Evidence map›Paper›PMID 34654989›Full record

ReviewCurrent urology reports2021

Cytoreductive Nephrectomy in the Management of Metastatic Renal Cell Carcinoma: Is There Still a Debate?

Roser Vives Dilme, Juan Gómez Rivas, Riccardo Campi, Javier Puente, Tamara Jerez, Dmitry Enikeev, Francesco Esperto, Jesús Moreno Sierra

Abstract readReview
PubMed Publisher
In one paragraph

Review in Current urology reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.0field-weighted citation impact, top 22% 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, 7 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Review
  5. Review
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 6 institutions in 4 countries.

Roser Vives DilmeDepartment of Urology, Hospital Clínico San Carlos, Complutense University of Madrid, Profesor Martín Lagos s/n, 28040, Madrid, Spain. rvivesdilme@gmail.com.
Juan Gómez RivasDepartment of Urology, Hospital Clínico San Carlos, Complutense University of Madrid, Profesor Martín Lagos s/n, 28040, Madrid, Spain.
Riccardo CampiUnit of Urological Robotic Surgery and Renal Transplantation, Careggi Hospital, University of Florence, Florence, Italy.
Javier PuenteMedical Oncology Department, Hospital Clínico San Carlos, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), CIBERONC, Madrid, Spain.
Tamara JerezDepartment of Urology, Hospital Clínico San Carlos, Complutense University of Madrid, Profesor Martín Lagos s/n, 28040, Madrid, Spain.
Dmitry EnikeevInstitute of Urology and Reproductive Health, Sechenov University, Moscow, Russian Federation.
Francesco EspertoDepartment of Urology, University of Rome, Campus Biomedico, Rome, Italy.
Jesús Moreno SierraDepartment of Urology, Hospital Clínico San Carlos, Complutense University of Madrid, Profesor Martín Lagos s/n, 28040, Madrid, Spain.
Hospital Clínico San Carlos · ESUniversidad Complutense de Madrid · ESEuropean Association of Urology · NLInstituto de Investigación Sanitaria del Hospital Clínico San Carlos · ESSechenov University · RUUniversità Campus Bio-Medico · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewThe aim of this review was to summarize the evidence on the current role of cytoreductive nephrectomy (CN) in patients with metastatic renal cell carcinoma (mRCC). RECENT

findingsSince the advent of systemic targeted therapies for mRCC treatment, the role of CN has been questioned. Several retrospective observational studies demonstrated a therapeutic benefit for CN, while recent prospective randomized trials have challenged this evidence. As such, patient selection has become of paramount importance in this setting. The role of CN on mRCC treatment is still object of debate. In carefully selected patients, CN remains an important option as a component of a multimodal therapeutic approach. As systemic therapies for mRCC continue to evolve, future trials are needed to evaluate the benefits and limits of CN in the immunotherapy era, tailoring the treatment sequence and selecting the patients who are most likely to benefit from surgical interventions.

Indexed as

Carcinoma, Renal CellKidney NeoplasmsCytoreduction Surgical ProceduresHumansNephrectomyRetrospective StudiesCytoreductive nephrectomyImmune checkpoints inhibitorsKidney cancerMetastatic renal cell carcinomaTargeted therapy

Identifiers

PMID34654989
OpenAlexW3206947483

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.