Evidence map›Paper›PMID 23567498›Full record

ReviewNature reviews. Urology2013

Active surveillance of small renal masses.

Marc C Smaldone, Anthony T Corcoran, Robert G Uzzo

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Urology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
8.3field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 108 citations in OpenAlex.

  1. Ultrasound-guided percutaneous core biopsy of renal sinus masses: diagnostic yield, safety, and clinical impact.Cancer imaging : the official publication of the International Cancer Imaging Society · 2025
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  14. Risk of metastasis for T1a renal cell carcinoma.World journal of urology · 2016
    Article
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  16. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Marc C SmaldoneDivision of Urologic Oncology, Department of Surgical Oncology, Fox Chase Cancer Center, Temple University Health System, Philadelphia, PA 19111, USA. marc.smaldone@fccc.edu
Anthony T Corcoran
Robert G Uzzo
Temple University Health System · USFox Chase Cancer Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The increased diagnosis of small renal masses (SRMs) poses the challenge of how best to manage patients with tumours that are not likely to progress and cause death during their lifetime. Concerns regarding overdiagnosis and overtreatment of patients with low-risk or indolent disease has led to the introduction of active surveillance as an alternative to immediate intervention in select candidates. However, differentiating between benign or low-grade lesions and high-grade aggressive phenotypes is difficult. Renal biopsy, radiographic assessment, and clinical nomograms have been used before surgery to evaluate the probability of whether an SRM will exhibit characteristics of an aggressive cancer. SRM growth trends have been studied over periods of observation but no characteristics have been found to correlate with aggressive growth kinetics. Stratification of patients with SRMs according to risk status is crucial when considering whether active surveillance might be an appropriate treatment option. Factors that should be taken into account include comorbidities, a history of malignancy, pre-existing chronic kidney disease, life expectancy and patient preference. Standardized active surveillance protocols are currently lacking, and clinical trials designed to randomize patients with SRMs to receive either active surveillance or immediate treatment are sorely needed to address the existing evidence gap.

Indexed as

Carcinoma, Renal CellDisease ManagementDisease ProgressionHumansKidney NeoplasmsNephrectomyPopulation Surveillance

Identifiers

PMID23567498
OpenAlexW2017988961

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.