Evidence map›Paper›PMID 33925585›Full record

ReviewCancers2021

Prognostic Factors and Current Treatment Strategies for Renal Cell Carcinoma Metastatic to the Brain: An Overview.

Valeria Internò, Pierluigi De Santis, Luigia Stefania Stucci, Roberta Rudà, Marco Tucci, Riccardo Soffietti, Camillo Porta

Open access · goldAbstract readReview
In one paragraph

Review in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 12% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
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  5. Review
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  9. Observational
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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

7 authors at 4 institutions in 1 country.

Valeria InternòDepartment of Biomedical Sciences and Human Oncology, University of Bari, 70122 Bari, Italy.ORCID 0000-0002-2198-1480
Pierluigi De SantisDepartment of Biomedical Sciences and Human Oncology, University of Bari, 70122 Bari, Italy.
Luigia Stefania StucciDepartment of Biomedical Sciences and Human Oncology, University of Bari, 70122 Bari, Italy.
Roberta RudàDepartment of Neurology, Castelfranco Veneto and Treviso Hospital, 31033 Castelfranco Veneto, Italy.
Marco TucciDepartment of Biomedical Sciences and Human Oncology, University of Bari, 70122 Bari, Italy.ORCID 0000-0003-4008-4897
Riccardo SoffiettiDepartment of Neuro-Oncology, University and City of Health and Science Hospital, 10122 Turin, Italy.
Camillo PortaDepartment of Biomedical Sciences and Human Oncology, University of Bari, 70122 Bari, Italy.
University of Bari Aldo Moro · ITIstituto Tumori Bari · ITOspedale Castelfranco Veneto · ITPiedmont Reference Center for Epidemiology and Cancer Prevention · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Renal cell carcinoma (RCC) is one of primary cancers that frequently metastasize to the brain. Brain metastasis derived from RCC has the propensity of intratumoral hemorrhage and relatively massive surrounding edema. Moreover, it confers a grim prognosis in a great percentage of cases with a median overall survical (mOS) around 10 months. The well-recognized prognostic factors for brain metastatic renal cell carcinoma (BMRCC) are Karnofsky Performance Status (KPS), the number of brain metastasis (BM), the presence of a sarcomatoid component and the presence of extracranial metastasis. Therapeutic strategies are multimodal and include surgical resection, radiotherapy, such as stereotactic radiosurgery due to the radioresistance of RCC and systemic strategies with tyrosin kinase inhibitors (TKI) or Immune checkpoint inhibitors (ICI) whose efficacy is not well-established in this setting of patients due to their exclusion from most clinical trials. To date, in case of positive prognostic factors and after performing local radical therapies, such as complete resection of BM or stereotactic radiosurgery (SRS), the outcome of these patients significantly improves, up to 33 months in some patients. As a consequence, tailored clinical trials designed for BMRCC are needed to define the correct treatment strategy even in this poor prognostic subgroup of patients.

Indexed as

brain metastasiscombined treatmentcytoreductive nephrectomyimmunotherapyprognostic factorsradiation therapyrenal cell carcinomastereotactic radiosurgerytarget therapy

Identifiers

PMID33925585
PMCPMC8123796
OpenAlexW3157244212

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.