Evidence map›Paper›PMID 38540726›Full record

SynthesisBiomolecules2024

Reproductive and Oncologic Outcomes in Young Women with Stage IA and Grade 2 Endometrial Carcinoma Undergoing Fertility-Sparing Treatment: A Systematic Review.

Andrea Etrusco, Antonio Simone Laganà, Vito Chiantera, Mislav Mikuš, Hafiz Muhammad Arsalan, Antonio d'Amati, Amerigo Vitagliano, Ettore Cicinelli, Alessandro Favilli, Antonio D'Amato

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Biomolecules, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
9.9field-weighted citation impact, top 1% of its field
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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.

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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

10 authors at 7 institutions in 3 countries.

Andrea EtruscoUnit of Obstetrics and Gynecology, "Paolo Giaccone" Hospital, 90127 Palermo, Italy.ORCID 0000-0001-7414-4224
Antonio Simone LaganàUnit of Obstetrics and Gynecology, "Paolo Giaccone" Hospital, 90127 Palermo, Italy.ORCID 0000-0003-1543-2802
Vito ChianteraDepartment of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties (PROMISE), University of Palermo, 90127 Palermo, Italy.
Mislav MikušDepartment of Obstetrics and Gynecology, Clinical Hospital Center Zagreb, 10 000 Zagreb, Croatia.ORCID 0000-0002-1365-8704
Hafiz Muhammad ArsalanFaculty of General Medicine, Altamimi Bachelor Clinical University, Bishkek 720000, Kyrgyzstan.
Antonio d'AmatiGynaecological Pathology Unit, Anatomical Pathology Division, Department of Woman and Child's Health and Public Health Sciences, "Agostino Gemelli" Foundation IRCCS University Hospital, 00168 Rome, Italy.ORCID 0000-0002-4810-1201
Amerigo VitaglianoUnit of Obstetrics and Gynecology, Department of Interdisciplinary Medicine (DIM), University of Bari "Aldo Moro", Policlinico of Bari, Piazza Giulio Cesare 11, 70124 Bari, Italy.ORCID 0000-0002-2824-5435
Ettore CicinelliUnit of Obstetrics and Gynecology, Department of Interdisciplinary Medicine (DIM), University of Bari "Aldo Moro", Policlinico of Bari, Piazza Giulio Cesare 11, 70124 Bari, Italy.ORCID 0000-0003-2390-4582
Alessandro FavilliSection of Obstetrics and Gynecology, Department of Medicine and Surgery, University of Perugia, 06123 Perugia, Italy.ORCID 0000-0002-1556-0962
Antonio D'AmatoUnit of Obstetrics and Gynecology, Department of Interdisciplinary Medicine (DIM), University of Bari "Aldo Moro", Policlinico of Bari, Piazza Giulio Cesare 11, 70124 Bari, Italy.ORCID 0000-0001-6286-761X
University of Bari Aldo Moro · ITAzienda Ospedaliera Universitaria Policlinico "Paolo Giaccone" di Palermo · ITAgostino Gemelli University Polyclinic · ITBishkek Humanities University · KGIstituto Nazionale Tumori IRCCS "Fondazione G. Pascale" · ITUniversity Hospital Centre Zagreb · HRUniversity of Perugia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEndometrial cancer (EC) is the most common gynecological malignancy in both Europe and the USA. Approximately 3-5% of cases occur in women of reproductive age. Fertility-sparing treatment (FST) options are available, but very limited evidence regarding grade 2 (G2) ECs exists in the current literature. This systematic review aimed to comprehensively evaluate reproductive and oncologic outcomes among young women diagnosed with stage IA or G2EC disease who underwent FST.

methodsA comprehensive search of the literature was carried out on the following databases: MEDLINE, EMBASE, Global Health, The Cochrane Library (Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, Cochrane Methodology Register), the Health Technology Assessment Database, and Web of Science. Only original studies that reported the oncologic and reproductive outcomes of patients with stage IA and G2EC tumors who underwent FST were considered eligible for inclusion in this systematic review (CRD42023484892). Studies describing only the FST for endometrial hyperplasia or G1 EC were excluded.

resultsTwenty-two papers that met the abovementioned inclusion criteria were included in the present systematic review. Preliminary analysis suggested encouraging oncologic and reproductive outcomes after FST.

conclusionsThe FST approach may represent a feasible and safe option for women of childbearing age diagnosed with G2EC. Despite these promising findings, cautious interpretation is warranted due to inherent limitations, including heterogeneity in study designs and potential biases. Further research with standardized methodologies and larger sample sizes is imperative for obtaining more robust conclusions.

Indexed as

Endometrial NeoplasmsFertility PreservationAdultFemaleHumansNeoplasm GradingNeoplasm StagingPregnancyTreatment Outcomeendometrial cancerfertility-sparing treatmentgrade 2hormonal therapyhysteroscopyoncologic outcomesreproductive outcomes

Identifiers

PMID38540726
PMCPMC10968417
OpenAlexW4392461273

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

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 Socratic graph.