Evidence map›Paper›PMID 41918818›Full record

ArticleOncology letters2026

Efficacy of induction chemotherapy combined with standard chemoradiotherapy vs. standard chemoradiotherapy monotherapy in locally advanced cervical cancer:  A systematic review and meta-analysis.

Xinyu Lu, Yaxu Su, Wentong Xu, Tianyou Tang, Fengjuan Zhou, Dehong Yu, Yilong Guo, Yong Xin

Abstract read
In one paragraph

Article in Oncology letters, 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

8 authors.

Xinyu LuDepartment of Radiation, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu 221002, P.R. China.
Yaxu SuDepartment of Radiation, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu 221002, P.R. China.
Wentong XuDepartment of Radiation, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu 221002, P.R. China.
Tianyou TangDepartment of Radiation, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu 221002, P.R. China.
Fengjuan ZhouDepartment of Radiation, The Second Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu 221006, P.R. China.
Dehong YuDepartment of Oncology, Pizhou County People's Hospital, Xuzhou, Jiangsu 221399, P.R. China.
Yilong GuoDepartment of Oncology, Pizhou County People's Hospital, Xuzhou, Jiangsu 221399, P.R. China.
Yong XinDepartment of Radiation, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu 221002, P.R. China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Concurrent chemoradiotherapy (CCRT) is the standard treatment for locally advanced cervical cancer (LACC); however, the role of additional induction chemotherapy (IC) remains debated. The present study performed a systematic review and meta-analysis of randomized controlled trials (RCTs) to comparatively assess therapeutic outcomes and safety profiles between induction chemotherapy followed by concurrent chemoradiotherapy (IC + CCRT) versus CCRT alone in patients with locally advanced cervical cancer (LACC) (International Federation of Gynecology and Obstetrics 2018 stage IB2-IVA). The study screened relevant literature published up to March 2025 and ultimately included 6 RCTs, where 1,006 patients were stratified (504 in the IC + CCRT regimen vs. 502 in the CCRT alone regimen). Compared with CCRT alone, IC + CCRT significantly improved the complete response (CR) rate [odds ratio (OR), 1.95; 95% confidence interval (CI), 1.20-3.17; P=0.007] and 1-year progression-free survival rate (OR, 1.82; 95% CI, 1.14-2.90; P=0.01). A consistent trend favoring IC+CCRT was observed for overall survival, although this was not statistically significant. Hematological toxicities, notably thrombocytopenia (OR, 1.76; 95% CI, 1.06-2.90; P=0.03) and neutropenia (OR, 2.69; 95% CI, 1.09-6.61; P=0.03), were more frequent with IC+CCRT, while non-hematological toxicity profiles were comparable. In conclusion, the addition of modern, short-course induction chemotherapy to CCRT enhances the CR rate and 1-year progression-free survival rate in LACC, establishing a promising intensified treatment strategy.

Indexed as

adverse eventscervical cancerinduction chemotherapymeta-analysisPFS

Identifiers

PMID41918818
PMCPMC13034106

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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.