Evidence map›Paper›PMID 27194142›Full record

ArticleWorld journal of urology2017

Robotic and open partial nephrectomy for complex renal tumors: a matched-pair comparison with a long-term follow-up.

Yubin Wang, Jinkai Shao, Xin Ma, Qingshan Du, Huijie Gong, Xu Zhang

Registry-linked trialAbstract readComparative Study
PubMed Publisher
In one paragraph

Article in World journal of urology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04537247 (A Comparative Study Between Open and Robotic Partial Nephrectomy in Treatment of High Complex Renal Tumors.), which is not on this map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
5.6field-weighted citation impact, top 4% 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.

NCT04537247 nacompletednot on this mapstarted 2021, after this paper: background citation

A Comparative Study Between Open and Robotic Partial Nephrectomy in Treatment of High Complex Renal Tumors.

TypeinterventionalSponsorAssiut UniversityRan2021 to 2025Enrolled64ConditionsRenal TumorArmspartial nephrectomy for complex renal tumor
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 68 citations in OpenAlex.

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  16. Epidemiology and screening for renal cancer.World journal of urology · 2018
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  17. Article
  18. Review
  19. Robotic partial nephrectomy: The current status.Indian journal of urology : IJU : journal of the Urological Society of India
    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

6 authors at 3 institutions in 1 country.

Yubin WangDepartment of Urology, Shanxi Provincial People's Hospital, Taiyuan, 030001, China.
Jinkai ShaoDepartment of Urology, Shanxi Provincial People's Hospital, Taiyuan, 030001, China.
Xin MaDepartment of Urology, Chinese People's Liberation Army General Hospital, 28 Fuxing Road, Beijing, 100853, People's Republic of China.
Qingshan DuDepartment of Urology, Chinese People's Liberation Army General Hospital, 28 Fuxing Road, Beijing, 100853, People's Republic of China.
Huijie GongDepartment of Urology, Chinese People's Liberation Army General Hospital, 28 Fuxing Road, Beijing, 100853, People's Republic of China.
Xu ZhangDepartment of Urology, Chinese People's Liberation Army General Hospital, 28 Fuxing Road, Beijing, 100853, People's Republic of China. xuzhang301@126.com.
Chinese People's Liberation Army · CNPeople's Liberation Army No. 150 Hospital · CNShanxi Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo compare the surgical, functional and oncological outcomes of patients undergoing robotic partial nephrectomy (RPN) or open partial nephrectomy (OPN) for moderately or highly complex tumors (RENAL nephrometry score ≥7).

methodsA retrospective, matched-pair analysis was performed for 380 patients who underwent either RPN (n = 190) or OPN (n = 190) for a complex renal mass in different institutions. Surgical data, pathological variables, complications and functional and oncological outcomes were reviewed.

resultsRPN is associated with less estimated blood loss (EBL) (196.8 vs 240.8 ml; p < 0.001), shorter length of hospital stay (7.8 vs 9.2 days; p < 0.001) and lower rate of postoperative complications (15.8 vs 28.9 %; p = 0.002). Patients undergoing RPN required more direct cost. In multivariable models, surgical approach was the significant predictor for the occurrence of postoperative minor complications and postoperative wound pain. Median follow-up for RPN and OPN was 49 months and 52 months, respectively. The decline of estimated glomerular filtration at the last available follow-up (RPN: 8.7 %; OPN: 10 %) was similar (p = 0.125). The 5-year recurrence-free survival rate was 95.1 % for RPN and 92.7 % for OPN (p = 0.48).

conclusionsRPN provides acceptable and comparable results in terms of perioperative, functional and oncological outcomes compared to OPN for complex renal tumors with RENAL score ≥7. Moreover, RPN is a less invasive approach with the benefit of shorter length of hospital stay, less EBL and lower rate of postoperative complications.

Indexed as

Adenocarcinoma, PapillaryAgedBlood Loss, SurgicalCarcinoma, Renal CellCase-Control StudiesDatabases, FactualDisease-Free SurvivalFemaleHealth Care CostsHumansKidney NeoplasmsLength of StayMaleMiddle AgedMultivariate AnalysisNephrectomyPartial nephrectomyRenal cell carcinomaRENAL nephrometry scoreRobotics

Identifiers

PMID27194142
OpenAlexW2394945282

What OpenQuestion holds

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Registered trials

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.