Survival Analysis in Endometrial Carcinomas by Type of Surgical Approach: A Matched-Pair Study

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dc.contributor.authorCoronado Martín, Pluvio Jesús
dc.contributor.authorRychlik, Agnieszka
dc.contributor.authorBaquedano, Laura
dc.contributor.authorGarcía Pineda, Virginia
dc.contributor.authorMartínez Maestre, Maria A.
dc.contributor.authorQuerleu, Denis
dc.contributor.authorZapardiel, Ignacio
dc.date.accessioned2023-06-22T12:57:43Z
dc.date.available2023-06-22T12:57:43Z
dc.date.issued2022-02-21
dc.description.abstract(1) Background: This study aimed to analyze the impact of surgical approach on survival rates in women diagnosed with endometrial cancer. (2) Methods: A retrospective multicenter cohort of 1382 women diagnosed with EC was performed. A total of 684 (49.5%) women underwent minimally invasive surgery, 233 (34%) underwent robotic-assisted laparoscopy (RAL), 451 (66%) underwent conventional laparoscopy (LPS), and 698 (50.5%) underwent open surgery (OP). Sociodemographic features, tumor characteristics, and survival rates were analyzed in the whole sample and in a matched-pair model. (3) Results: Women operated on by OP were significantly older, presented more comorbidities, and had more aggressive tumors. Disease-free (DFS), overall (OS), and specific survival related to EC (SS) amounts were significantly higher for MIS compared to OP (p < 0.001). When matched by age, body mass index, comorbidities, ASA score, histological type, grade, myometrial invasion, and FIGO stage, 798 patients were selected. DFS, OS, and SS amounts were similar between the MIS and OP groups. (4) Conclusions: The surgical approach for women with EC does not impact DFS or OS amounts when matched by homogeneous groups.
dc.description.departmentDepto. de Salud Pública y Materno - Infantil
dc.description.facultyFac. de Medicina
dc.description.refereedTRUE
dc.description.statuspub
dc.eprint.idhttps://eprints.ucm.es/id/eprint/77864
dc.identifier.doi10.3390/cancers14041081
dc.identifier.issn2072-6694
dc.identifier.officialurlhttps://doi.org/10.3390/cancers14041081
dc.identifier.relatedurlhttps://www.mdpi.com/2072-6694/14/4/1081
dc.identifier.urihttps://hdl.handle.net/20.500.14352/73367
dc.issue.number4
dc.journal.titleCancers
dc.language.isoeng
dc.page.initial1081
dc.publisherMDPI
dc.rightsAtribución 3.0 España
dc.rights.accessRightsopen access
dc.rights.urihttps://creativecommons.org/licenses/by/3.0/es/
dc.subject.cdu616-006.04
dc.subject.cdu611.664
dc.subject.cdu618.1
dc.subject.keywordEndometrial carcinoma
dc.subject.keywordSurvival
dc.subject.keywordRobotic-assisted laparoscopy
dc.subject.keywordLaparoscopy
dc.subject.keywordLaparotomy
dc.subject.keywordMorbidity
dc.subject.keywordOpen approach
dc.subject.ucmMedicina
dc.subject.ucmGinecología y obstetricia
dc.subject.ucmOncología
dc.subject.unesco32 Ciencias Médicas
dc.subject.unesco3201.08 Ginecología
dc.subject.unesco3201.01 Oncología
dc.titleSurvival Analysis in Endometrial Carcinomas by Type of Surgical Approach: A Matched-Pair Study
dc.typejournal article
dc.volume.number14
dspace.entity.typePublication
relation.isAuthorOfPublication30d02479-92c3-4435-a066-b282a5f6d2b0
relation.isAuthorOfPublication.latestForDiscovery30d02479-92c3-4435-a066-b282a5f6d2b0
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