Evidence mapPaperPMID 38570343Full record

ArticleJournal of cancer research and clinical oncology2024

Prognostic impact of metabolic syndrome in patients with primary endometrial cancer: a retrospective bicentric study.

Ina Shehaj, Slavomir Krajnak, Morva Tahmasbi Rad, Bahar Gasimli, Annette Hasenburg, Thomas Karn, Marcus Schmidt, Volker Müller, Sven Becker, Khayal Gasimli

Open access · goldAbstract read
In one paragraph

Article in Journal of cancer research and clinical oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 23% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Pooled it
  2. Review
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 3 institutions in 1 country.

Ina ShehajDepartment of Gynaecology and Obstetrics, University Medical Center of the Johannes Gutenberg University Mainz, Langenbeckstr. 1, 55131, Mainz, Germany. ina.shehaj@unimedizin-mainz.de.ORCID https://orcid.org/0009-0001-3304-5040
Slavomir KrajnakDepartment of Gynaecology and Obstetrics, University Medical Center of the Johannes Gutenberg University Mainz, Langenbeckstr. 1, 55131, Mainz, Germany.
Morva Tahmasbi RadDepartment of Gynaecology and Obstetrics, Johann Wolfgang Goethe University, Frankfurt Am Main, Germany.
Bahar GasimliDepartment of Gynaecology and Obstetrics, Johann Wolfgang Goethe University, Frankfurt Am Main, Germany.
Annette HasenburgDepartment of Gynaecology and Obstetrics, University Medical Center of the Johannes Gutenberg University Mainz, Langenbeckstr. 1, 55131, Mainz, Germany.
Thomas KarnDepartment of Gynaecology and Obstetrics, Johann Wolfgang Goethe University, Frankfurt Am Main, Germany.
Marcus SchmidtDepartment of Gynaecology and Obstetrics, University Medical Center of the Johannes Gutenberg University Mainz, Langenbeckstr. 1, 55131, Mainz, Germany.
Volker MüllerDepartment of Gynaecology and Obstetrics, Jung-Stilling Hospital, Siegen, Germany.
Sven BeckerDepartment of Gynaecology and Obstetrics, Johann Wolfgang Goethe University, Frankfurt Am Main, Germany.
Khayal GasimliDepartment of Gynaecology and Obstetrics, Johann Wolfgang Goethe University, Frankfurt Am Main, Germany.
Goethe University Frankfurt · DEJohannes Gutenberg University Mainz · DEDiakonie Klinikum Jung-Stilling · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeEndometrial cancer (EC) is the most common gynaecological cancer. Its incidence has been rising over the years with ageing and increased obesity of the high-income countries' populations. Metabolic syndrome (MetS) has been suggested to be associated with EC. The aim of this study was to assess whether MetS has a significant impact on oncological outcome in patients with EC.

methodsThis retrospective study included patients treated for EC between January 2010 and December 2020 in two referral oncological centers. Obesity, arterial hypertension (AH) and diabetes mellitus (DM) were criteria for the definition of MetS. The impact of MetS on progression free survival (PFS) and overall survival (OS) was assessed with log-rank test and Cox regression analyses.

resultsAmong the 415 patients with a median age of 64, 38 (9.2%) fulfilled the criteria for MetS. The median follow-up time was 43 months. Patients suffering from MetS did not show any significant differences regarding PFS (36.0 vs. 40.0 months, HR: 1.49, 95% CI 0.79-2.80 P = 0.210) and OS (38.0 vs. 43.0 months, HR: 1.66, 95% CI 0.97-2.87, P = 0.063) compared to patients without MetS. Patients with obesity alone had a significantly shorter median PFS compared to patients without obesity (34.5 vs. 44.0 months, P = 0.029). AH and DM separately had no significant impact on PFS or OS (p > 0.05).

conclusionIn our analysis, MetS in patients with EC was not associated with impaired oncological outcome. However, our findings show that obesity itself is an important comorbidity associated with significantly reduced PFS.

Indexed as

Endometrial NeoplasmsMetabolic SyndromeFemaleHumansObesityPrognosisRetrospective StudiesEndometrial cancerMetabolic syndromeObesitySurvival

Identifiers

PMID38570343
PMCPMC10991018
OpenAlexW4393862048

What Socratic holds

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Registered trials

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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 Socratic graph.