Evidence map›Paper›PMID 29071140›Full record

ArticleArab journal of urology2017

A practical guide and decision-making protocol for the management of complex renal cystic masses.

Peter Weibl, Milan Hora, Boris Kollarik, Kristina Kalusova, Tomas Pitra, Mesut Remzi, Wilhelm Hübner, Pascal Balzer, Tobias Klatte

Abstract read
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Article in Arab journal of urology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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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

4 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

9 authors.

Peter WeiblDepartment of Urology, Landesklinikum Korneuburg, Teaching Hospital, Wiener Ring, Austria.
Milan HoraDepartment of Urology, Charles University Hospital, Plzen, Czech Republic.
Boris KollarikDepartment of Urology, University Hospital - Petrzalka, Bratislava, Slovakia.
Kristina KalusovaDepartment of Urology, Charles University Hospital, Plzen, Czech Republic.
Tomas PitraDepartment of Urology, Charles University Hospital, Plzen, Czech Republic.
Mesut RemziDepartment of Urology, Landesklinikum Korneuburg, Teaching Hospital, Wiener Ring, Austria.
Wilhelm HübnerDepartment of Urology, Landesklinikum Korneuburg, Teaching Hospital, Wiener Ring, Austria.
Pascal BalzerDepartment of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria.
Tobias KlatteDepartment of Urology, Medical University of Vienna, Vienna, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo analyse the management, pathology and outcomes of complex renal cystic masses (CRCM) and to develop a decision-making tool for daily clinical care using the Bosniak classification system for CRCM. PATIENTS AND

methodsA comprehensive dataset of 185 patients with 188 CRCM and a minimum follow-up of 3 years were analysed for management, pathology and outcomes.

resultsWe analysed 35 Bosniak II, 34 Bosniak IIF, 58 Bosniak III, and 61 Bosniak IV lesions. The overall incidence of renal cell carcinoma was 8.6%, 29.4%, 62.1%, and 78.7% for each category. Based on our surveillance strategy of Bosniak IIF masses, we recommend computed tomography (CT)/magnetic resonance imaging (MRI) every 2 years after the initial examination. We also recommend performing one MRI (as an adjunct to CT) during the early follow-up period (<4 years). The use of MRI correlation for differential diagnostic purposes has proven useful for marginal Bosniak II, IIF and III cases.

conclusionsFrom our data, we have created a decision-making protocol to guide urologists in planning a safe and effective diagnostic and treatment strategy for CRCM. The Bosniak classification is a useful tool for clinical decision-making. Uncertainties still remain for Bosniak IIF and III lesions. Our protocol shows that individualised decision-making is necessary in a significant proportion of CRCM.

Indexed as

BCS, Bosniak classification systemBosniak classification(CE)US, (contrast-enhanced) ultrasonographyComplex renalCRCM, complex renal cystic massesEAU, European Association of UrologyKidney cancerRenal cystSurveillance

Identifiers

PMID29071140
PMCPMC5653609

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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.