Evidence map›Paper›PMID 30702581›Full record

Observational studyMedicine2019

Efficacy of sorafenib adjuvant therapy in northwestern Chinese patients with non-metastatic renal-cell carcinoma after nephrectomy: A multicenter retrospective study.

Di Wei, Guojun Wu, Yu Zheng, Fubao Chen, Jingyi Lu, Yangmin Wang, Dalin He, He Wang, Zhiping Wang, Peng Chen and 5 more

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 46% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

15 authors at 8 institutions in 1 country.

Di WeiDepartment of Urology, Xijing Hospital, Fourth Military Medical University.
Guojun WuDepartment of Urology, Xijing Hospital, Fourth Military Medical University.
Yu ZhengDepartment of Urology, Xijing Hospital, Fourth Military Medical University.
Fubao ChenDepartment of Urology, General Hospital of Ningxia Medical University, Yinchuan, Ningxia Hui Autonomous Region.
Jingyi LuDepartment of Urology, Xinjiang karamay Central Hospital, Karamay, Xinjiang Uyghur Autonomous Region.
Yangmin WangDepartment of Urology, General Hospital of Lanzhou Military Area Command of Chinese PLA, Lanzhou, Gansu Province.
Dalin HeDepartment of Urology, The First Affiliated Hospital of Xi'an Jiaotong University.
He WangDepartment of Urology, Tangdu Hospital, Fourth Military Medical University, Xi'an, Shaanxi Province.
Zhiping WangDepartment of Urology, The Second Affiliated Hospital of Lanzhou University, Lanzhou, Gansu Province.
Peng ChenDepartment of Urology, Affiliated Tumor Hospital of Xinjang Medical University.
Yujie WangDepartment of Urology, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang Uyghur Autonomous Region, China.
Zhiyong WangDepartment of Urology, Xijing Hospital, Fourth Military Medical University.
Yongli YeDepartment of Urology, Xijing Hospital, Fourth Military Medical University.
Zheng ZhuDepartment of Urology, Xijing Hospital, Fourth Military Medical University.
Jianlin YuanDepartment of Urology, Xijing Hospital, Fourth Military Medical University.
Xijing Hospital · CNAir Force Medical University · CNLanzhou Army General Hospital · CNFirst Affiliated Hospital of Xi'an Jiaotong University · CNKaramay Central Hospital of Xinjiang · CNLanzhou University Second Hospital · CNNingxia Medical University General Hospital · CNTumor Hospital of Guangxi Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recent studies have confirmed the efficacy of sorafenib for patients with advanced renal cell carcinoma; however, its efficacy and safety as an adjuvant therapy in patients with non-metastatic and loco-regional renal cell carcinoma after surgery remains controversial. Thus, the aim of the present retrospective study was to evaluate the efficacy of adjuvant sorafenib therapy in such patients from 8 centers in northwestern China that were treated from August 2009 to December 2016.After surgery, the patients (n = 48) received oral sorafenib for 3 months. The control group (n = 48) comprised patients that underwent the same surgery from December 2009 to June 2016 but without adjuvant therapy who were matched 1:1 with the sorafenib group with respect to sex, age, pathological findings, disease stage and grade, operation time, and surgical procedure. The primary outcome compared between the groups was disease-free survival. Adverse events were also recorded to evaluate the safety of sorafenib. The influence of patients' characteristics and laboratory tests on recurrence was analyzed using unconditional logistic regression.Overall, the demographic characteristics of the 2 groups were similar. There was no significant difference in the rate of recurrence (8.3% for sorafenib patients and 6.2% for the matched patients, P = .66) or median disease-free survival between the 2 groups (hazard ratio = 1.561, 95% confidence interval = 0.349-6.987, P = .56). In multiple logistic regression analysis, increased blood urea nitrogen (BUN) emerged as an independent predictor of recurrence risk (P = .02).These results indicate that postoperative sorafenib adjuvant therapy did not achieve the expected beneficial effect, pointing to the need for further studies to evaluate its utility in such cases.

Indexed as

AdultAntineoplastic AgentsCarcinoma, Renal CellChemotherapy, AdjuvantDisease-Free SurvivalFemaleHumansKidney NeoplasmsMaleMiddle AgedNeoplasm Recurrence, LocalNephrectomyRetrospective StudiesRisk FactorsSorafenibAntineoplastic AgentsSorafenib

Identifiers

PMID30702581
PMCPMC6380792
OpenAlexW2914104572

What OpenQuestion holds

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LicenceCC BY
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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.