Evidence map›Paper›PMID 32337038›Full record

ArticleMolecular and clinical oncology2020

Improved prognosis for elderly patients with metastatic renal cell carcinoma in the era of targeted therapy.

Jun Teishima, Daiki Murata, Shogo Inoue, Tetsutaro Hayashi, Koji Mita, Yasuhisa Hasegawa, Masao Kato, Mitsuru Kajiwara, Masanobu Shigeta, Satoshi Maruyama and 2 more

Erratum issuedOpen access · diamondAbstract read
In one paragraph

Article in Molecular and clinical oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 36% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 9 institutions in 1 country.

Jun TeishimaDepartment of Urology, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima 734-8551, Japan.
Daiki MurataDepartment of Urology, Hiroshima-City Asa Citizens Hospital, Hiroshima 731-0293, Japan.
Shogo InoueDepartment of Urology, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima 734-8551, Japan.
Tetsutaro HayashiDepartment of Urology, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima 734-8551, Japan.
Koji MitaDepartment of Urology, Hiroshima-City Asa Citizens Hospital, Hiroshima 731-0293, Japan.
Yasuhisa HasegawaDepartment of Urology, Fukuyama Medical Center, Fukuyama, Hiroshima 720-8520, Japan.
Masao KatoDepartment of Urology, Hiroshima General Hospital, Hatsukaichi, Hiroshima 738-8503, Japan.
Mitsuru KajiwaraDepartment of Urology, Hiroshima Prefectural Hospital, Hiroshima 734-8530, Japan.
Masanobu ShigetaDepartment of Urology, Kure Medical Center and Chugoku Cancer Center, Kure, Hiroshima 737-0023, Japan.
Satoshi MaruyamaDepartment of Urology, Miyoshi Central Hospital, Miyoshi, Tokushima 728-8502, Japan.
Hiroyuki MoriyamaDepartment of Urology, Onomichi General Hospital, Onomichi, Hiroshima 722-8508, Japan.
Seiji FujiwaraDepartment of Urology, Higashi-Hiroshima Medical Center, Higashi-Hiroshima, Hiroshima 739-0041, Japan.
Hiroshima University · JPHiroshima City Asa Citizens Hospital · JPFukuyama University · JPHigashihiroshima Medical Center · JPHiroshima General Hospital · JPHiroshima Prefectural Hospital · JPKure Medical Center · JPMiyoshi Kasei (Japan) · JPOnomichi General Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The present study investigated the outcomes of targeted therapy for elderly patients with metastatic renal cell carcinoma (mRCC). A total of 277 patients with mRCC who were treated with tyrosine kinase inhibitor as a first-line therapy from January 2008 to May 2018 were retrospectively investigated by reviewing clinicopathological data. Patients 75 years or older were classified into the older-aged group (n=55) while all others were classified into the younger-aged group (n=222). The preoperative clinicopathological characteristics and the overall survival (OS) rate for these two groups were subsequently compared. The median age in the older- and younger-aged groups was 78 and 63 years (P<0.0001), respectively. A total of 7, 42 and 6 cases in the older-aged group and 46, 118 and 58 cases in the younger-aged group were classified into favorable, intermediate, and poor risk groups, respectively. The rate of patients with cardiovascular diseases (29.1%) and malignant diseases other than RCC (20.0%) was significantly higher in the older-aged group compared with the younger-aged group (6.8%; P<0.0001 and 7.2%; P=0.0042, respectively). There was a significant improvement in the OS rate for patients beginning targeted therapy after 2011 compared with those starting therapy prior to 2010. The 50% OS rate in patients starting targeted therapy before 2010 and after 2011 was, respectively, 17.1 and 38.6 months for the older-aged group (P=0.0066), while there was no significant difference for the younger-aged group (P=0.1441; 50% OS; 35.9 vs. 30.5 months). The results of the present study indicated that the prognosis for older patients has improved since the introduction of targeted therapy.

Indexed as

metastatic renal cell carcinomaolder-aged patientsoverall survivaltargeted therapy

Identifiers

PMID32337038
PMCPMC7179395
OpenAlexW3176359177

What OpenQuestion holds

Textmetadata
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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.