Evidence map›Paper›PMID 41744835›Full record

ArticleCurrent oncology (Toronto, Ont.)2026

Surgically Treated Cervical Cancer in Manitoba: A Retrospective Study of the Impact of Geography on Care.

Nora-Beth Mercier, Yuliia Khudina, Lesley Roberts, Allison Feely, Oliver Bucher, Pascal Lambert, Alon D Altman

Abstract read
In one paragraph

Article in Current oncology (Toronto, Ont.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Nora-Beth MercierDivision of Gynecologic Oncology, Winnipeg Women's Hospital, University of Manitoba, Winnipeg, MB R3E 0L8, Canada.ORCID 0000-0002-4989-8451
Yuliia KhudinaDivision of Gynecologic Oncology, Winnipeg Women's Hospital, University of Manitoba, Winnipeg, MB R3E 0L8, Canada.
Lesley RobertsDivision of Gynecologic Oncology, Winnipeg Women's Hospital, University of Manitoba, Winnipeg, MB R3E 0L8, Canada.ORCID 0000-0002-2420-0555
Allison FeelyDepartment of Epidemiology and Cancer Registry, CancerCare Manitoba, Winnipeg, MB R3E 0V9, Canada.
Oliver BucherDepartment of Epidemiology and Cancer Registry, CancerCare Manitoba, Winnipeg, MB R3E 0V9, Canada.ORCID 0000-0003-1673-9451
Pascal LambertDepartment of Epidemiology and Cancer Registry, CancerCare Manitoba, Winnipeg, MB R3E 0V9, Canada.ORCID 0000-0003-2126-7591
Alon D AltmanDivision of Gynecologic Oncology, Winnipeg Women's Hospital, University of Manitoba, Winnipeg, MB R3E 0L8, Canada.

Funding

CancerCare Manitoba Foundation 764001112
6 · The paper itself

Abstract

BACKGROUND/

objectivesCervical cancer outcomes based on geographic location of residence reveal inconsistent patterns, and most of the evidence is from the United States. This retrospective study aimed to investigate whether there existed a difference in overall survival (OS) and recurrence-free survival (RFS) between individuals living within a Canadian city with a tertiary care centre versus those living remotely within a large catchment area (up to >1000 km travel distance), including a sizeable rural component.

methodsSurgically treated cervical cancer patients from 2000 to 2016 were included. Patients were treated with either radical hysterectomy, trachelectomy, or simple hysterectomy. Adjuvant treatment was provided depending on surgical pathology. OS and RFS were estimated using Kaplan-Meier curves and cumulative incidence curves.

resultsTwo hundred and eighty-two patients with surgically treated cervical cancer were included: 185 patients living within urban city limits and 97 patients living rurally. There were no significant baseline differences between groups. No significant difference in OS or RFS was found, even after adjusting for death as a competing risk for RFS. The median time to surgery for residents living within versus outside the city was 84 vs. 66 days, respectively, although this difference was not statistically significant (

conclusionsThis is the first Canadian study to examine an association between survival and distance to care for cervical cancer.

Indexed as

Uterine Cervical NeoplasmsAdultAgedFemaleGeographyHumansManitobaMiddle AgedRetrospective Studiescervical cancergeographic impactoverall survivalrecurrence-free survivalsurgical treatment

Identifiers

PMID41744835
PMCPMC12938988

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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.