Evidence map›Paper›PMID 32267967›Full record

ArticleCancer2020

Outcome analysis of stage I epithelial-predominant favorable-histology Wilms tumors: A report from Children's Oncology Group study AREN03B2.

Lauren N Parsons, Elizabeth A Mullen, James I Geller, Yueh-Yun Chi, Geetika Khanna, Richard D Glick, Jennifer H Aldrink, Kelly L Vallance, Yeonil Kim, Conrad V Fernandez and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

12 citing papers in PubMed, 29 citations in OpenAlex.

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  12. Progress Update in Pediatric Renal Tumors.Current oncology reports · 2021
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 11 institutions in 2 countries.

Lauren N ParsonsDepartment of Pathology, Children's Hospital of Wisconsin, Milwaukee, Wisconsin.
Elizabeth A MullenPediatric Hematology/Oncology, Dana Farber Cancer Institute/Boston Children's Hospital, Boston, Massachusetts.
James I GellerHematology/Oncology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Yueh-Yun ChiDepartment of Biostatistics, University of Florida, Gainesville, Florida.
Geetika KhannaPediatric Radiology, Washington University School of Medicine, St. Louis, Missouri.
Richard D GlickSteven and Alexandra Cohen Children's Medical Center, New Hyde Park, New York.
Jennifer H AldrinkDivision of Pediatric Surgery, Department of Surgery, Ohio State University College of Medicine, Nationwide Children's Hospital, Columbus, Ohio.
Kelly L VallanceHematology/Oncology, Cook Children's Medical Center, Fort Worth, Texas.
Yeonil KimDepartment of Biostatistics, University of Florida, Gainesville, Florida.
Conrad V FernandezDepartment of Pediatrics, IWK Health Centre, Dalhousie University, Halifax, Nova Scotia, Canada.
Jeffrey S DomeDivision of Oncology, Children's National Medical Center, George Washington University School of Medicine and Health Sciences, Washington, DC.
Elizabeth J PerlmanDepartment of Pathology and Laboratory Medicine, Ann and Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
University of Florida · USChildren's Hospital of Wisconsin · USCincinnati Children's Hospital Medical Center · USCook Children's Medical Center · USDana-Farber Cancer Institute · USGeorge Washington University · USIzaak Walton Killam Health Centre · CALurie Children's Hospital · USNationwide Children's Hospital · USSchneider Children's Hospital · USWashington University in St. Louis · US

Funding

NCTN BIQSFP ANBL1531 (NRT)U10CA180886 · NCI · PUBLIC HEALTH INSTITUTE · PI Douglas S. Hawkins · 2014 to 2026
$390.6M
COG FOREIGN ACCRUALU10CA098543 · NCI · NATIONAL CHILDHOOD CANCER FOUNDATION · PI ADAMSON, PETER C. · 2003 to 2013
$335.5M
COG SDMC - Statistics CoreU10CA180899 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI TODD A ALONZO · 2014 to 2026
$132.8M
Children's Oncology Group Statistics &Data Center GrantU10CA098413 · NCI · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI ANDERSON, JAMES R · 2003 to 2013
$67.5M
Support for Human Specimen Banking in NCI-Supported Cancer Clinical TrialsU24CA114766 · NCI · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI RAMIREZ MILAN, NILSA DEL CARMEN · 2005 to 2014
$14.5M
NCI NIH HHS U10 CA098413NCI NIH HHS U10 CA098543NCI NIH HHS U10 CA180886NCI NIH HHS U10 CA180899NCI NIH HHS U24 CA114766
6 · The paper itself

Abstract

backgroundStage I epithelial-predominant favorable-histology Wilms tumors (EFHWTs) have long been suspected to have an excellent outcome. This study investigates the clinical and pathologic features of patients with stage I EFHWTs to better evaluate the potential for a reduction of chemotherapy and its associated toxicity.

methodsAll patients registered in the Children's Oncology Group (COG) AREN03B2 study between 2006 and 2017 with stage I EFHWTs were identified. EFHWTs were defined as tumors with at least 66% epithelial differentiation, regardless of the degree of differentiation. Clinical information was abstracted from COG records. Event-free survival (EFS) and overall survival (OS) were calculated and compared between groups based on age and therapy.

resultsThe 4-year EFS rate was 96.2% (95% confidence interval, 92%-100%), and the OS rate was 100%; EFS and OS did not statistically significantly differ with the age at diagnosis (<48 vs ≥48 months; P = .37) or treatment (EE4A vs observation only; P = .55). Six events were reported. Three patients developed contralateral tumors and did not otherwise relapse; none of these had nephrogenic rests or a recognized predisposition syndrome. Three patients developed metastatic recurrence; all 3 had received EE4A as their primary therapy after nephrectomy.

conclusionsThese findings demonstrate an excellent outcome for stage I EFHWTs with >95% EFS and OS. These data support the utility of investigating the treatment of stage I EFHWTs with observation alone after nephrectomy.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsChildChild, PreschoolDisease-Free SurvivalEpithelial CellsFemaleHumansInfantKidney NeoplasmsMaleNeoplasm Recurrence, LocalNephrectomyRetrospective StudiesWilms Tumorepithelial predominantnephroblastomaWilms tumor

Identifiers

PMID32267967
PMCPMC7717680
OpenAlexW3014216895

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Registered trials

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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.