Evidence map›Paper›PMID 25137021›Full record

ArticleBritish journal of cancer2014

Chromosome 9p deletion in clear cell renal cell carcinoma predicts recurrence and survival following surgery.

I El-Mokadem, J Fitzpatrick, J Bondad, P Rauchhaus, J Cunningham, N Pratt, S Fleming, G Nabi

Open access · hybridAbstract read
In one paragraph

Article in British journal of cancer, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 14% 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

27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 43 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Review
  5. Article
  6. Article
  7. The Role of the PAX Genes in Renal Cell Carcinoma.International journal of molecular sciences · 2024
    Review
  8. Genetic study of thePractical laboratory medicine · 2024
    Article
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  19. Detailed genomic characterization identifies high heterogeneity and histotype-specific genomic profiles in adrenocortical carcinomas.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2018
    Article
  20. Article
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

8 authors at 2 institutions in 1 country.

I El-MokademAcademic section of Urology, Medical Research Institute, School of Medicine, University of Dundee, Dundee DD1 9SY, UK.
J FitzpatrickAcademic section of Urology, Medical Research Institute, School of Medicine, University of Dundee, Dundee DD1 9SY, UK.
J BondadAcademic section of Urology, Medical Research Institute, School of Medicine, University of Dundee, Dundee DD1 9SY, UK.
P RauchhausDivision of Population Sciences, Medical Research Institute, School of Medicine, University of Dundee, Dundee DD1 9SY, UK.
J CunninghamDepartment of Clinical Genetics, NHS Tayside Health Board, Dundee DD1 9SY, UK.
N PrattDepartment of Clinical Genetics, NHS Tayside Health Board, Dundee DD1 9SY, UK.
S FlemingDepartment of Pathology, Medical Research Institute, School of Medicine, Dundee DD1 9SY, UK.
G NabiAcademic section of Urology, Medical Research Institute, School of Medicine, University of Dundee, Dundee DD1 9SY, UK.
NHS Tayside · GBNinewells Hospital · GB

Funding

Chief Scientist Office CZG/2/343Prostate Cancer UK CSO-PG13-005Prostate Cancer UK PG12-39
6 · The paper itself

Abstract

backgroundWider clinical applications of 9p status in clear cell renal cell carcinoma (ccRCC) are limited owing to the lack of validation and consensus for interphase fluorescent in situ hybridisation (I-FISH) scoring technique. The aim of this study was to analytically validate the applicability of I-FISH in assessing 9p deletion in ccRCC and to clinically assess its long-term prognostic impact following surgical excision of ccRCC.

methodsTissue microarrays were constructed from 108 renal cell carcinoma (RCC) tumour paraffin blocks. Interphase fluorescent in situ hybridisation analysis was undertaken based on preset criteria by two independent observers to assess interobserver variability. 9p status in ccRCC tumours was determined and correlated to clinicopathological variables, recurrence-free survival and disease-specific survival.

resultsThere were 80 ccRCCs with valid 9p scoring and a median follow-up of 95 months. Kappa statistic for interobserver variability was 0.71 (good agreement). 9p deletion was detected in 44% of ccRCCs. 9p loss was associated with higher stage, larger tumours, necrosis, microvascular and renal vein invasion, and higher SSIGN (stage, size, grade and necrosis) score. Patients with 9p-deleted ccRCC were at a higher risk of recurrence (P=0.008) and RCC-specific mortality (P=0.001). On multivariate analysis, 9p deletion was an independent predictor of recurrence (hazard ratio 4.323; P=0.021) and RCC-specific mortality (hazard ratio 4.603; P=0.007). The predictive accuracy of SSIGN score improved from 87.7% to 93.1% by integrating 9p status to the model (P=0.001).

conclusionsLoss of 9p is associated with aggressive ccRCC and worse prognosis in patients following surgery. Our findings independently confirm the findings of previous reports relying on I-FISH to detect 9p (CDKN2A) deletion.

Indexed as

Chromosome DeletionAgedCarcinoma, Renal CellChromosomes, Human, Pair 9FemaleHumansKaplan-Meier EstimateKidney NeoplasmsLoss of HeterozygosityMaleMiddle AgedMultivariate AnalysisNeoplasm Recurrence, LocalProportional Hazards Models

Identifiers

PMID25137021
PMCPMC4183850
OpenAlexW1983322829

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.