Evidence map›Paper›PMID 29137333›Full record

ArticleOncotarget2017

Preoperative chronic kidney disease predicts poor oncological outcomes after radical nephroureterectomy in patients with upper urinary tract urothelial carcinoma.

Hirotake Kodama, Shingo Hatakeyama, Naoki Fujita, Hiromichi Iwamura, Go Anan, Ken Fukushi, Takuma Narita, Toshikazu Tanaka, Yuka Kubota, Hirotaka Horiguchi and 17 more

Open access · diamondAbstract read
In one paragraph

Article in Oncotarget, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.0field-weighted citation impact, top 9% 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

12 citing papers in PubMed, 20 citations in OpenAlex.

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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

27 authors at 4 institutions in 1 country.

Hirotake KodamaDepartment of Urology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
Shingo HatakeyamaDepartment of Urology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
Naoki FujitaDepartment of Urology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
Hiromichi IwamuraDepartment of Urology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
Go AnanDepartment of Urology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
Ken FukushiDepartment of Urology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
Takuma NaritaDepartment of Urology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
Toshikazu TanakaDepartment of Urology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
Yuka KubotaDepartment of Urology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
Hirotaka HoriguchiDepartment of Urology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
Masaki MomotaDepartment of Urology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
Koichi KidoDepartment of Urology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
Teppei MatsumotoDepartment of Urology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
Osamu SomaDepartment of Urology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
Itsuto HamanoDepartment of Urology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
Hayato YamamotoDepartment of Urology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
Yuki TobisawaDepartment of Urology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
Tohru YoneyamaDepartment of Advanced Transplant and Regenerative Medicine, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
Takahiro YoneyamaDepartment of Urology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
Yasuhiro HashimotoDepartment of Advanced Transplant and Regenerative Medicine, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
Takuya KoieDepartment of Urology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
Hiroyuki ItoDepartment of Urology, Aomori Rosai Hospital, Hachinohe, Japan.
Kazuaki YoshikawaDepartment of Urology, Mutsu General Hospital, Mutsu, Japan.
Atsushi SasakiDepartment of Urology, Tsugaru General Hospital, Goshogawara, Japan.
Toshiaki KawaguchiDepartment of Urology, Aomori Prefectural Central Hospital, Aomori, Japan.
Makoto SatoDepartment of Urology, Tohoku Medical and Pharmaceutical University, Sendai, Japan.
Chikara OhyamaDepartment of Urology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
Hirosaki University · JPAomori Prefectural Central Hospital · JPAomori Rosai Hospital · JPTohoku Medical and Pharmaceutical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the impact of preoperative chronic kidney disease (CKD) on oncological outcomes in patients with upper tract urothelial carcinoma who underwent radical nephroureterectomy.

methodsA total of 426 patients who underwent radical nephroureterectomy at five medical centers between February 1995 and February 2017 were retrospectively examined. Oncological outcomes, including intravesical recurrence-free, visceral recurrence-free, cancer-specific, and overall survival rates (intravesical RFS, visceral RFS, CSS, and OS, respectively) stratified by preoperative CKD status (CKD vs. non-CKD) were investigated. Cox proportional hazards regression analysis was performed using inverse probability of treatment weighting (IPTW) to evaluate the impact of preoperative CKD on prognosis and a prognostic factor-based risk stratification nomogram was developed.

resultsOf the 426 patients, 250 (59%) were diagnosed with CKD before radical nephroureterectomy. Before the background adjustment, intravesical RFS, visceral RFS, CSS, and OS after radical nephroureterectomy were significantly shorter in the CKD group than in the non-CKD group. Background-adjusted IPTW analysis demonstrated that preoperative CKD was significantly associated with poor visceral RFS, CSS, and OS after radical nephroureterectomy. Intravesical RFS was not significantly associated with preoperative CKD. The nomogram for predicting 5-year visceral RFS and CSS probability demonstrated a significant correlation with actual visceral RFS and CSS (

conclusionsUpper tract urothelial carcinoma patients with preoperative CKD had a significantly lower survival probability than those without CKD.

Indexed as

chronic kidney diseaseoncological outcomeradical nephroureterectomyrenal functionupper urinary tract urothelial carcinoma

Identifiers

PMID29137333
PMCPMC5669959
OpenAlexW2749118860

What OpenQuestion holds

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LicenceCC BY
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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.