Evidence map›Paper›PMID 31292733›Full record

ReviewWorld journal of urology2020

Making surgery safer by centralization of care: impact of case load in penile cancer.

Joren Vanthoor, Anita Thomas, Igor Tsaur, Maarten Albersen, and in collaboration with the European Reference Network for rare urogenital diseases and complex conditions (eUROGEN)

Abstract readReview
PubMed Publisher
In one paragraph

Review in World journal of urology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.8field-weighted citation impact, top 7% 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

18 citing papers in PubMed, 39 citations in OpenAlex.

  1. Article
  2. Article
  3. The Financial Argument for Centralization of Care for Esophagectomy.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2026
    Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Immune-based therapies in penile cancer.Nature reviews. Urology · 2022
    Review
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Surgical safety.World journal of urology · 2020
    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

5 authors at 2 institutions in 2 countries.

Joren VanthoorDepartment of Urology, University Hospitals Leuven, Herestraat 49, 3000, Leuven, Belgium.
Anita ThomasDepartment of Urology and Pediatric Urology, University Medicine Mainz, Mainz, Germany.
Igor TsaurDepartment of Urology and Pediatric Urology, University Medicine Mainz, Mainz, Germany.
Maarten AlbersenDepartment of Urology, University Hospitals Leuven, Herestraat 49, 3000, Leuven, Belgium. Maarten.albersen@uzleuven.be.ORCID http://orcid.org/0000-0002-8052-7675
and in collaboration with the European Reference Network for rare urogenital diseases and complex conditions (eUROGEN)
Johannes Gutenberg University Mainz · DEKU Leuven · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePenile cancer is a rare but aggressive disease, often requiring a rapid and extensive surgical treatment of the primary tumor and staging or treatment of the inguinal lymph node basins. Current management and guidelines of the disease are mainly based on retrospective data, as there is a lack of controlled trials or large series. The purpose of this work is to review contemporary data on the impact of centralization and formation of rare disease networks on penile cancer care and outcomes.

methodsThis narrative, non-systematic review is based on publications retrieved by a PubMed and EMBASE search and on the current guidelines of the European Association of Urology, the National Institute for Health and Care Excellence, and the National Comprehensive Cancer network.

resultsThe low case load, particularly in non-specialized centres, combined with limited evidence regularly results in a disparity between the treatment strategy and the guidelines. The suboptimal guideline adherence is specifically the case for organ-sparing surgery and surgical staging of the groin areas in selected cases. Treatment of the disease in high-volume referral centres has been shown to improve the use of organ-sparing surgery, the utilization of invasive lymph node staging in high-risk patients, and finally has resulted in increased survival rates.

conclusionsThe management of penile cancer in disease networks and in countries where centralized healthcare is offered positively influences functional and oncological outcomes. We propose that governments and health care providers should be encouraged to centralize healthcare for rare tumors such as penile cancer.

Indexed as

Patient SafetyCarcinoma, Squamous CellCentralized Hospital ServicesHumansLymphatic MetastasisMalePenile NeoplasmsUrologic Surgical Procedures, MaleCentralizationInvasive lymph node stagingOrgan-sparing surgeryPenile cancer

Identifiers

PMID31292733
OpenAlexW2957977094

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.