Evidence map›Paper›PMID 41853672›Full record

ArticleInternational journal of women's health2026

Neoadjuvant Paclitaxel-Carboplatin Followed by Concurrent Chemoradiotherapy versus Concurrent Chemoradiotherapy Alone in Locally Advanced Cervical Cancer.

Christian Homenta, Andi Kurniadi, Gatot Nyarumenteng Adhipurnawan Winarno, Leni Santiana, Marhendra Satria Utama

Abstract read
In one paragraph

Article in International journal of women's health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

5 authors.

Christian HomentaObstetrics and Gynecology Department, Universitas Padjadjaran/Hasan Sadikin Hospital, Bandung, Indonesia.
Andi KurniadiObstetrics and Gynecology Department, Universitas Padjadjaran/Hasan Sadikin Hospital, Bandung, Indonesia.ORCID 0000-0003-0731-3512
Gatot Nyarumenteng Adhipurnawan WinarnoObstetrics and Gynecology Department, Universitas Padjadjaran/Hasan Sadikin Hospital, Bandung, Indonesia.ORCID 0000-0001-8537-5415
Leni SantianaDepartment of Radiology, Universitas Padjadjaran/Hasan Sadikin Hospital, Bandung, Indonesia.ORCID 0000-0003-2102-3394
Marhendra Satria UtamaDepartment of Radiation Oncology, Universitas Padjadjaran/Hasan Sadikin Hospital, Bandung, Indonesia.ORCID 0000-0001-7737-4893

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Purpose: Concurrent chemoradiotherapy (CCRT) remains the standard of care for locally advanced cervical cancer, yet recurrence and treatment-related toxicity continue to limit outcomes. Neoadjuvant chemotherapy using a Paclitaxel-Carboplatin regimen followed by CCRT (NACT-CCRT) been proposed to improve therapeutic response while minimizing systemic toxicity. This study aimed to compare the efficacy and safety of NACT-CCRT versus CCRT alone in patients with locally advanced (FIGO IIA-IIIC) and metastatic (stage IVA) cervical cancer. Patients and Methods: Prospective cohort study was conducted at Hasan Sadikin General Hospital, Bandung, between July 2024 and September 2025. Sixty-five eligible patients were enrolled using convenience sampling, comprising 32 in the NACT+CCRT group and 33 in the CCRT group. Treatment response was assessed according to RECIST 1.1 criteria, and tumour size reduction was measured using pelvic MRI before and after therapy. Statistical analysis included independent t-tests, Chi-square tests, and Repeated Measures ANOVA, with significance set at p<0.05. Results: Patients receiving NACT-CCRT achieved higher complete and overall response rates (100%) compared to those treated with CCRT alone. Tumour reduction exceeding 75% was observed in both groups, with the NACT+CCRT group show lower mortality rate. No significant increase in treatment-related toxicity was noted. Conclusion: The combination of Paclitaxel Carboplatin-based neoadjuvant chemotherapy followed by chemoradiation appears to be an effective and well-tolerated approach for selected patients with locally advanced cervical cancer, particularly those with good performance status and large tumours. Nevertheless, larger randomized controlled trials and biomarker-driven studies are needed to validate these findings and identify subgroups that may achieve the most durable clinical benefit.

Indexed as

cervical cancerchemoradiotherapyneoadjuvant chemotherapypaclitaxel–carboplatinsurvival outcomestoxicitytreatment responsetumour reduction

Identifiers

PMID41853672
PMCPMC12994395

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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.