Evidence map›Paper›PMID 27182513›Full record

ArticleJournal of the West African College of Surgeons

EXPERIENCE WITH MANAGING SOLID KIDNEY TUMOURS IN COTONOU, BENIN REPUBLIC.

Dgj Avakoudjo, P P Hounnasso, M T Traore, G Natchagandé, A K Pare, R Tore-Sanni, M M Agounkpé, S Ouédraogo, F Soumanou, A Gouissi

Abstract read
In one paragraph

Article in Journal of the West African College of Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Review
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

10 authors.

Dgj AvakoudjoUniversity Clinic of Urology-Andrology of the CNHU-HKM, Cotonou, Benin Republic.
P P HounnassoUniversity Clinic of Urology-Andrology of the CNHU-HKM, Cotonou, Benin Republic.
M T TraoreUniversity Clinic of Urology-Andrology of the CNHU-HKM, Cotonou, Benin Republic.
G NatchagandéUniversity Clinic of Urology-Andrology of the CNHU-HKM, Cotonou, Benin Republic.
A K PareUniversity Clinic of Urology-Andrology of the CNHU-HKM, Cotonou, Benin Republic.
R Tore-SanniUniversity Clinic of Urology-Andrology of the CNHU-HKM, Cotonou, Benin Republic.
M M AgounkpéUniversity Clinic of Urology-Andrology of the CNHU-HKM, Cotonou, Benin Republic.
S OuédraogoUniversity Clinic of Urology-Andrology of the CNHU-HKM, Cotonou, Benin Republic.
F SoumanouUniversity Clinic of Urology-Andrology of the CNHU-HKM, Cotonou, Benin Republic.
A GouissiUniversity Clinic of Urology-Andrology of the CNHU-HKM, Cotonou, Benin Republic.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundKidney cancer is the third most common urological tumour. Diagnosis is made in most cases at an advanced stage of the disease in our setting. AIM &

objectivesThe aim of this work was to describe the management of solid tumors of the kidney and the outcome at the National University Hospital, Cotonou, Benin Republic, from January 2008 to December 2014. PATIENTS &

methodsThis is a retrospective, descriptive study conducted at the Clinic of Urology and Andrology at the National University Hospital CNHU-Hubert Koutoukou MAGA in Cotonou, Benin Republic. We included patients managed for solid kidney tumours from January 2008 to December 2014. The demographics, clinical presentations, management and outcome were recorded and the data obtained were analyzed using Epi info 3.2.2.

resultsHospital frequency of solid renal mass was 1.9% with a mean age of 54 years and sex ratio of men to women of 1.6. Hematuria, back pain and lumbar mass were the most frequent clinical presentation found in 79.5% of cases. In all, 5% presented at an early stage while 95% presented at a late stage. Diagnosis was based on imaging; histopathological examination was requested in all the case though some could not afford the cost. Radical nephrectomy was performed in 51.5% of cases.The non- operated cases were those whose poor general condition as well as those who could not afford the procedure. Undifferentiated adenocarcinoma was the predominant pathological type found in 78% of operated cases. No patients underwent other treatments such as radiation therapy, immunotherapy or chemotherapy. Mortality occured in 10 cases including 1 intra operative death, 3 patients died in the early post operative period due to respiratory distress and 7 patients died from metatstasis discovered post operatively.

conclusionThis study has shown that majority of patients with solid renal tumours in this environment present late with advanced stages of the disease. The absence of the necessary investigative equipment, poverty and absence of adjuvant and adjunct therapeutic facilities make the treatment outcome poor.

Indexed as

Advanced diseaseBenin RepublicLate presentationPoor treatment outcomePovertySolid Kidney tumors

Identifiers

PMID27182513
PMCPMC4866726

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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.