Evidence map›Paper›PMID 39317812›Full record

Observational studyInternational journal of clinical oncology2024

Real-world application of comprehensive genomic profiling for gynecological malignancies: a multicenter observational study.

Mayu Fukuda, Koji Yamanoi, Nobutaka Hayashi, Yasushi Kotani, Kazuki Yamano, Hisanori Matsumoto, Takahito Ashihara, Kaoru Abiko, Yukio Yamanishi, Yoko Iemura and 6 more

Abstract readMulticenter StudyObservational Study
PubMed Publisher
In one paragraph

Observational study in International journal of clinical oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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

16 authors.

Mayu FukudaDepartment of Gynecology and Obstetrics, Graduate School of Medicine, Kyoto University, 54, Kawahara-Cho, Shogoin, Sakyo-Ku, Kyoto-Shi, Kyoto, 606-8507, Japan.
Koji YamanoiDepartment of Gynecology and Obstetrics, Graduate School of Medicine, Kyoto University, 54, Kawahara-Cho, Shogoin, Sakyo-Ku, Kyoto-Shi, Kyoto, 606-8507, Japan. kojiymni@kuhp.kyoto-u.ac.jp.ORCID http://orcid.org/0000-0002-1240-5422
Nobutaka HayashiDepartment of Obstetrics and Gynecology, Kobe City Medical Center General Hospital, 2-1-1, Minatojimaminamimachi, Chuo-Ku, Kobe-Shi, Hyogo, 650-0047, Japan.
Yasushi KotaniDepartment of Obstetrics and Gynecology, Faculty of Medicine, Kindai University, 377-2, Onohigashi, Osakasayama-Shi, Osaka, 589-8511, Japan.
Kazuki YamanoDepartment of Obstetrics and Gynecology, Kurashiki Central Hospital, 1-1-1, Miwa, Kurashiki-Shi, Okayama, 710-0052, Japan.
Hisanori MatsumotoDepartment of Obstetrics and Gynecology, NHO Osaka National Hospital, 2-1-14, Hoenzaka, Chuo-Ku, Osaka-Shi, Osaka, 540-0006, Japan.
Takahito AshiharaDepartment of Obstetrics and Gynecology, Osaka Red Cross Hospital, 5-30, Fudegasaki-Cho, Tennoji-Ku, Osaka-Shi, Osaka, 543-8555, Japan.
Kaoru AbikoDepartment of Obstetrics and Gynecology, NHO Kyoto Medical Center, 1-1, Fukakusamukaihata-Cho, Fushimi-Ku, Kyoto-Shi, Kyoto, 612-0861, Japan.
Yukio YamanishiDepartment of Obstetrics and Gynecology, Japanese Red Cross Wakayama Medical Center, 4-20, Komatsubaradori, Wakayama-Shi, Wakayama, 640-8558, Japan.
Yoko IemuraDepartment of Obstetrics and Gynecology, Kyoto-Katsura Hospital, 17, Yamadahirao-Cho, Nishikyo-Ku, Kyoto-Shi, Kyoto, 615-8256, Japan.
Mana TakiDepartment of Gynecology and Obstetrics, Graduate School of Medicine, Kyoto University, 54, Kawahara-Cho, Shogoin, Sakyo-Ku, Kyoto-Shi, Kyoto, 606-8507, Japan.
Ryusuke MurakamiDepartment of Gynecology and Obstetrics, Graduate School of Medicine, Kyoto University, 54, Kawahara-Cho, Shogoin, Sakyo-Ku, Kyoto-Shi, Kyoto, 606-8507, Japan.
Akihito HorieDepartment of Gynecology and Obstetrics, Graduate School of Medicine, Kyoto University, 54, Kawahara-Cho, Shogoin, Sakyo-Ku, Kyoto-Shi, Kyoto, 606-8507, Japan.
Ken YamaguchiDepartment of Gynecology and Obstetrics, Graduate School of Medicine, Kyoto University, 54, Kawahara-Cho, Shogoin, Sakyo-Ku, Kyoto-Shi, Kyoto, 606-8507, Japan.
Junzo HamanishiDepartment of Gynecology and Obstetrics, Graduate School of Medicine, Kyoto University, 54, Kawahara-Cho, Shogoin, Sakyo-Ku, Kyoto-Shi, Kyoto, 606-8507, Japan.
Masaki MandaiDepartment of Gynecology and Obstetrics, Graduate School of Medicine, Kyoto University, 54, Kawahara-Cho, Shogoin, Sakyo-Ku, Kyoto-Shi, Kyoto, 606-8507, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe actual status of comprehensive genomic profiling (CGP) applications in Japan has not been clarified. We conducted a multicenter study to investigate the real-world application of CGP in gynecological malignancies.

methodsNine designated cancer hospitals participated in this study. Patients who underwent CGP in 2020-2021 were assigned to the CGP group (n = 134). For the population that would have been eligible for CGP, patients who received initial treatment in 2015-2016 and were either alive with disease or died of disease at 5 years follow up were included in the control group (n = 316). We compared clinicopathological characteristics including tumor type (cervix, corpus, ovary, and others including sarcoma) and age. We also investigated the context of CGP-recommended treatment.

resultsThe CGP group had significantly fewer cervical cases and more others cases (cervix/corpus/ovary/others: CGP, 22/44/56/12; control, 89/79/142/6; p = 0.0003). The CGP group was significantly younger than the control group (median: CGP, 54.0; control, 65.0; p < 0.0001). Subgroup analyses revealed that patients with cervical and ovarian cancers were significantly younger in the CGP group. Among the CGP group, 17 patients (12.7%) received CGP-recommended treatments, 15 of which were not covered by public insurance. The survival time after CGP in 17 patients was longer than in the other 117 cases (median 21 vs. 11 months).

conclusionThere was significant selection bias in tumor type and age for the application of CGP for gynecological malignancies in clinical practice in Japan. While CGP often recommended drugs not covered by public insurance, prognosis can be improved by use of CGP.

Indexed as

Genital Neoplasms, FemaleAdultAgedAged, 80 and overFemaleGene Expression ProfilingGenomicsHumansJapanMiddle AgedAgeComprehensive genomic profilingGynecological malignanciesSelection biasTumor type

Identifiers

What Socratic holds

Textmetadata
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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.