationp53 IHC

Identifiers

PMID38576345
PMCPMC11543261
OpenAlexW4393983661

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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.