Evidence map›Paper›PMID 31662794›Full record

ArticleTherapeutic advances in urology

Prognostic value of PD-L1 expression for surgically treated localized renal cell carcinoma: implications for risk stratification and adjuvant therapies.

Juan Chipollini, Walter Henriques da Costa, Isabela Werneck da Cunha, Felipe de Almeida E Paula, Paulo Guilherme O Salles, Mounsif Azizi, Philippe E Spiess, Diego Abreu, Stênio de Cássio Zequi

Open access · goldAbstract read
In one paragraph

Article in Therapeutic advances in urology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 12% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Epidemiology of Renal Cell Carcinoma.World journal of oncology · 2020
    Review
  8. 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

9 authors at 6 institutions in 3 countries.

Juan ChipolliniDepartment of Surgery, The University of Arizona College of Medicine, 1501 North Campbell Avenue, PO Box 245077, Tucson AZ 85724-5077, USA.ORCID https://orcid.org/0000-0003-2603-0382
Walter Henriques da CostaDivision of Urology, AC Camargo Cancer Center, São Paulo, Brazil.ORCID https://orcid.org/0000-0002-2940-4995
Isabela Werneck da CunhaDivision of Urology, AC Camargo Cancer Center, São Paulo, Brazil.
Felipe de Almeida E PaulaServiço de Urologistas, Hospital do Câncer de Presidente Prudente, São Paulo, Brazil.
Paulo Guilherme O SallesDivision of Pathology, Instituto Mario Penna and Biocor Instituto, Belo Horizonte, Brazil.
Mounsif AziziDepartment of Genitourinary Oncology, Moffitt Cancer Center, Tampa, FL, USA.
Philippe E SpiessDepartment of Genitourinary Oncology, Moffitt Cancer Center, Tampa, FL, USA.
Diego AbreuServicio de Urología, Hospital Pasteur, Montevideo, Uruguay.
Stênio de Cássio ZequiDivision of Urology, AC Camargo Cancer Center, São Paulo, Brazil.
AC Camargo Hospital · BRMoffitt Cancer Center · USBiocor Institute · BRHospital Regional de Presidente Prudente · BRInstitut Pasteur de Montevideo · UYUniversity of Arizona · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe aimed to evaluate the prognostic role of programmed-death receptor ligand (PD-L1) in a multinational cohort of patients with localized renal cell carcinoma (RCC).

methodsFormalin-fixed paraffin-embedded blocks of 1017 patients from the Latin American Renal Cancer Group were analyzed. Tissue microarrays were immunostained for PD-L1 using a commercially available monoclonal antibody. Expression of PD-L1 in ⩾5% tumor cells was considered positive. PD-1 expression in immune cells was also assessed. All cases were reviewed twice based on antibody expression and compared with a positive control. Cox proportional hazard regression models were used to identify predictors of recurrence-free survival (RFS) and overall survival (OS).

resultsA total of 738 cases with complete follow up met criteria. Median age was 57 [interquartile range (IQR): 49-64] years, and median follow up was 34 (IQR: 15-62.9) months. Median tumor size was 5 cm (IQR: 3.0-7.5 cm). Approximately 8.2% and 7.6% of tumors were PD-L1 and programmed cell-death 1 (PD-1) positive, respectively. PD-L1 and PD-1 positivity were significantly associated with higher tumor stage (both

conclusionsPD-L1 positivity was significantly associated with worse outcomes for patients with localized RCC at intermediate follow up. This marker may help stratify patients for stricter surveillance after surgical treatment and provide a basis for checkpoint-inhibitor therapy in the adjuvant setting.

Indexed as

programmed-death ligandrenal cell carcinomastratification

Identifiers

PMID31662794
PMCPMC6792277
OpenAlexW2981317994

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.