SUCCOR cone study: conization before radical hysterectomy
Chacon E. Manzour N. Zanagnolo V. Querleu D. Núñez-Córdoba J.M. Martin-Calvo N. Căpîlna M.E. Fagotti A. Kucukmetin A. Mom C. Chakalova G. Shamistan A. Moreno A.G. Malzoni M. Narducci F. Arencibia O. Raspagliesi F. Toptas T. Cibula D. Kaidarova D. Meydanli M.M. Tavares M. Golub D. Perrone A.M. Poka R. Tsolakidis D. Vujić G. Jedryka M.A. Zusterzeel P.L.M. Beltman J.J. Goffin F. Haidopoulos D. Haller H. Jach R. Yezhova I. Berlev I. Bernardino M. Bharathan R. Lanner M. Maenpaa M.M. Sukhin V. Feron J.-G. Fruscio R. Kukk K. Ponce J. Minguez J.A. Vázquez-Vicente D. Castellanos T. Boria F. Alcazar J.L. Chiva L.
2022BMJ Publishing Group
International Journal of Gynecological Cancer
2022#32Issue 2117 - 124 pp.
Objective To evaluate disease-free survival of cervical conization prior to radical hysterectomy in patients with stage IB1 cervical cancer (International Federation of Gynecology and Obstetrics (FIGO) 2009). Methods A multicenter retrospective observational cohort study was conducted including patients from the Surgery in Cervical Cancer Comparing Different Surgical Aproaches in Stage IB1 Cervical Cancer (SUCCOR) database with FIGO 2009 IB1 cervical carcinoma treated with radical hysterectomy between January 1, 2013, and December 31, 2014. We used propensity score matching to minimize the potential allocation biases arising from the retrospective design. Patients who underwent conization but were similar for other measured characteristics were matched 1:1 to patients from the non-cone group using a caliper width ≤0.2 standard deviations of the logit odds of the estimated propensity score. Results We obtained a weighted cohort of 374 patients (187 patients with prior conization and 187 non-conization patients). We found a 65% reduction in the risk of relapse for patients who had cervical conization prior to radical hysterectomy (hazard ratio (HR) 0.35, 95% confidence interval (CI) 0.16 to 0.75, p=0.007) and a 75% reduction in the risk of death for the same sample (HR 0.25, 95% CI 0.07 to 0.90, p=0.033). In addition, patients who underwent minimally invasive surgery without prior conization had a 5.63 times higher chance of relapse compared with those who had an open approach and previous conization (HR 5.63, 95% CI 1.64 to 19.3, p=0.006). Patients who underwent minimally invasive surgery with prior conization and those who underwent open surgery without prior conization showed no differences in relapse rates compared with those who underwent open surgery with prior cone biopsy (reference)
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Gynecologic Oncology, Universidad de Navarra, Navarra, Pamplona, Spain
Clinica Universidad de Navarra, Departamento de Ginecologia y Obstetricia, Navarra, Pamplona, Spain
Istituto Europeo di Oncologia, Anognnn, Milano, Italy
Surgery, Institut Bergonie, Bordeaux, France
Clinica Universidad de Navarra, Navarra, Pamplona, Spain
Department of Preventive Medicine and Public Health, Universidad de Navarra, Pamplona, Spain
Emergency County Hospital Targu-Mures, Targu Mures, Romania
University Hospital Agostino Gemelli Gynaecological Oncology Complex Operative Unit, Lazio, Roma, Italy
Queen Elizabeth Hospital, Gateshead, Gateshead, United Kingdom
Amsterdam University Medical Centres, Noord-Holland, Amsterdam, Netherlands
University Oncologic Hospital, Sofia, Bulgaria
National Center of Oncology, Baku, Azerbaijan
Gynecology, Vall dHebron Hospital, Sant Cugat Del Vallés, Barcelona, Spain
Universitat Autònoma de Barcelona, Barcelona, Barcelona, Spain
Endoscopica Malzoni, Center for Advanced Endoscopic Gynecologic Surgery, Center for Advanced Endoscopic Gynecologic Surgery, Avellino, Italy
Department of Gynecology, Centre Oscar Lambret, Lille, France
University Maternal Hospital Canary Islands, Las Palma, Spain
Surgery, Fondazione IRCCS Istituto Nazionale dei Tumori, Lombardia, Milano, Italy
Gynecologic Oncology, Saglik Bilimleri University Antalya Research and Training Hospital, Antalya, Turkey
Department of Obstetrics and Gynecology, University of Prague, Prague, Czech Republic
Oncogynecology, Kazahskij Naucno-issledovatelskij Institut Onkologii i Radiologii, Almaty, Kazakhstan
Department of Gynecologic Oncology, Zekai Tahir Burak Womens Health Education and Research Hospital, Ankara, Turkey
IPO-PORTO, Porto, Porto, Portugal
Department of Surgery, LISOD-Israeli Oncological Hospital, Kyiv, Ukraine
Azienda Ospedaliero-Universitaria di Bologna Policlinico SantOrsola-Malpighi, Bologna, Italy
Obstetrics and Gynecology, Unit of Gynecologic Oncology, Institute of Obstetrics and Gynecology, Faculty of Medicine, University of Debrecen, Debrecen, Hungary
General Hospital of Thessaloniki Papageorgiou, Thessaloniki, Central Macedonia, Greece
Clinical Hospital Center, Zagreb, Croatia
Oncological Gynecology, Lower Silesian Cancer Center, Wroclaw, Poland
Gynecological Oncology, Radboudumc, Nijmegen, Netherlands
Gynaecology, LUMC, Leiden, Netherlands
Obstetrics and Gynecology, University of Liege, Liege, Belgium
Division of Gynecologic Oncology, 1st Department of Obstetrics and Gynecology, Alexandra Hospital, National and Kapodistrian University of Athens, Athens, Greece
Clinical Hospital Center Rijeka, Rijeka, Croatia
Department of Gynecology and Oncology, Jagiellonian University, Krakow, Poland
Lviv Oncology Center, Lviv, Ukraine
North-Western State Medical University, NN Petrov Research Institute of Oncology, Saint-Petersburg, Saint-Petersburg, Russian Federation
Gynecology, Instituto Português de Oncologia de Lisboa, Lisboa, Lisboa, Portugal
University Hospitals of Leicester NHS Trust, Leicester, United Kingdom
Kardinal Schwarzenbergsches Krankenhaus, Steiermark, Schwarzach, Austria
Obstetrics and Gynecology, Tampere University Hospital, Tampere, Finland
Oncogynecology, Grigorev Institute for Radiology, Kharkiv, Ukraine
Institut Curie, Île-de-France, Paris, France
Department of Medicine and Surgery, University of Milan-Bicocca, Milano, Italy
Clinic of Obstetrics and Gynecology, Hospital San Gerardo, Monza, Italy
North Estonia Medical Centre, Tallinn, Estonia
Bellvitge University Hospital, LHospitalet de Llobregat, Catalunya, Spain
Gynecology, Clinica Universitaria de Navarra, Navarra, Pamplona, Spain
Gynecology, Clinica Universitaria de Navarra, Madrid, Spain
Clinica Universidad de Navarra, Departamento de Ginecologia y Obstetricia, Madrid, Spain
Obstetrics and Gynecology, School of Medicine, University of Navarra, Pamplona, Spain
Obstetrics and Gynecology, Clinica Universidad de Navarra, Madrid, Spain
Gynecologic Oncology
Clinica Universidad de Navarra
Istituto Europeo di Oncologia
Surgery
Clinica Universidad de Navarra
Department of Preventive Medicine and Public Health
Emergency County Hospital Targu-Mures
University Hospital Agostino Gemelli Gynaecological Oncology Complex Operative Unit
Queen Elizabeth Hospital
Amsterdam University Medical Centres
University Oncologic Hospital
National Center of Oncology
Gynecology
Universitat Autònoma de Barcelona
Endoscopica Malzoni
Department of Gynecology
University Maternal Hospital Canary Islands
Surgery
Gynecologic Oncology
Department of Obstetrics and Gynecology
Oncogynecology
Department of Gynecologic Oncology
IPO-PORTO
Department of Surgery
Azienda Ospedaliero-Universitaria di Bologna Policlinico SantOrsola-Malpighi
Obstetrics and Gynecology
General Hospital of Thessaloniki Papageorgiou
Clinical Hospital Center
Oncological Gynecology
Gynecological Oncology
Gynaecology
Obstetrics and Gynecology
Division of Gynecologic Oncology
Clinical Hospital Center Rijeka
Department of Gynecology and Oncology
Lviv Oncology Center
North-Western State Medical University
Gynecology
University Hospitals of Leicester NHS Trust
Kardinal Schwarzenbergsches Krankenhaus
Obstetrics and Gynecology
Oncogynecology
Institut Curie
Department of Medicine and Surgery
Clinic of Obstetrics and Gynecology
North Estonia Medical Centre
Bellvitge University Hospital
Gynecology
Gynecology
Clinica Universidad de Navarra
Obstetrics and Gynecology
Obstetrics and Gynecology
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