Evidence map›Paper›PMID 27822938›Full record

ArticleJournal of Korean medical science2016

Impact of Young Age at Diagnosis on Survival in Patients with Surgically Treated Renal Cell Carcinoma: a Multicenter Study.

Ho Won Kang, Sung Pil Seo, Won Tae Kim, Seok Joong Yun, Sang Cheol Lee, Wun Jae Kim, Eu Chang Hwang, Seok Ho Kang, Sung Hoo Hong, Jinsoo Chung and 6 more

Abstract readMulticenter Study
In one paragraph

Article in Journal of Korean medical science, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

18 citing papers in PubMed.

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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

16 authors.

Ho Won KangDepartment of Urology, Chungbuk National University College of Medicine, Cheongju, Korea.ORCID http://orcid.org/0000-0002-8164-4427
Sung Pil SeoDepartment of Urology, Chungbuk National University College of Medicine, Cheongju, Korea.ORCID http://orcid.org/0000-0001-6179-7031
Won Tae KimDepartment of Urology, Chungbuk National University College of Medicine, Cheongju, Korea.ORCID http://orcid.org/0000-0002-7482-4550
Seok Joong YunDepartment of Urology, Chungbuk National University College of Medicine, Cheongju, Korea.ORCID http://orcid.org/0000-0001-7737-4746
Sang Cheol LeeDepartment of Urology, Chungbuk National University College of Medicine, Cheongju, Korea.ORCID http://orcid.org/0000-0002-4163-2210
Wun Jae KimDepartment of Urology, Chungbuk National University College of Medicine, Cheongju, Korea.ORCID http://orcid.org/0000-0002-8060-8926
Eu Chang HwangDepartment of Urology, Chonnam National University Hwasun Hospital, Hwasun, Korea.ORCID http://orcid.org/0000-0002-2031-124X
Seok Ho KangDepartment of Urology, Korea University School of Medicine, Seoul, Korea.ORCID http://orcid.org/0000-0002-1524-5233
Sung Hoo HongDepartment of Urology, College of Medicine, The Catholic University of Korea, Seoul, Korea.ORCID http://orcid.org/0000-0002-1952-4010
Jinsoo ChungDepartment of Urology, National Cancer Center, Goyang, Korea.ORCID http://orcid.org/0000-0003-2251-5331
Tae Gyun KwonDepartment of Urology, Kyungpook National University College of Medicine, Daegu, Korea.ORCID http://orcid.org/0000-0002-4390-0952
Hyeon Hoe KimDepartment of Urology, Seoul National University College of Medicine, Seoul, Korea.ORCID http://orcid.org/0000-0001-6600-4539
Cheol KwakDepartment of Urology, Seoul National University College of Medicine, Seoul, Korea.ORCID http://orcid.org/0000-0002-1987-2111
Seok Soo ByunDepartment of Urology, Seoul National University Bundang Hospital, Seongnam, Korea.ORCID http://orcid.org/0000-0001-9356-9500
Yong June KimDepartment of Urology, Chungbuk National University College of Medicine, Cheongju, Korea. urokyj@cbnu.ac.kr.ORCID http://orcid.org/0000-0001-7638-7174
KOrean Renal Cell Carcinoma (KORCC) Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The prognostic significance of age in renal cell carcinoma (RCC) is a subject of debate. The aim of the present multi-institutional study was to evaluate the impact of age on clinicopathological features and survival in a large cohort of patients with RCC. A total of 5,178 patients who underwent surgery for RCC at eight institutions in Korea between 1999 and 2011 were categorized into three groups according to age at diagnosis as follows: young age (< 40 years, n = 541), middle-age (≥ 40 and < 60 years, n = 2,551), and old age (≥ 60 years, n = 2,096) groups. Clinicopathological variables and survival rates were compared between the three groups. Young patients had lower stage tumors with a low Fuhrman grade, a lower rate of lymphovascular invasion than patients in the other age groups. Regarding histologic type, the young age group had a lower percentage of clear cell histology and a greater incidence of Xp11.2 translocation RCC. Kaplan-Meier estimates showed that cancer-specific survival was significantly better in the young age group than in the other groups (log rank test, P = 0.008). However, age at diagnosis was not an independent predictor of survival in multivariate analysis. In conclusion, young age at diagnosis was associated with favorable pathologic features, although it was not an independent prognostic factor for survival in patients with surgically-treated RCC. Age itself should not be regarded as a crucial determinant for the treatment of RCC.

Indexed as

AdultAgedAge FactorsCarcinoma, Renal CellDatabases, FactualFemaleHumansKaplan-Meier EstimateKidney NeoplasmsMaleMiddle AgedMultivariate AnalysisNeoplasm MetastasisNeoplasm Recurrence, LocalNeoplasm StagingNephrectomyAgeNephrectomyRecurrenceRenal Cell CarcinomaSurvival

Identifiers

PMID27822938
PMCPMC5102863

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Registered trials

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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.