Evidence map›Paper›PMID 30474699›Full record

ArticleWorld journal of urology2019

The side and the location of the primary tumor does not affect the probability of lymph node invasion in patients with renal cell carcinoma.

Alessandro Nini, Alessandro Larcher, Walter Cazzaniga, Paolo Dell'Oglio, Francesco Cianflone, Fabio Muttin, Francesco Ripa, Andrea Salonia, Alberto Briganti, Francesco Montorsi and 2 more

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Article in World journal of urology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Alessandro NiniUnit of Urology, University Vita-Salute San Raffaele, IRCCS San Raffaele Scientific Institute, Via Olgettina 60, 20132, Milan, Italy.ORCID http://orcid.org/0000-0002-2548-6495
Alessandro LarcherUnit of Urology, University Vita-Salute San Raffaele, IRCCS San Raffaele Scientific Institute, Via Olgettina 60, 20132, Milan, Italy.
Walter CazzanigaUnit of Urology, University Vita-Salute San Raffaele, IRCCS San Raffaele Scientific Institute, Via Olgettina 60, 20132, Milan, Italy.
Paolo Dell'OglioUnit of Urology, University Vita-Salute San Raffaele, IRCCS San Raffaele Scientific Institute, Via Olgettina 60, 20132, Milan, Italy.
Francesco CianfloneUnit of Urology, University Vita-Salute San Raffaele, IRCCS San Raffaele Scientific Institute, Via Olgettina 60, 20132, Milan, Italy.
Fabio MuttinUnit of Urology, University Vita-Salute San Raffaele, IRCCS San Raffaele Scientific Institute, Via Olgettina 60, 20132, Milan, Italy.
Francesco RipaUnit of Urology, University Vita-Salute San Raffaele, IRCCS San Raffaele Scientific Institute, Via Olgettina 60, 20132, Milan, Italy.
Andrea SaloniaUnit of Urology, University Vita-Salute San Raffaele, IRCCS San Raffaele Scientific Institute, Via Olgettina 60, 20132, Milan, Italy.
Alberto BrigantiUnit of Urology, University Vita-Salute San Raffaele, IRCCS San Raffaele Scientific Institute, Via Olgettina 60, 20132, Milan, Italy.
Francesco MontorsiUnit of Urology, University Vita-Salute San Raffaele, IRCCS San Raffaele Scientific Institute, Via Olgettina 60, 20132, Milan, Italy.
Roberto BertiniUnit of Urology, University Vita-Salute San Raffaele, IRCCS San Raffaele Scientific Institute, Via Olgettina 60, 20132, Milan, Italy.
Umberto CapitanioUnit of Urology, University Vita-Salute San Raffaele, IRCCS San Raffaele Scientific Institute, Via Olgettina 60, 20132, Milan, Italy. umbertocapitanio@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the role of side and location of the primary renal cell carcinoma (RCC) on the risk of lymph node invasion (LNI) and/or nodal progression (NP) during follow-up. MATERIALS AND

methodsWe evaluated 2485 patients with unilateral RCC, surgically treated in a single tertiary care referral center. Outcomes were LNI at surgery and/or NP during follow-up. We studied if RCC side (left vs. right) and location (upper vs. middle vs. hilar vs. lower area vs. more than one area) affected the probability of LNI and/or NP at follow-up.

resultsOverall, 43 and 15% of patients underwent lymph node dissection and had LNI at surgery, respectively. During follow-up, 2.2% of patients had NP. Higher rates of LNI and NP were observed for patients with primary tumor located in more than one anatomical kidney area relative to patients with tumor in a single area (upper 11% vs. middle 10% vs. hilar 0%, vs. lower 12% vs. more than one area 26%, p < 0.01). cM1, cN1, pT2/pT3/pT4 disease and Fuhrman grade 3/4 were independent predictors of the study outcome (all p ≤ 0.01). Neither the RCC side nor the location reached the independent predictor status (all p > 0.1).

conclusionsPatients with single-side and more than one anatomical kidney area affected by RCC have higher rate of LNI at surgery and/or NP at follow-up. Neither side nor location of primary RCC tumor is related to the risk of harboring LNI at surgery and/or developing NP at follow-up.

Indexed as

AgedCarcinoma, Renal CellDisease ProgressionFemaleHumansKidney NeoplasmsLymphatic MetastasisMaleMiddle AgedRetrospective StudiesRisk AssessmentKidney cancerLymph node invasionMetastasesRenal cancer

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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.