Evidence map›Paper›PMID 32256058›Full record

ArticleClinical interventions in aging2020

The Effect of Cytoreductive Partial Nephrectomy in Elderly Patients with Metastatic Renal Cell Carcinoma.

Jiabi Chen, Qingliu He, Weihui Liu, Yining Li, Wei Zhuang

Open access · goldAbstract read
In one paragraph

Article in Clinical interventions in aging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 19% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Cytoreductive nephrectomy in metastatic renal cell carcinoma.The Cochrane database of systematic reviews · 2024
    Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Nephron-sparing surgery in metastatic renal cell carcinoma.International urology and nephrology · 2024
    Article
  7. Review
  8. Review
  9. Article
  10. Article
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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

5 authors at 1 institution in 1 country.

Jiabi ChenDepartment of Urology, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian, People's Republic of China.
Qingliu HeDepartment of Urology, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian, People's Republic of China.
Weihui LiuDepartment of Urology, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian, People's Republic of China.
Yining LiDepartment of Urology, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian, People's Republic of China.
Wei ZhuangDepartment of Urology, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian, People's Republic of China.ORCID 0000-0003-1177-3714
Fujian Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore the survival value of cytoreductive partial nephrectomy (cPN) in elderly with metastatic renal cell carcinoma (EmRCC) and evaluate the characteristics of patients who benefit from cPN. MATERIALS AND

methodsThis was a study including 6105 patients aged ≥65 years with metastatic renal cell carcinoma (RCC) queried from Surveillance, Epidemiology and End Results (SEER) database between 2010 and 2015, among which 1264 patients underwent cytoreductive nephrectomy (CN), 78 patients underwent cPN and 1186 patients underwent cytoreductive radical nephrectomy (cRN). Kaplan-Meier (K-M) method and Cox proportional-hazards model (COX) were used to evaluate the survival prognosis. Overall survival (OS) was compared between groups using propensity score matching (PSM) to balance the effects of confounding factors such as general features and pathological features. At last, we constructed a nomogram visualization modelled by R language to predict survival.

resultsFor patients with EmRCC, especially for male patients with tumors size ≤7 cm, N0 stage, or isolated metastases, cPN brought a better survival than cRN. Tumor size and N stage were independent risk factors affecting the survival of cPN patients. cPN for patients with tumor size >7 cm or N1 stage may present a higher risk of death.

conclusionThe implementation of cPN for patients with EmRCC who meet specific clinical characteristics such as tumors size ≤7 cm, N0 stage, or isolated metastases seems to help improve the survival prognosis.

Indexed as

AgedCarcinoma, Renal CellCytoreduction Surgical ProceduresFemaleHumansKaplan-Meier EstimateKidney NeoplasmsMaleMiddle AgedNephrectomyPrognosisPropensity ScoreRisk FactorsTreatment Outcomeelderlymetastatic renal cell carcinomapartial nephrectomyradical nephrectomysurvival

Identifiers

PMID32256058
PMCPMC7093106
OpenAlexW3012343957

What OpenQuestion holds

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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.