Evidence map›Paper›PMID 42813614›Full record

ArticleActa oncologica (Stockholm, Sweden)2026

Primary treatment and relative survival by stage and age in vaginal carcinoma: a population-based SweGCG study.

Kristina Hellman, Maria Bjurberg, Christer Borgfeldt, Pernilla Dahm Kähler, Angelique Flöter Rådestad, Jenny-Maria Jönsson, Preben Kjølhede, Cecilia Olsson, Camilla Sköld, Katja Stenström Bohlin and 3 more

Abstract read
In one paragraph

Article in Acta oncologica (Stockholm, Sweden), 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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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

13 authors.

Kristina HellmanDepartment of Gynecologic Cancer, Theme Cancer, Karolinska University Hospital, Stockholm, Sweden. kristina.hellman@ki.se.
Maria BjurbergDepartment of Hematology, Oncology, and Radiation Physics, Skåne University Hospital, Lund University, Lund, Sweden.
Christer BorgfeldtDepartment of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden; Clinical Department of Obstetrics and Gynecology in Linköping, Region Östergötland, Linköping, Sweden.
Pernilla Dahm KählerDepartment of Obstetrics and Gynecology, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden; Department of Gynecology and Reproductive Medicine, Sahlgrenska University Hospital, Gothenburg, Region Västra Götaland, Sweden.
Angelique Flöter RådestadDivision of Neonatology, Gynecology and Obstetrics, Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.
Jenny-Maria JönssonDivision of Oncology, Department of Clinical Sciences, Lund University, Lund, Sweden.
Preben KjølhedeDepartment of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden; Clinical Department of Obstetrics and Gynecology in Linköping, Region Östergötland, Linköping, Sweden.
Cecilia OlssonDepartment of Health Sciences, Faculty of Health, Science, and Technology, Karlstad University, Sweden; Department of Bachelor in Nursing, Lovisenberg Diaconal University College, Oslo, Norway.
Camilla SköldDepartment of Immunology, Genetics and Pathology, Cancer Precision Medicine, Uppsala University, Uppsala, Sweden.
Katja Stenström BohlinDepartment of Obstetrics and Gynecology, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
Karin StålbergDepartment of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
Erik HolmbergDepartment of Oncology, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
Elisabeth Åvall LundqvistDepartment of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeThis study aimed to investigate treatment patterns and survival outcomes in population-based data describing treatment and survival of primary vaginal carcinoma (VC) in a routine clinical setting, stratified by age group and stage.

methodsThis nationwide, population-based study included women diagnosed with epithelial VC between 2011 and 2020, registered in the Swedish Quality Register for Gynecologic Cancer. Five-year relative survival (RS) was estimated using the Pohar Perme method. The excess mortality rate ratio (EMRR) was assessed by Poisson regression.

resultsIn total, 252 women were identified, 29% were aged ≥ 80 years. The median follow-up time was 7.5 years. The most common stages were I and II (26% each). Definitive radiotherapy, with or without chemotherapy, was administered to 59% of patients. Among women with stage I, 48% underwent primary surgery and 29% received adjuvant radiotherapy. Treatment patterns differed across age groups. Among women aged ≥ 80 years, staging was omitted in 18%, and in stage I disease 25% received palliative therapy. None of the irradiated women aged ≥ 80 years received chemoradiotherapy, compared to all women aged 20-59 years. The overall 5-year RS for stages I-IV was 51% (95% confidence interval [CI] 43-58). In stages I-II, the 5-year RS was 28% among women aged ≥80 years and 84% among those aged < 60 years (EMRR of 5.2; 95% CI 1.7-15.6).

interpretationPrimary treatment of vaginal cancer in Sweden generally followed international guidelines, except among women aged ≥ 80 years. The markedly poorer RS in this age group suggests both diagnostic and therapeutic compromises.

Indexed as

Vaginal NeoplasmsAdultAgedAged, 80 and overAge FactorsFemaleHumansMiddle AgedNeoplasm StagingRegistriesSurvival RateSwedenYoung Adult

Identifiers

PMID42813614
PMCPMC13635840

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