Evidence map›Paper›PMID 32389458›Full record

ArticleClinical genitourinary cancer2020

Factors Associated With Receipt of Partial Nephrectomy or Minimally Invasive Surgery for Patients With Clinical T1a and T1b Renal Masses: Implications for Regionalization of Care.

Joshua Sterling, Zorimar Rivera-Núñez, Hiren V Patel, Nicholas J Farber, Sinae Kim, Kushan D Radadia, Parth K Modi, Sharad Goyal, Rahul Parikh, Robert E Weiss and 4 more

Open access · greenAbstract read
In one paragraph

Article in Clinical genitourinary cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 28% 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. 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

14 authors at 1 institution in 1 country.

Joshua SterlingSection of Urologic Oncology, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ.
Zorimar Rivera-NúñezDepartment of Biostatistics and Epidemiology, Rutgers School of Public Health, Piscataway, NJ.
Hiren V PatelSection of Urologic Oncology, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ.
Nicholas J FarberSection of Urologic Oncology, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ.
Sinae KimDivision of Biometrics, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ.
Kushan D RadadiaSection of Urologic Oncology, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ.
Parth K ModiSection of Urologic Oncology, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ.
Sharad GoyalDepartment of Radiation Oncology, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ.
Rahul ParikhDepartment of Radiation Oncology, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ.
Robert E WeissSection of Urologic Oncology, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ.
Isaac Y KimSection of Urologic Oncology, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ.
Sammy E ElsamraSection of Urologic Oncology, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ.
Thomas L JangSection of Urologic Oncology, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ.
Eric A SingerSection of Urologic Oncology, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ. Electronic address: eric.singer@rutgers.edu.
Rutgers, The State University of New Jersey · US

Funding

TRANSCRIPTIONAL PROFILINGP30CA072720 · NCI · UNIV OF MED/DENT NJ-R W JOHNSON MED SCH · PI Tracie Saunders · 1997 to 2026
$94.5M
Translational Research Support CoreP30ES005022 · NIEHS · UNIV OF MED/DENT NJ-R W JOHNSON MED SCH · PI BRIAN T BUCKLEY · 1988 to 2026
$47.4M
NCI NIH HHS P30 CA072720NIEHS NIH HHS P30 ES005022
6 · The paper itself

Abstract

purposeTo identify factors associated with receipt of partial nephrectomy (PN) and minimally invasive surgery (MIS) in patients with clinical T1 renal cell carcinoma (RCC) using the National Cancer Data Base (NCDB).

methodsWe queried the NCDB from 2010 to 2014 identifying patients treated surgically for cT1a-bN0M0 RCC. Logistic regression was used to examine associations between socioeconomic, clinical, and treatment factors, and receipt of MIS or PN within the T1 patient population.

resultsOur cohort included 69,694 patients (cT1a, n = 44,043; cT1b, n = 25,651). For cT1a tumors, 70% of patients received PN and 65% underwent MIS. For cT1b tumors, 32% of patients received PN and 62% underwent MIS. cT1a and cT1b patients with household income < $62,000, without private insurance, and treated outside academic centers were less likely to receive MIS or PN. cT1a patients traveling > 31 miles were more likely to undergo MIS. For both cT1a/b, the farther a patient traveled for treatment, the more likely a PN was performed.

conclusionData showed an increase in utilization of MIS and PN from 2010 to 2014. However, patients in the lowest socioeconomic groups were less likely to travel and were more likely to receive more invasive treatments. On the basis of these findings, additional research is needed into how regionalization of RCC surgery affects treatment disparities.

Indexed as

Carcinoma, Renal CellKidney NeoplasmsHumansMinimally Invasive Surgical ProceduresNeoplasm StagingNephrectomyDisparityNephron-sparing surgeryRenal cell carcinomaSmall renal massesTravel

Identifiers

PMID32389458
PMCPMC7502425
OpenAlexW3011002741

What OpenQuestion holds

Textmetadata
LicenceTDM
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.