Evidence map›Paper›PMID 38857908›Full record

Trial reportJournal of gynecologic oncology2025

Prognostic impact of the number of resected pelvic nodes in endometrial cancer: Japanese Gynecologic Oncology Group Study JGOG2043 post hoc analysis.

Yosuke Konno, Michinori Mayama, Kazuhiro Takehara, Yoshihito Yokoyama, Jiro Suzuki, Nobuyuki Susumu, Kenichi Harano, Satoshi Nakagawa, Toru Nakanishi, Wataru Yamagami and 5 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of gynecologic oncology, 2025. 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. Trial
  2. Article
  3. Article
  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

15 authors.

Yosuke KonnoDepartment of Obstetrics and Gynecology, Hokkaido University Graduate School of Medicine and Faculty of Medicine, Sapporo, Japan.ORCID 0000-0002-6022-9689
Michinori MayamaDepartment of Obstetrics and Gynecology, Hokkaido University Graduate School of Medicine and Faculty of Medicine, Sapporo, Japan.ORCID 0000-0001-6630-9869
Kazuhiro TakeharaDepartment of Gynecologic Oncology, NHO Shikoku Cancer Center, Matsuyama, Japan.ORCID 0000-0001-8808-3338
Yoshihito YokoyamaDepartment of Obstetrics and Gynecology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.ORCID 0000-0001-5214-512X
Jiro SuzukiDepartment of Obstetrics and Gynecology, The Jikei University School of Medicine, Tokyo, Japan.ORCID 0000-0002-0684-8665
Nobuyuki SusumuDepartment of Obstetrics and Gynecology, International University of Health and Welfare, Narita, Japan.ORCID 0000-0002-3537-7161
Kenichi HaranoDepartment of Medical Oncology, National Cancer Center Hospital East, Kashiwa, Japan.ORCID 0000-0002-0833-3489
Satoshi NakagawaDepartment of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan.ORCID 0000-0001-6540-9040
Toru NakanishiDepartment of Obstetrics and Gynecology, Faculty of Medicine, Tohoku Medical and Pharmaceutical University, Miyagi, Japan.ORCID 0000-0002-6891-3506
Wataru YamagamiDepartment of Obstetrics and Gynecology, Keio University School of Medicine, Tokyo, Japan.ORCID 0000-0003-3925-6057
Kosuke YoshiharaDepartment of Obstetrics and Gynecology, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.ORCID 0000-0002-2254-3378
Hiroyuki NomuraDepartment of Obstetrics and Gynecology, Tokai University School of Medicine, Isehara, Japan.ORCID 0000-0001-8996-4284
Aikou OkamotoDepartment of Obstetrics and Gynecology, The Jikei University School of Medicine, Tokyo, Japan.ORCID 0000-0002-5079-0464
Daisuke AokiAkasaka Sanno Medical Center, Tokyo, Japan.ORCID 0000-0001-5396-0273
Hidemichi WatariDepartment of Obstetrics and Gynecology, Hokkaido University Graduate School of Medicine and Faculty of Medicine, Sapporo, Japan. watarih@med.hokudai.ac.jp.ORCID 0000-0002-4189-6187

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to determine whether the number of resected pelvic lymph nodes (PLNs) affects the prognosis of endometrial cancer (EC) patients at post-operative risk of recurrence.

methodsJGOG2043 was a randomized controlled trial to assess the efficacy of three chemotherapeutic regimens as adjuvant therapy in EC patients with post-operative recurrent risk. A retrospective analysis was conducted on 250 patients who underwent pelvic lymphadenectomy alone in JGOG2043. The number of resected and positive nodes and other clinicopathologic risk factors for survival were retrieved.

resultsThere were 83 patients in the group with less than 20 PLNs removed (group A), while 167 patients had 20 or more PLNs removed (group B). There was no significant difference in patients' backgrounds between the two groups, and the rate of lymph node metastasis was not significantly different. There was a trend toward fewer pelvic recurrences in group B compared with group A (3.5% vs. 9.6%; p=0.050). Although Kaplan-Meier analysis showed no statistically significant difference in survival rates between the two groups (5-year overall survival [OS]=90.3% vs. 84.3%; p=0.199), multivariate analysis revealed that resection of 20 or more nodes is one of the independent prognostic factors (hazard ratio=0.49; 95% confidence interval=0.24-0.99; p=0.048), as well as surgical stage, high-risk histology, and advanced age for OS.

conclusionResection of 20 or more PLNs was associated with improved pelvic control and better survival outcomes in EC patients at risk of recurrence who underwent pelvic lymphadenectomy alone and were treated with adjuvant chemotherapy.

Indexed as

Endometrial NeoplasmsLymph Node ExcisionLymph NodesAdultAgedAntineoplastic Combined Chemotherapy ProtocolsChemotherapy, AdjuvantEast Asian PeopleFemaleHumansLymphatic MetastasisMiddle AgedNeoplasm Recurrence, LocalPelvisPrognosisRetrospective StudiesCohort StudiesEndometrial NeoplasmsLymph Node ExcisionMultivariate Analysis

Identifiers

PMID38857908
PMCPMC11790983

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.