Evidence map›Paper›PMID 30914797›Full record

ReviewNature reviews. Nephrology2019

The adjuvant treatment of kidney cancer: a multidisciplinary outlook.

Camillo Porta, Laura Cosmai, Bradley C Leibovich, Thomas Powles, Maurizio Gallieni, Axel Bex

Open access · greenAbstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Nephrology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 2 pooled it
9.9field-weighted citation impact, top 1% 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

58 citing papers in PubMed, 2 syntheses or guidelines pooled it, 101 citations in OpenAlex.

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  4. Plasma KIM-1 Is Associated with Recurrence Risk after Nephrectomy for Localized Renal Cell Carcinoma: A Trial of the ECOG-ACRIN Research Group (E2805).Clinical cancer research : an official journal of the American Association for Cancer Research · 2021
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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

6 authors at 6 institutions in 4 countries.

Camillo PortaDepartment of Internal Medicine, University of Pavia, Pavia, Italy. camillo.porta@icsmaugeri.it.
Laura CosmaiDivision of Nephrology, A.S.S.T. Santi Paolo e Carlo, San Carlo Borromeo Hospital, Milan, Italy.
Bradley C LeibovichDepartment of Urology, Mayo Clinic, Rochester, MN, USA.
Thomas PowlesBarts Cancer Institute Experimental Medicine Centre, Queen Mary University of London St Bartholomew's Hospital, London, UK.
Maurizio GallieniDivision of Nephrology, A.S.S.T. Santi Paolo e Carlo, San Carlo Borromeo Hospital, Milan, Italy.ORCID http://orcid.org/0000-0002-2011-2160
Axel BexDepartment of Urology, Netherlands Cancer Institute, Amsterdam, Netherlands.
Mayo Clinic in Arizona · USOspedale San Carlo · ITSt Bartholomew's Hospital · GBThe Netherlands Cancer Institute · NLUniversity of Milan · ITUniversity of Pavia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Approximately 70% of cases of kidney cancer are localized or locally advanced at diagnosis. Among patients who undergo surgery for these cancers, 30-35% will eventually develop potentially fatal metachronous distant metastases. Effective adjuvant treatments are urgently needed to reduce the risk of recurrence of kidney cancer and of dying of metastatic disease. To date, almost all of the tested adjuvant agents have failed to demonstrate any benefit. Only two trials of an autologous renal tumour cell vaccine and of the vascular endothelial growth factor receptor (VEGFR) tyrosine kinase inhibitor sunitinib have shown positive results, but these have been criticized for methodological reasons and conflicting data, respectively. The results of two additional trials of targeted agents as adjuvant therapies have not yet been published. Novel immune checkpoint inhibitors are promising approaches to adjuvant therapy in kidney cancer, and a number of trials are now underway. An important component of the management of patients with kidney cancer, particularly those who undergo radical resection for localized renal cell carcinoma, is the preservation of kidney function to reduce morbidity and mortality. The optimal management of these patients therefore requires a multidisciplinary approach involving nephrologists, oncologists, urologists and pathologists.

Indexed as

Chemotherapy, AdjuvantAngiogenesis InhibitorsAntineoplastic Agents, ImmunologicalCarcinoma, Renal CellClinical Trials as TopicHumansKidney NeoplasmsNeoplasm Recurrence, LocalNephrectomyProtein Kinase InhibitorsReceptors, Vascular Endothelial Growth FactorRenal Insufficiency, ChronicRisk AssessmentAngiogenesis InhibitorsAntineoplastic Agents, ImmunologicalProtein Kinase InhibitorsReceptors, Vascular Endothelial Growth Factor

Identifiers

PMID30914797
OpenAlexW2923556971

What OpenQuestion holds

Textmetadata
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.