Evidence map›Paper›PMID 41301072›Full record

ReviewCancers2025

Adjuvant Treatment for Surgically-Treated Cervical Cancer Patients: A Comprehensive Review.

Stamatios Petousis, Aristarchos Almperis, Chrysoula Margioula-Siarkou, Frederic Guyon, Vasileios Pergialiotis, Nikolaos Thomakos, Konstantinos Dinas, Alexandros Rodolakis

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 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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.

Stamatios PetousisGynaecologic Oncology Unit, 2nd Department of Obstetrics and Gynaeocology, Aristotle University of Thessaloniki, 54622 Thessaloniki, Greece.ORCID 0000-0002-5564-0406
Aristarchos AlmperisGynaecologic Oncology Unit, 2nd Department of Obstetrics and Gynaeocology, Aristotle University of Thessaloniki, 54622 Thessaloniki, Greece.ORCID 0000-0002-2822-2452
Chrysoula Margioula-SiarkouGynaecologic Oncology Unit, 2nd Department of Obstetrics and Gynaeocology, Aristotle University of Thessaloniki, 54622 Thessaloniki, Greece.
Frederic GuyonGynaecologic Oncology Unit, Institut Bergonié, 33000 Bordeaux, France.
Vasileios PergialiotisGynaecologic Oncology Unit, 1st Department of Obstetrics and Gynaeocology, National and Kapodistrian University of Athens, 11527 Athens, Greece.
Nikolaos ThomakosGynaecologic Oncology Unit, 1st Department of Obstetrics and Gynaeocology, National and Kapodistrian University of Athens, 11527 Athens, Greece.
Konstantinos DinasGynaecologic Oncology Unit, 2nd Department of Obstetrics and Gynaeocology, Aristotle University of Thessaloniki, 54622 Thessaloniki, Greece.
Alexandros RodolakisGynaecologic Oncology Unit, 1st Department of Obstetrics and Gynaeocology, National and Kapodistrian University of Athens, 11527 Athens, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesCervical cancer (CC) is the fourth most common gynecologic malignancy, disproportionately affecting women in low- and middle-income countries. Despite the effectiveness of HPV vaccination and screening strategies, CC poses a major global health issue, accounting for approximately 94% of annual deaths. Τhis review aims to summarize the current evidence regarding adjuvant treatment indications for surgically treated cervical cancer patients and identify areas where further research is required.

methodsAfter a literature search, a comprehensive review of the existing guidelines, clinical trials, and cohort studies related to cervical cancer treatment was conducted, focusing on the role of adjuvant therapy in patients classified as at low, intermediate, and high risk for recurrence, who may require no further treatment.

resultsAdjuvant therapy is generally unnecessary for low-risk patients, while high-risk patients with lymph node invasion, parametrial involvement, or large tumor size require chemoradiation (CRT). Ιntermediate-risk patients fall into a grey zone, where the necessity of adjuvant therapy is still debatable. Guidelines emphasize the need for individualization in treatment strategies, since, based on the published studies, careful surgery alone and observation can provide similar outcomes to adjuvant therapy.

conclusionsThis review emphasizes that achieving monotherapy remains pivotal to optimize outcomes and minimize overtreatment. Definitive adjuvant treatment is indicated for high-risk cases, and intermediate-risk patients may benefit from careful observation following adequate surgical intervention, pointing out the necessity of well-designed clinical trials.

Indexed as

adjuvant treatmentcervical cancercomprehensive reviewguidelines

Identifiers

PMID41301072
PMCPMC12650940

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.