Recurrence Rates in Patients With Cervical Cancer Treated With Abdominal Versus Minimally Invasive Radical Hysterectomy: A Multi-Institutional Retrospective Review Study Article Swipe
Shitanshu Uppal
,
Paola A. Gehrig
,
Katherine Peng
,
Kristin Bixel
,
Koji Matsuo
,
Monica Hagan Vetter
,
Brittany A. Davidson
,
M. L. Paige
,
Brittany Lees
,
Laurie L. Brunette
,
Katherine L. Tucker
,
A. Staley
,
Walter H. Gotlieb
,
Robert W. Holloway
,
K.G. Essel
,
Laura L. Holman
,
Ester Goldfeld
,
Alexander Olawaiye
,
Susannah Rose
·
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1200/jco.19.03012
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1200/jco.19.03012
PURPOSE To compare the disease-free survival (DFS) between open and minimally invasive radical hysterectomies (RH) performed in academic medical institutions METHODS Retrospective multi-institutional review of patients undergoing RH for stage IA1 (with lymphovascular invasion), IA2, and IB1 squamous, adenocarcinoma, or adenosquamous carcinoma between January 1, 2010 and December 31, 2017. RESULTS Of 815 patients, open RH was performed in 255 cases (29.1%) and minimally invasive RH in 560 cases (70.9%). There were 19 (7.5%) recurrences in the open RH and 51 (9.1%) recurrences in the minimally invasive group ( P = .43). Risk-adjusted analysis revealed that minimally invasive RH was independently associated with an increased hazard of recurrence (aHR, 1.88; 95% CI, 1.04 to 3.25). Other factors independently associated with an increased hazard of recurrence included tumor size, grade, and adjuvant radiation. Conization before surgery was associated with lower recurrence risk (aHR, 0.4; 95% CI, 0.23 to 0.71). There was no difference in OS in the unadjusted analysis (HR, 1.14; 95% CI, 0.61 to 2.11) or after risk adjustment (aHR, 1.01; 95% CI, 0.5 to 2.2). Of 264 patients with tumors ≤ 2 cm on final pathology (excluding those with no residual tumor on final pathology), 2/82 (2.4%) recurred in the open RH group and 16/182 (8.8%) in the minimally invasive RH group ( P = .058). In propensity score matching analysis, 7/159 (4.4%) recurrences were noted in the open RH group and 18/156 (11.5%) in the minimally invasive RH group ( P = .019). Survival analysis revealed an increased risk of recurrence in the minimally invasive group in propensity-matched cohort (HR, 2.83; 95% CI, 1.1 to 7.18) CONCLUSION In this retrospective series, patients undergoing minimally invasive radical hysterectomy, including those with tumor size ≤ 2 cm on final pathology, had inferior DFS but not overall survival in the entire cohort.
Related Topics
Concepts
Medicine
Lymphovascular invasion
Radical Hysterectomy
Adenosquamous carcinoma
Hazard ratio
Retrospective cohort study
Surgery
Cervical cancer
Radical surgery
Adenocarcinoma
Internal medicine
Cancer
Confidence interval
Metastasis
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1200/jco.19.03012
- https://ascopubs.org/doi/pdfdirect/10.1200/JCO.19.03012
- OA Status
- bronze
- Cited By
- 162
- References
- 16
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3004842895
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W3004842895Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1200/jco.19.03012Digital Object Identifier
- Title
-
Recurrence Rates in Patients With Cervical Cancer Treated With Abdominal Versus Minimally Invasive Radical Hysterectomy: A Multi-Institutional Retrospective Review StudyWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2020Year of publication
- Publication date
-
2020-02-07Full publication date if available
- Authors
-
Shitanshu Uppal, Paola A. Gehrig, Katherine Peng, Kristin Bixel, Koji Matsuo, Monica Hagan Vetter, Brittany A. Davidson, M. L. Paige, Brittany Lees, Laurie L. Brunette, Katherine L. Tucker, A. Staley, Walter H. Gotlieb, Robert W. Holloway, K.G. Essel, Laura L. Holman, Ester Goldfeld, Alexander Olawaiye, Susannah RoseList of authors in order
- Landing page
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https://doi.org/10.1200/jco.19.03012Publisher landing page
- PDF URL
-
https://ascopubs.org/doi/pdfdirect/10.1200/JCO.19.03012Direct link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
bronzeOpen access status per OpenAlex
- OA URL
-
https://ascopubs.org/doi/pdfdirect/10.1200/JCO.19.03012Direct OA link when available
- Concepts
-
Medicine, Lymphovascular invasion, Radical Hysterectomy, Adenosquamous carcinoma, Hazard ratio, Retrospective cohort study, Surgery, Cervical cancer, Radical surgery, Adenocarcinoma, Internal medicine, Cancer, Confidence interval, MetastasisTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
162Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 16, 2024: 16, 2023: 19, 2022: 32, 2021: 45Per-year citation counts (last 5 years)
- References (count)
-
16Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.not | 294 |
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| abstract_inverted_index.(HR, | 158, 261 |
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| abstract_inverted_index.that | 95 |
| abstract_inverted_index.this | 270 |
| abstract_inverted_index.were | 71, 225 |
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| abstract_inverted_index.(aHR, | 108, 141, 169 |
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| abstract_inverted_index..43). | 91 |
| abstract_inverted_index.1.01; | 170 |
| abstract_inverted_index.1.14; | 159 |
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| abstract_inverted_index.2.11) | 164 |
| abstract_inverted_index.2.2). | 175 |
| abstract_inverted_index.2.83; | 262 |
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| abstract_inverted_index.7/159 | 222 |
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| abstract_inverted_index.cases | 60, 68 |
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| abstract_inverted_index.tumor | 126, 192, 282 |
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| abstract_inverted_index.(4.4%) | 223 |
| abstract_inverted_index.(7.5%) | 73 |
| abstract_inverted_index.(8.8%) | 206 |
| abstract_inverted_index.(9.1%) | 81 |
| abstract_inverted_index..019). | 244 |
| abstract_inverted_index..058). | 216 |
| abstract_inverted_index.0.71). | 147 |
| abstract_inverted_index.16/182 | 205 |
| abstract_inverted_index.18/156 | 233 |
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| abstract_inverted_index.radical | 12, 277 |
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| abstract_inverted_index.difference | 151 |
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| abstract_inverted_index.pathology, | 289 |
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