Evidence map›Paper›PMID 30800194›Full record

ReviewPolish journal of radiology2018

Small renal carcinoma: the "when" and "how" of operation, active surveillance, and ablation.

Jakob Johann Wendler, Bernd Uwe Liehr, Robert Damm, Maciej Powerski, Thomas Brunner, Martin Schostak, Maciej Pech

Open access · bronzeAbstract readReview
In one paragraph

Review in Polish journal of radiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 28% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. 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

7 authors at 1 institution in 1 country.

Jakob Johann WendlerUniversity Clinic for Urology, University of Magdeburg, Germany.
Bernd Uwe LiehrUniversity Clinic for Urology, University of Magdeburg, Germany.
Robert DammUniversity Clinic for Radiology, University of Magdeburg, Germany.
Maciej PowerskiUniversity Clinic for Radiology, University of Magdeburg, Germany.
Thomas BrunnerUniversity Clinic for Radiotherapy, University of Magdeburg, Germany.
Martin SchostakUniversity Clinic for Urology, University of Magdeburg, Germany.
Maciej PechUniversity Clinic for Radiology, University of Magdeburg, Germany.
University Hospital Magdeburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Small, locally restricted renal cell carcinoma less than 4 cm in size should ideally be removed operatively by nephron-sparing tumour enucleation (partial kidney resection). In an increasingly elderly population, there is a growing trend toward parallel incidence of renal cell carcinoma and chronic renal insufficiency, with the latter's associated general comorbidities. Thus, for some patients, the risks of the anaesthesia and operation increase, while the advantage in terms of survival decreases. Transcutaneous radio-frequency ablation under local anaesthesia, transcutaneous afterloading high-dose-rate brachytherapy under local anaesthesia, and percutaneous stereotactic ablative radiotherapy may offer a less invasive alternative therapy. Active surveillance is to be regarded as no more than a controlled bridging up to definitive treatment (operation or ablation), while watchful waiting, on account of the lack of prognostic relevance and the symptomatology of renal cell carcinoma, with its comorbidity-related, clearly reduced life expectancy, does not involve any further diagnostic or therapeutic measures.

Indexed as

ablationactive surveillancefocal therapyrenal cell carcinomasmall renal tumour

Identifiers

PMID30800194
PMCPMC6384413
OpenAlexW2911596939

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.