In 2020, the second meta-analysis only focused on stages IB2 and II cervical cancers and was thus limited to 5 studies, including 2 case–control studies and only 1275 patients, with a nonsignificant trend for a 40% reduction in the risk of death with neoadjuvant chemotherapy [ 50 ].
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Dose-Intense Cisplatin-Based Neoadjuvant Chemotherapy Increases Survival in Advanced Cervical Cancer: An Up-to-Date Meta-Analysis.
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The RR of 0.84 was comparable in terms of PFS for the subgroup of studies with surgery as local treatment and receiving neoadjuvant chemotherapy, despite that it did not reach statistical significance.