RESUMO
BACKGROUND: To compare the clinical outcomes of radical hysterectomy (RH) with chemoradiotherapy (CRT) in women with stage IB2-IIA cervical cancer. METHODS: Based on articles published up to December 2017, a literature search of PubMed, Embase, the Cochrane Central Register of Controlled Trials (CENTRAL), and Chinese National Knowledge Infrastructure (CNKI) databases was conducted to identify eligible studies. Overall survival (OS), progression-free survival (PFS) with hazard ratios (HRs), and toxicities with odds ratios (ORs) were analyzed. RESULTS: In total, 7 studies comprising 687 patients were identified for this meta-analysis. RH showed a significant trend toward improved survival outcomes compared with those of CRT, regardless of OS (HRâ=â0.49, 95% confidence interval [CI] 0.36-0.67, Pâ<â.001); or PFS (1.61, 95% CI 1.15-2.26, Pâ=â.005) for IB2-IIA cervical cancer. Subgroup analysis revealed that stage IB2 cervical cancer patients obtained better OS (HRâ=â0.36, 95% CI 0.23-0.56, Pâ<â.001; heterogeneity: Pâ=â.32, Iâ=â13%). However, a higher incidence of grade 3/4 genitourinary abnormalities was evident with RH (ORâ=â2.3, 95% CI 1.42-3.87, Pâ=â.021). CONCLUSION: Our study suggested that RH had distinct advantages over CRT for carcinoma of the uterine cervix with FIGO stage IB2-IIA, especially for IB2 cervical cancer.