Evidence map›Paper›PMID 32398335›Full record

Observational studyBMJ open2020

Challenges of early renal cancer detection: symptom patterns and incidental diagnosis rate in a multicentre prospective UK cohort of patients presenting with suspected renal cancer.

Naveen S Vasudev, Michelle Wilson, Grant D Stewart, Adebanji Adeyoju, Jon Cartledge, Michael Kimuli, Shibendra Datta, Damian Hanbury, David Hrouda, Grenville Oades and 6 more

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 87 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
87citing papers in PubMed, 4 pooled it
7.5field-weighted citation impact, top 2% 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

87 citing papers in PubMed, 4 syntheses or guidelines pooled it, 165 citations in OpenAlex.

  1. Pooled it
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  4. SEOM SOGUG clinical guideline for treatment of kidney cancer (2022).Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2023
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  18. Validation ofFrontiers in medicine · 2026
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27 more citing papers are in PubMed but not listed here.

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

16 authors at 12 institutions in 1 country.

Naveen S VasudevLeeds Institute of Medical Research at St James's, University of Leeds, Leeds, UK n.vasudev@leeds.ac.uk.ORCID 0000-0001-8470-7481
Michelle WilsonLeeds Institute of Medical Research at St James's, University of Leeds, Leeds, UK.
Grant D StewartUniversity of Cambridge, Cambridge, Cambridgeshire, UK.
Adebanji AdeyojuDepartment of Urology, Stockport NHS Foundation Trust, Stockport, Stockport, UK.
Jon CartledgeDepartment of Urology, Saint James's University Hospital, Leeds, Leeds, UK.
Michael KimuliDepartment of Urology, Saint James's University Hospital, Leeds, Leeds, UK.
Shibendra DattaDepartment of Urology, University Hospital of Wales Healthcare NHS Trust, Cardiff, Cardiff, UK.
Damian HanburyDepartment of Urology, Lister Hospital, Stevenage, Hertfordshire, UK.
David HroudaDepartment of Urology, Charing Cross Hospital, London, London, UK.
Grenville OadesDepartment of Urology, Queen Elizabeth University Hospital, Glasgow, Glasgow, UK.
Poulam PatelDivision of Cancer and Stem Cells, University of Nottingham, Nottingham, UK.
Naeem SoomroDepartment of Urology, Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle Upon Tyne, Newcastle upon Tyne, UK.
Mark SullivanDepartment of Urology, Oxford University Hospitals NHS Foundation Trust, Oxford, Oxfordshire, UK.
Jeff WebsterDepartment of Urology, Northwick Park Hospital, Harrow, London, UK.
Peter J SelbyLeeds Institute of Medical Research at St James's, University of Leeds, Leeds, UK.
Rosamonde E BanksLeeds Institute of Medical Research at St James's, University of Leeds, Leeds, UK.
University of Leeds · GBSt James's University Hospital · GBCharing Cross Hospital · GBLister Hospital · GBNewcastle upon Tyne Hospitals NHS Foundation Trust · GBNHS Lothian · GBNorthwick Park Hospital · GBOxford University Hospitals NHS Trust · GBQueen Elizabeth University Hospital · GBStockport NHS Foundation Trust · GBUniversity Hospital of Wales · GBUniversity of Nottingham · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo describe the frequency and nature of symptoms in patients presenting with suspected renal cell carcinoma (RCC) and examine their reliability in achieving early diagnosis.

designMulticentre prospective observational cohort study. SETTING AND

participantsEleven UK centres recruiting patients presenting with suspected newly diagnosed RCC. Symptoms reported by patients were recorded and reviewed. Comprehensive clinico-pathological and outcome data were also collected. OUTCOMES: Type and frequency of reported symptoms, incidental diagnosis rate, metastasis-free survival and cancer-specific survival.

resultsOf 706 patients recruited between 2011 and 2014, 608 patients with a confirmed RCC formed the primary study population. The majority (60%) of patients were diagnosed incidentally. 87% of patients with stage Ia and 36% with stage III or IV disease presented incidentally. Visible haematuria was reported in 23% of patients and was commonly associated with advanced disease (49% had stage III or IV disease). Symptomatic presentation was associated with poorer outcomes, likely reflecting the presence of higher stage disease. Symptom patterns among the 54 patients subsequently found to have a benign renal mass were similar to those with a confirmed RCC.

conclusionsRaising public awareness of RCC-related symptoms as a strategy to improve early detection rates is limited by the fact that related symptoms are relatively uncommon and often associated with advanced disease. Greater attention must be paid to the feasibility of screening strategies and the identification of circulating diagnostic biomarkers.

Indexed as

Early Detection of CancerIncidental FindingsSymptom AssessmentAdultAgedAged, 80 and overCarcinoma, Renal CellCohort StudiesFemaleHematuriaHumansKidney NeoplasmsMaleMiddle AgedProgression-Free SurvivalProspective Studieshealth policykidney tumourspublic health

Identifiers

PMID32398335
PMCPMC7223292
OpenAlexW3025192708

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.