Evidence map›Paper›PMID 40282496›Full record

ReviewCancers2025

Adjuvant Therapy in "Intermediate-Risk" Early-Stage Cervical Cancer: To Treat or Not to Treat? Systematic Review and Meta-Analysis.

Chiara Ripepi, Francesco Cracco, Giuseppe Ricci, Luigi Nappi, Stefano Restaino, Giuseppe Vizzielli, Stefania Carlucci, Guglielmo Stabile

Abstract readReview
In one paragraph

Review in Cancers, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
–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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. 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.

Chiara RipepiUOC Clinica Ostetrica e Ginecologica, Department of Medicine, Surgery and Health Sciences, University of Trieste, 34137 Trieste, Italy.ORCID 0000-0003-4751-3316
Francesco CraccoUOC Clinica Ostetrica e Ginecologica, Department of Medicine, Surgery and Health Sciences, University of Trieste, 34137 Trieste, Italy.ORCID 0009-0001-1859-7189
Giuseppe RicciUOC Clinica Ostetrica e Ginecologica, Department of Medicine, Surgery and Health Sciences, University of Trieste, 34137 Trieste, Italy.ORCID 0000-0002-8031-1102
Luigi NappiDepartment of Medical and Surgical Sciences, Institute of Obstetrics and Gynecology, University of Foggia, 71121 Foggia, Italy.
Stefano RestainoDepartment of Maternal and Child Health, Obstetrics and Gynecology Clinic, University-Hospital of Udine, 33100 Udine, Italy.ORCID 0000-0002-7848-0329
Giuseppe VizzielliDepartment of Medicine, Obstetrics and Gynecology Clinic, University of Udine, 33100 Udine, Italy.ORCID 0000-0002-2424-2691
Stefania CarlucciDepartment of Clinical and Experimental Medicine, Institute of Obstetrics and Gynecology, University of Foggia, 71122 Foggia, Italy.ORCID 0000-0002-2343-1677
Guglielmo StabileDepartment of Medical and Surgical Sciences, Institute of Obstetrics and Gynecology, University of Foggia, 71121 Foggia, Italy.ORCID 0000-0001-9266-3896

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

International guidelines do not take a clear position regarding the management of patients with "intermediate-risk" cervical cancer, and they remain noncommittal on the necessity of adjuvant therapy following radical hysterectomy. To determine if adjuvant therapy after surgery adds benefit in "intermediate-risk" cervical cancer patients in terms of recurrence rate and mortality rate, we performed a systematic review with meta-analysis on Google Scholar, PubMed, and Scopus. The inclusion criteria were studies with >100 patients with intermediate-risk cervical cancer according to the Sedlis criteria, RCTs, or propensity score-matched cohort studies reporting oncological outcomes and treatment-related toxicity, comparing a surgery-only cohort with an adjuvant therapy cohort. We found 11 studies that met our inclusion criteria, comprising a total of 4011 patients. The mean follow-up was 80.7 months. No statistically significant differences were found for both outcomes, respectively, recurrence rate OR 0.92 (95% CI 0.70-1.20, I

Indexed as

ajuvant therapyater surgery treatmentintermediate-risk early-stage cervical cancerradiotherapysurgery

Identifiers

PMID40282496
PMCPMC12026193

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.