Evidence map›Paper›PMID 32703636›Full record

SynthesisUrologic oncology2020

Urologic oncology practice during COVID-19 pandemic: A systematic review on what can be deferrable vs. nondeferrable.

Andrew B Katims, Shirin Razdan, Benjamin M Eilender, Peter Wiklund, Ashutosh K Tewari, Natasha Kyprianou, Ketan K Badani, Reza Mehrazin

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Urologic oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.0field-weighted citation impact, top 11% 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

18 citing papers in PubMed, 27 citations in OpenAlex.

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  18. Living in a rural area as a risk factor for worst outcomes in penile cancer.International braz j urol : official journal of the Brazilian Society of Urology
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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

8 authors at 1 institution in 1 country.

Andrew B KatimsDepartment of Urology, Division of Urologic Oncology, Icahn School of Medicine at Mount Sinai, New York, NY.
Shirin RazdanDepartment of Urology, Division of Urologic Oncology, Icahn School of Medicine at Mount Sinai, New York, NY.
Benjamin M EilenderDepartment of Urology, Division of Urologic Oncology, Icahn School of Medicine at Mount Sinai, New York, NY.
Peter WiklundDepartment of Urology, Division of Urologic Oncology, Icahn School of Medicine at Mount Sinai, New York, NY.
Ashutosh K TewariDepartment of Urology, Division of Urologic Oncology, Icahn School of Medicine at Mount Sinai, New York, NY.
Natasha KyprianouDepartment of Urology, Division of Urologic Oncology, Icahn School of Medicine at Mount Sinai, New York, NY.
Ketan K BadaniDepartment of Urology, Division of Urologic Oncology, Icahn School of Medicine at Mount Sinai, New York, NY.
Reza MehrazinDepartment of Urology, Division of Urologic Oncology, Icahn School of Medicine at Mount Sinai, New York, NY. Electronic address: reza.mehrazin@gmail.com.
Icahn School of Medicine at Mount Sinai · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo provide a review of high-risk urologic cancers and the feasibility of delaying surgery without impacting oncologic or mortality outcomes. MATERIALS AND

methodsA thorough literature review was performed using PubMed and Google Scholar to identify articles pertaining to surgical delay and genitourinary oncology. We reviewed all relevant articles pertaining to kidney, upper tract urothelial cell, bladder, prostate, penile, and testicular cancer in regard to diagnostic, surgical, or treatment delay.

resultsThe majority of urologic cancers rely on surgery as primary treatment. Treatment of unfavorable intermediate or high-risk prostate cancer, can likely be delayed for 3 to 6 months without affecting oncologic outcomes. Muscle-invasive bladder cancer and testicular cancer can be treated initially with chemotherapy. Surgical management of T3 renal masses, high-grade upper tract urothelial carcinoma, and penile cancer should not be delayed.

conclusionThe majority of urologic oncologic surgeries can be safely deferred without impacting long-term cancer specific or overall survival. Notable exceptions are muscle-invasive bladder cancer, high-grade upper tract urothelial cell, large renal masses, testicular and penile cancer. Joint decision making among providers and patients should be encouraged. Clinicians must manage emotional anxiety and stress when decisions around treatment delays are necessary as a result of a pandemic.

Indexed as

Coronavirus InfectionsPandemicsPneumonia, ViralTime-to-TreatmentBetacoronavirusCOVID-19HumansMedical OncologySARS-CoV-2Urologic NeoplasmsUrologyCancerCOVID-19Delayed treatmentUrologic oncologyUrology

Identifiers

PMID32703636
PMCPMC7318929
OpenAlexW3037946891

What OpenQuestion holds

Textmetadata
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.