Evidence map›Paper›PMID 29904105›Full record

ReviewNature reviews. Urology2018

An interdisciplinary consensus on the management of bone metastases from renal cell carcinoma.

Viktor Grünwald, Berit Eberhardt, Axel Bex, Anne Flörcken, Thomas Gauler, Thorsten Derlin, Martin Panzica, Hans Roland Dürr, Knut Achim Grötz, Rachel H Giles and 4 more

Abstract readReviewConsensus Statement
In one paragraph

Review in Nature reviews. Urology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers.

0numbers the graph read from it
0cells of the map it votes in
53citing 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

53 citing papers in PubMed.

  1. Trial
  2. Survival nomogram for patients with bone metastatic renal cell carcinoma: A population-based study.International braz j urol : official journal of the Brazilian Society of Urology
    Trial
  3. Trial
  4. Review
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  6. Article
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  11. Observational
  12. Article
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  14. Review
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  16. Predictive Factors for Failed Nonsurgical Management of Long Bone Metastasis and Myeloma.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025
    Article
  17. Review
  18. Article
  19. Article
  20. Article
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

14 authors.

Viktor GrünwaldDepartment of Hematology, Hemostasis, Oncology and Stem Cell Transplantation, Hannover Medical School, Hannover, Germany. gruenwald.viktor@mh-hannover.de.ORCID http://orcid.org/0000-0003-2083-7687
Berit EberhardtUronauten e.V., Berlin, Germany.
Axel BexDivision of Surgical Oncology, Department of Urology, The Netherlands Cancer Institute, Amsterdam, Netherlands.
Anne FlörckenDepartment of Hematology, Oncology, and Tumor Immunology, Charité University Medicine Berlin, Berlin, Germany.
Thomas GaulerWestdeutsches Tumorzentrum, Universitätsklinik Essen, Essen, Germany.
Thorsten DerlinDepartment of Nuclear Medicine, Hannover Medical School, Hannover, Germany.
Martin PanzicaClinic of Trauma Surgery, Medical School Hannover, Hannover, Germany.
Hans Roland DürrOrthopaedic Oncology, Department of Orthopaedic Surgery, Ludwig-Maximilians University Munich, Munich, Germany.
Knut Achim GrötzDepartment of Oral and Maxillofacial Surgery of the Dr Horst Schmidt Clinic, Wiesbaden, Germany.
Rachel H GilesInternational Kidney Cancer Coalition, Duivendrecht, Netherlands.ORCID http://orcid.org/0000-0001-9133-2008
Christian von FalckDepartment of Diagnostic and Interventional Radiology, Hannover Medical School, Hannover, Germany.
Anno GraserRadiologie München, Munich, Germany.
Alexander MuacevicEuropean Cyberknife Center Munich-Großhadern, Munich, Germany.
Michael StaehlerDepartment of Urology, Ludwig-Maximilians University Munich, Munich, Germany.ORCID http://orcid.org/0000-0002-4574-6522

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bone is a major site of haematogenous tumour cell spread in renal cell carcinoma (RCC), and most patients with RCC will develop painful and functionally disabling bone metastases at advanced disease stages. The prognosis of these patients is generally poor and the treatment is, therefore, aimed at palliation. However, RCC-associated bone metastases can be curable in select patients. Current data support a multimodal management strategy that includes wide resection of lesions, radiotherapy, systemic therapy, and other local treatment options, which can improve quality of life and survival. Nevertheless, the optimal approach for metastatic bone disease in RCC has not yet been defined and practical recommendations are rare. To improve the management and outcomes of patients with RCC and bone metastases, the International Kidney Cancer Coalition and the interdisciplinary working group on renal tumours of the German Cancer Society convened a meeting of experts with a global perspective to perform an unstructured review and elaborate on current treatment strategies on the basis of published data and expertise. The panel formulated recommendations for the diagnosis and treatment of patients with RCC and metastasis to the bone. Furthermore, the experts summarized current challenges and unmet patient needs that should be addressed in the future.

Indexed as

Interdisciplinary CommunicationBone NeoplasmsCarcinoma, Renal CellCombined Modality TherapyHumansKidney Neoplasms

Identifiers

PMID29904105
PMCPMC7136176

What OpenQuestion holds

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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.