Evidence map›Paper›PMID 32607959›Full record

ArticleInternational urology and nephrology2020

Influence of border-age on survival of sporadic renal cell carcinoma: young adults versus octogenarians.

Mehmet Çağlar Çakıcı, Erdem Kısa, Mehmet Yiğit Yalçın, Özgür Efiloğlu, Cem Yücel, Gökhan Atış, Yusuf Özlem İlbey, Asıf Yıldırım

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in International urology and nephrology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.3field-weighted citation impact, top 39% 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

0 citing papers in PubMed, 3 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Mehmet Çağlar ÇakıcıDepartment of Urology, Istanbul Medeniyet University Goztepe Training and Research Hospital, Eğitim Mahallesi, Dr. Erkin Cd., Kadıköy, 34722, Istanbul, Turkey. mcaglarcakici@hotmail.com.ORCID http://orcid.org/0000-0002-0176-5887
Erdem KısaDepartment of Urology, Health Sciences University, Izmir Tepecik Training and Research Hospital, Izmir, Turkey.
Mehmet Yiğit YalçınDepartment of Urology, Health Sciences University, Izmir Tepecik Training and Research Hospital, Izmir, Turkey.
Özgür EfiloğluDepartment of Urology, Istanbul Medeniyet University Goztepe Training and Research Hospital, Eğitim Mahallesi, Dr. Erkin Cd., Kadıköy, 34722, Istanbul, Turkey.
Cem YücelDepartment of Urology, Health Sciences University, Izmir Tepecik Training and Research Hospital, Izmir, Turkey.
Gökhan AtışDepartment of Urology, Istanbul Medeniyet University Goztepe Training and Research Hospital, Eğitim Mahallesi, Dr. Erkin Cd., Kadıköy, 34722, Istanbul, Turkey.
Yusuf Özlem İlbeyDepartment of Urology, Health Sciences University, Izmir Tepecik Training and Research Hospital, Izmir, Turkey.
Asıf YıldırımDepartment of Urology, Istanbul Medeniyet University Goztepe Training and Research Hospital, Eğitim Mahallesi, Dr. Erkin Cd., Kadıköy, 34722, Istanbul, Turkey.
Istanbul Medeniyet University · TRIzmir University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare the effects of two border-age groups: young adults and octogenarians on survival of sporadic renal cell carcinoma (RCC).

methodsWe reviewed the records of 1619 patients that underwent radical or partial nephrectomy due to RCC between January 2004 and December 2018 in two high-volume centers. Patients were divided into two groups based on their age: ≤ 40 years old (group 1) and ≥ 80 years old (group 2). We analyzed the demographic, clinical and histological features of the groups and performed univariable and multivariable Cox regression analyses to evaluate predictors associated with survival.

resultsMedian ages of patients were 35.5 years and 82 years in group 1 (n = 90) and group 2 (n = 55), respectively. Radical nephrectomy rate was statistically higher in group 2 (p = 0.004). Median follow-up was 72 (11-192) months in group 1 and 30 months (5-103) in group 2 (p < 0.001). The 5-year (90.2% vs. 80.2%) and 8-year (84.8% vs. 60.2%) overall survivals (OS) of the groups were statistically different (p < 0.001). Patients in group 1 demonstrated a 5 and 10-year cancer-specific survival (CSS) of 90.2% and 84.7%, whereas these rates were 82.4% and 54.9% for group 2 (p < 0.05). We found that higher hemoglobin drop (HR: 1.497), presence of sarcomatoid differentiation (HR: 4.307), high-stage disease (HR: 2.704), and metastasis detected in the follow-up (HR: 12.805) were independent risk factors that shortened OS (p < 0.05).

conclusionSporadic RCC was associated with a more favorable CSS and OS in young adults compared to the octogenarians. Although two border-age groups had similar pathologies, they have different prognosis and survival rates.

Indexed as

NephrectomyAdultAged, 80 and overAge FactorsCarcinoma, Renal CellFemaleHumansKidney NeoplasmsMaleRetrospective StudiesSurvival RateYoung AdultBorder-ageOctogenarianRenal cell carcinomaSporadicSurvivalYoung adult

Identifiers

PMID32607959
OpenAlexW3040658220

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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.