Evidence map›Paper›PMID 38725247›Full record

SynthesisWomen's health (London, England)

Predictive models for lymph node metastasis in endometrial cancer: A systematic review and bibliometric analysis.

He Li, Junzhu Wang, Guo Zhang, Liwei Li, Zhihui Shen, Zhuoyu Zhai, Zhiqi Wang, Jianliu Wang

Abstract readSystematic Review
In one paragraph

Synthesis in Women's health (London, England). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. 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

8 authors.

He LiDepartment of Obstetrics and Gynecology, Peking University People's Hospital, Beijing, China.ORCID 0000-0001-9139-0873
Junzhu WangThe Big Data and Public Policy Laboratory, School of Government, Peking University, Beijing, China.
Guo ZhangDepartment of Obstetrics and Gynecology, Peking University People's Hospital, Beijing, China.
Liwei LiDepartment of Obstetrics and Gynecology, Peking University People's Hospital, Beijing, China.
Zhihui ShenDepartment of Obstetrics and Gynecology, Peking University People's Hospital, Beijing, China.
Zhuoyu ZhaiDepartment of Obstetrics and Gynecology, Peking University People's Hospital, Beijing, China.
Zhiqi WangDepartment of Obstetrics and Gynecology, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Jianliu WangDepartment of Obstetrics and Gynecology, Peking University People's Hospital, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLymph node metastasis is associated with a poorer prognosis in endometrial cancer.

objectiveThe objective was to synthesize and critically appraise existing predictive models for lymph node metastasis risk stratification in endometrial cancer.

designThis study is a systematic review. DATA SOURCES AND

methodsWe searched the Web of Science for articles reporting models predicting lymph node metastasis in endometrial cancer, with a systematic review and bibliometric analysis conducted based upon which. Risk of bias was assessed by the Prediction model Risk Of BiAS assessment Tool (PROBAST).

resultsA total of 64 articles were included in the systematic review, published between 2010 and 2023. The most common articles were "development only." Traditional clinicopathological parameters remained the mainstream in models, for example, serum tumor marker, myometrial invasion and tumor grade. Also, models based upon gene-signatures, radiomics and digital histopathological images exhibited an acceptable self-reported performance. The most frequently validated models were the Mayo criteria, which reached a negative predictive value of 97.1%-98.2%. Substantial variability and inconsistency were observed through PROBAST, indicating significant between-study heterogeneity. A further bibliometric analysis revealed a relatively weak link between authors and organizations on models predicting lymph node metastasis in endometrial cancer.

conclusionA number of predictive models for lymph node metastasis in endometrial cancer have been developed. Although some exhibited promising performance as they demonstrated adequate to good discrimination, few models can currently be recommended for clinical practice due to lack of independent validation, high risk of bias and low consistency in measured predictors. Collaborations between authors, organizations and countries were weak. Model updating, external validation and collaborative research are urgently needed. REGISTRATION: None.

Indexed as

BibliometricsEndometrial NeoplasmsLymphatic MetastasisFemaleHumansLymph NodesPredictive Value of TestsPrognosisbibliometric analysisendometrial cancerlymph node metastasispredictive modelsrisk of biassystematic review

Identifiers

PMID38725247
PMCPMC11085025

What OpenQuestion holds

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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.