Evidence map›Paper›PMID 40907199›Full record

ArticleGynecologic oncology2025

Prospective assessment of prognostic significance of malignant peritoneal cytology in endometrial cancer: An NRG Oncology / Gynecologic Oncology Group study on GOG-210 protocol.

Koji Matsuo, Danielle M Enserro, Jason D Wright, Lynda D Roman, Matthew A Powell, David S Miller, Christa I Nagel, Premal H Thaker, Robert S Mannel, Ashley R Stuckey and 11 more

Abstract read
In one paragraph

Article in Gynecologic oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

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

21 authors.

Koji MatsuoDivision of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Southern California, and Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, CA, USA; Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Los Angeles General Medical Center, Los Angeles, CA, USA. Electronic address: koji.matsuo@med.usc.edu.
Danielle M EnserroNRG Oncology Statistics and Data Management Center, Clinical Trials Development Division, Department of Biostatistics and Bioinformatics, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA. Electronic address: EnserroD@NRGOncology.org.
Jason D WrightDivision of Gynecologic Oncology, Department of Obstetrics and Gynecology, Columbia University College of Physicians and Surgeons, New York, NY, USA. Electronic address: jw2459@cumc.columbia.edu.
Lynda D RomanDivision of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Southern California, and Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, CA, USA. Electronic address: lroman@med.usc.edu.
Matthew A PowellDivision of Gynecologic Oncology, Department of Obstetrics and Gynecology, Alvin J. Siteman Cancer Center, Washington University School of Medicine, St. Louis, MO, USA. Electronic address: mpowell@wustl.edu.
David S MillerDivision of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, Dallas, TX, USA. Electronic address: david.miller@utsouthwestern.edu.
Christa I NagelDivision of Gynecologic Oncology, The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA. Electronic address: christa.nagel@osumc.edu.
Premal H ThakerDivision of Gynecologic Oncology, Department of Obstetrics and Gynecology, Alvin J. Siteman Cancer Center, Washington University School of Medicine, St. Louis, MO, USA. Electronic address: thakerp@wustl.edu.
Robert S MannelStephenson Cancer Center at the University of Oklahoma, Gynecologic Oncology, Oklahoma City, OK, USA. Electronic address: robert-mannel@ouhsc.edu.
Ashley R StuckeyWomen & Infants Hospital, Gynecologic Oncology, Providence, RI, USA. Electronic address: astuckey@wihri.org.
Saketh R GuntupalliUniversity of Colorado Cancer Center - Anschutz Cancer Pavilion; Aurora, CO, USA. Electronic address: saketh.guntupalli@ucdenver.edu.
Paniti SukumvanichUniversity of Pittsburgh Medical Center, Department of OBGYN, Magee-Women's Hospital of UPMC, Pittsburgh, PA, USA. Electronic address: sukupx@upmc.edu.
Melissa A GellerGynecologic Oncology, University of Minnesota-Obstetrics & Gynecology, Minneapolis, MN, USA. Electronic address: gelle005@umn.edu.
Roberto VargasDivision of Gynecologic Oncology, Obstetrics and Gynecology Institute, Cleveland Clinic, Cleveland, OH, USA. Electronic address: vargasr@ccf.org.
Gottfried E KonecnyGynecologic Medical Oncology, Department of Medicine, UCLA, Los Angeles, CA, USA. Electronic address: gkonecny@mednet.ucla.edu.
David P WarshalGynecologic Oncology, University of Rochester Medical Center, Cooper University Health Care, Camden, NJ, USA. Electronic address: warshal-david@cooperhealth.edu.
Krishnansu S TewariUniversity of California, Irvine Medical Center, 101 The City Drive South, Orange, CA, USA. Electronic address: ktewari@hs.uci.edu.
Nick M SpirtosGynecologic Oncology, Women's Cancer Center of Nevada, Las Vegas, MD, USA. Electronic address: nmspirtos@wccenter.com.
Bhavana PothuriNYU Medical Center, Laura and Isaac Perlmutter Cancer Center at NYU Langone, New York, NY, USA. Electronic address: Bhavana.pothuri@nyulangone.org.
William T CreasmanDivision of Gynecologic Oncology, Department of Obstetrics & Gynecology, Medical University of South Carolina, Charleston, SC, USA. Electronic address: Creasman@musc.edu.
David G MutchDivision of Gynecologic Oncology, Department of Obstetrics and Gynecology, Alvin J. Siteman Cancer Center, Washington University School of Medicine, St. Louis, MO, USA. Electronic address: mutchd@wustl.edu.

Funding

NRG Oncology Network Group Operations Center - GY9 BIQSFP Reports/BudgetsU10CA180868 · NCI · NRG ONCOLOGY FOUNDATION, INC. · PI NORMAN WOLMARK · 2014 to 2026
$206.8M
Statistics CoreU10CA180822 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI James J. Dignam · 2014 to 2026
$146.4M
UT Southwestern Medical Center Simmons Comprehensive Cancer CenterP30CA142543 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI Kathryn Ann O'Donnell · 2010 to 2026
$53.7M
WASHINGTON UNIVERSITY / SITEMAN CANCER CENTER LEAD ACADEMIC SITEUG1CA233339 · NCI · WASHINGTON UNIVERSITY · PI NANCY L BARTLETT, Clifford Grant Robinson · 2019 to 2026
$11.3M
OSU as a Network Lead Academic Participating Site for the NCI NCTNUG1CA233331 · NCI · OHIO STATE UNIVERSITY · PI John L. Hays, Dwight H. Owen · 2019 to 2026
$8.9M
NCI National Clinical Trials Network - Lead Academic Participating SiteUG1CA233324 · NCI · UNIVERSITY OF COLORADO DENVER · PI ANTHONY D ELIAS · 2019 to 2026
$5.2M
NCI NIH HHS P30 CA142543NCI NIH HHS U10 CA180822NCI NIH HHS U10 CA180868NCI NIH HHS UG1 CA233324NCI NIH HHS UG1 CA233331NCI NIH HHS UG1 CA233339
6 · The paper itself

Abstract

objectiveTo examine the association between malignant peritoneal cytology and survival outcomes in endometrial cancer.

methodsThis was an ancillary analysis of prospectively collected surgical-pathological data in the NRG Oncology / Gynecologic Oncology Group study on GOG-210 protocol. The study population included 2383 patients with stage I-III endometrial cancer from 2003 to 2011. Exposure was peritoneal cytology status: malignant peritoneal cytology (n = 215) or negative peritoneal cytology (n = 2168). Main outcome measures were recurrence-free survival and overall survival. Propensity score inverse probability treatment weighting was performed to balance the baseline clinico-pathological characteristics, followed by adjustment for adjuvant therapy.

resultsMalignant peritoneal cytology was associated with a 32% increased risk of recurrence (5-year rates, 72% versus 77%, hazard ratio 1.32, 95% confidence interval 1.03 to 1.69, P = 0.028) and 37% increased risk of all-cause mortality (78% versus 83%, hazard ratio 1.37, 95% confidence interval 1.06 to 1.78, P = 0.018) compared to negative peritoneal cytology. When controlling for adjuvant therapy, the association between malignant peritoneal cytology and survival was attenuated for both recurrence-free survival (adjusted-hazard ratio 1.16, 95% confidence interval 0.90 to 1.50, P = 0.24) and overall survival (adjusted-hazard ratio 1.22, 95% confidence interval 0.93 to 1.60, P = 0.16) without statistical significance. Peritoneal cytology status and adjuvant therapy type had a possible interaction on overall survival, and malignant peritoneal cytology was associated with decreased overall survival when radiotherapy was received as adjuvant therapy but not when chemotherapy was utilized (P-interaction = 0.059).

conclusionThe results of this prospective assessment suggest that malignant peritoneal cytology is a prognostic factor, if any, associated with a modest decrease in survival for endometrial cancer.

Indexed as

Endometrial NeoplasmsPeritoneumAdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsChemotherapy, AdjuvantDisease-Free SurvivalFemaleHumansMiddle AgedNeoplasm Recurrence, LocalNeoplasm StagingPrognosisProspective StudiesAdjuvant therapyEndometrial cancerMalignant peritoneal cytologyPositive peritoneal cytologyRecurrenceSurvival

Identifiers

PMID40907199
PMCPMC12443481

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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.