Evidence mapPaperPMID 40724635Full record

ArticleLife (Basel, Switzerland)2025

Efficacy of Fertility-Sparing Treatments for Early-Stage Endometrial Cancer-Oncologic and Reproductive Outcomes: Protocol of a Systematic Review and Meta-Analysis.

Márton Keszthelyi, Pál Sebok, Balázs Vida, Verita Szabó, Noémi Kalas, Szabolcs Várbíró, Lotti Lőczi, Nándor Ács, Petra Merkely, Richárd Tóth and 1 more

Abstract read
In one paragraph

Article in Life (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  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

11 authors.

Márton KeszthelyiDepartment of Obstetrics and Gynecology, Semmelweis University, 1082 Budapest, Hungary.ORCID 0000-0003-4886-3481
Pál SebokDepartment of Obstetrics and Gynecology, Semmelweis University, 1082 Budapest, Hungary.ORCID 0009-0004-0095-7790
Balázs VidaDepartment of Obstetrics and Gynecology, Semmelweis University, 1082 Budapest, Hungary.
Verita SzabóDepartment of Obstetrics and Gynecology, Semmelweis University, 1082 Budapest, Hungary.
Noémi KalasDepartment of Obstetrics and Gynecology, Semmelweis University, 1082 Budapest, Hungary.
Szabolcs VárbíróWorkgroup of Research Management, Doctoral School, Semmelweis University, 1085 Budapest, Hungary.ORCID 0000-0002-7109-6906
Lotti LőcziDepartment of Obstetrics and Gynecology, Semmelweis University, 1082 Budapest, Hungary.
Nándor ÁcsDepartment of Obstetrics and Gynecology, Semmelweis University, 1082 Budapest, Hungary.
Petra MerkelyDepartment of Obstetrics and Gynecology, Semmelweis University, 1082 Budapest, Hungary.
Richárd TóthDepartment of Obstetrics and Gynecology, Semmelweis University, 1082 Budapest, Hungary.ORCID 0009-0000-9535-5821
Balázs LintnerDepartment of Obstetrics and Gynecology, Semmelweis University, 1082 Budapest, Hungary.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEndometrial cancer (EC) is the most common gynecological malignancy, increasingly affecting premenopausal women. While hysterectomy is the standard treatment, it eliminates reproductive potential, highlighting the need for effective fertility-sparing alternatives. Current ESHRE/ESGO/ESGE guidelines recommend progestin-based therapies, often with hysteroscopic resection. However, these are based on limited pharmacological options and moderate to low-quality evidence. Novel and combination therapies have shown promise but remain absent from current clinical guidelines. This review aims to evaluate the efficacy and safety of fertility-preserving treatments for early-stage EC, emphasizing the need to update current strategies based on emerging data.

methodsA systematic review and meta-analysis will follow PRISMA guidelines and the Cochrane Handbook. Eligible studies, including randomized and non-randomized designs, will assess fertility-preserving treatments for early-stage EC. Data will be extracted on complete response, recurrence, and long-term fertility outcomes. The GRADE system will assess evidence certainty. Risk of bias will be evaluated using RoB 2 for RCTs and ROBINS-I for non-randomized studies. Meta-analysis will be performed if sufficient data are available.

conclusionsThis review will provide a comprehensive analysis of fertility-sparing treatments for early-stage EC, support personalized strategies, identify evidence gaps, and guide future research. Trial registration-Prospero: CRD420251032161.

Indexed as

endometrial cancerfertility preservationhysteroscopic resectionprogesterone

Identifiers

PMID40724635
PMCPMC12298229

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.