Evidence map›Paper›PMID 30287223›Full record

ArticleClinical genitourinary cancer2019

Updated Recommendations on the Diagnosis, Management, and Clinical Trial Eligibility Criteria for Patients With Renal Medullary Carcinoma.

Pavlos Msaouel, Andrew L Hong, Elizabeth A Mullen, Michael B Atkins, Cheryl Lyn Walker, Chung-Han Lee, Marcus A Carden, Giannicola Genovese, W Marston Linehan, Priya Rao and 15 more

Open access · greenAbstract read
In one paragraph

Article in Clinical genitourinary cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 2 pooled it
5.1field-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.

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

50 citing papers in PubMed, 2 syntheses or guidelines pooled it, 94 citations in OpenAlex.

  1. Kidney Cancer, Version 3.2022, NCCN Clinical Practice Guidelines in Oncology.Journal of the National Comprehensive Cancer Network : JNCCN · 2022
    Guideline
  2. New developments in existing WHO entities and evolving molecular concepts: The Genitourinary Pathology Society (GUPS) update on renal neoplasia.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2021
    Guideline
  3. Trial
  4. Renal Medullary Carcinoma: Utility of [Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2026
    Article
  5. Article
  6. Panitumumab-Based EGFR Blockade in SMARCB1-Deficient Renal Medullary Carcinoma: Preclinical Basis and Prospective Clinical Activity.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. CA-125 as a Biomarker in Renal Medullary Carcinoma: Integrated Molecular Profiling, Functional Characterization, and Prospective Clinical Validation.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Article
  17. Article
  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

25 authors at 14 institutions in 3 countries.

Pavlos MsaouelDepartment of Genitourinary Medical Oncology, The University of Texas M.D. Anderson Cancer Center, Houston, TX.
Andrew L HongDana-Farber/Boston Children's Cancer and Blood Disorders Center, Boston, MA.
Elizabeth A MullenDana-Farber/Boston Children's Cancer and Blood Disorders Center, Boston, MA.
Michael B AtkinsLombardi Comprehensive Cancer Center, Georgetown University, Washington, DC.
Cheryl Lyn WalkerCenter for Precision Environmental Health, Department of Molecular and Cell Biology, Baylor College of Medicine, Houston, TX.
Chung-Han LeeDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Marcus A CardenDepartments of Pediatrics and Medicine, Division of Hematology, UNC School of Medicine, Chapel Hill, NC.
Giannicola GenoveseDepartment of Genitourinary Medical Oncology, The University of Texas M.D. Anderson Cancer Center, Houston, TX; Department of Genomic Medicine, the University of Texas M.D. Anderson Cancer Center, Houston, TX.
W Marston LinehanUrologic Oncology Branch, Center for Cancer Research, National Cancer Institute, Bethesda, MD.
Priya RaoDepartment of Pathology, The University of Texas M.D. Anderson Cancer Center, Houston, TX.
Maria J MerinoTranslational Surgical Pathology Section, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD.
Howard GrodmanDivision of Pediatric Hematology/Oncology, BronxCare Health System, Bronx, NY.
Jeffrey S DomeDivision of Pediatric Oncology, Children's National Medical Center, Washington, DC.
Conrad V FernandezDivision of Pediatric Hematology/Oncology, IWK Health Centre, Dalhousie University, Halifax, Nova Scotia, Canada.
James I GellerDivision of Oncology, Cincinnati Children's Hospital Medical Center, University of Cincinnati, Cincinnati, OH.
Andrea B ApoloGenitourinary Malignancies Branch, Center for Cancer Research, National Cancer Institute, Bethesda, MD.
Najat C DawDepartment of Pediatrics, The University of Texas M.D. Anderson Cancer Center, Houston, TX.
H Courtney HodgesCenter for Precision Environmental Health, Department of Molecular and Cell Biology, Baylor College of Medicine, Houston, TX; Center for Cancer Epigenetics, The University of Texas M.D. Anderson Cancer Center, Houston, TX.
Marva Moxey-MimsDivision of Nephrology, Children's National Medical Center, Washington, DC.
Darmood WeiUrologic Oncology Branch, Center for Cancer Research, National Cancer Institute, Bethesda, MD.
Donald P BottaroUrologic Oncology Branch, Center for Cancer Research, National Cancer Institute, Bethesda, MD.
Michael StaehlerDepartment of Urology, Klinikum Grosshadern, Ludwig Maximilians University of Munich, Munich, Germany.
Jose A KaramDepartment of Urology, The University of Texas M.D. Anderson Cancer Center, Houston, TX.
W Kimryn RathmellDivision of Hematology/Oncology, Vanderbilt-Ingram Cancer Center, Vanderbilt University Medical Center, Nashville, TN.
Nizar M TannirDepartment of Genitourinary Medical Oncology, The University of Texas M.D. Anderson Cancer Center, Houston, TX. Electronic address: ntannir@mdanderson.org.
The University of Texas MD Anderson Cancer Center · USNational Cancer Institute · USChildren's National · USDana-Farber/Boston Children's Cancer and Blood Disorders Center · USBaylor College of Medicine · USCincinnati Children's Hospital Medical Center · USDalhousie University · CAGeorgetown University · USLudwig-Maximilians-Universität München · DEMemorial Sloan Kettering Cancer Center · USMontefiore Health System · USNational Institutes of Health · USUniversity of North Carolina Health Care · USVanderbilt University Medical Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
TRAINING FOR ACADEMIC ONCOLOGY/HEMATOLOGYT32CA009666 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Michael Davies, Courtney DiNardo · 1994 to 2026
$9.8M
Oncogenic Met Signaling in Urologic MalignanciesZIABC011124 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI BOTTARO, DONALD · 2009 to 2021
$5.8M
Enhancing Translational Science via Prospective InvestigationK24CA172355 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI RATHMELL, WENDY KIMRYN · 2013 to 2017
$870k
Dynamic effects of cancer mutations on the mammalian SWI/SNF ATPase BrgR00CA187565 · NCI · BAYLOR COLLEGE OF MEDICINE · PI HODGES, HAMILTON COURTNEY · 2017 to 2019
$747k
NCI NIH HHS K24 CA172355NCI NIH HHS P30 CA008748NCI NIH HHS R00 CA187565NCI NIH HHS T32 CA009666
6 · The paper itself

Abstract

Renal medullary carcinoma (RMC) is one of the most aggressive renal cell carcinomas. It predominantly afflicts young adults and adolescents with sickle cell trait and other sickle hemoglobinopathies, and is refractory to targeted and antiangiogenic therapies used in patients with clear-cell renal cell carcinoma. Platinum-based cytotoxic chemotherapy is the mainstay for RMC treatment. On the basis of recent advances in the diagnosis, management, and clinical trial development for RMC, a panel of experts met in October 2017 and developed updated consensus recommendations to inform clinicians, researchers, and patients. Because RMC often aggressively recurs while patients are still recovering from nephrectomy, upfront chemotherapy should be considered for most patients, including those with localized disease. After safety and dosing information has been established in adults, phase II and III trials enrolling patients with RMC should allow patients aged 12 years and older to be accrued. Patients with the very rare unclassified renal cell carcinoma with medullary phenotype variant should be included in RMC trials. Medical providers should be aware that RMC can afflict subjects of all races, and not only those of African descent, and that the presence of sickle cell trait, or of other sickle hemoglobinopathies, can affect drug responses and toxicity.

Indexed as

Clinical Trials as TopicEligibility DeterminationPatient SelectionCarcinoma, MedullaryCarcinoma, Renal CellDatabases, FactualHumansKidney NeoplasmsPractice Guidelines as TopicPrognosisINI1Renal cell carcinomaSickle hemoglobinopathiesSMARCB1Unclassified renal cell carcinoma with medullary phenotype

Identifiers

PMID30287223
PMCPMC6348017
OpenAlexW2891539948

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.