Evidence map›Paper›PMID 34748125›Full record

ArticleClinical & experimental metastasis2021

The role of stereotactic body radiation therapy and its integration with systemic therapies in metastatic kidney cancer: a multicenter study on behalf of the AIRO (Italian Association of Radiotherapy and Clinical Oncology) genitourinary study group.

Ciro Franzese, Giulia Marvaso, Giulio Francolini, Paolo Borghetti, Luca Eolo Trodella, Matteo Sepulcri, Fabio Matrone, Luca Nicosia, Giorgia Timon, Lucia Ognibene and 10 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Clinical & experimental metastasis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 8% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. SABR for oligometastatic renal cell carcinoma.Clinical and translational radiation oncology · 2024
    Article
  8. Review
  9. Review
  10. Review
  11. Article
  12. Review
  13. Bone-only oligometastatic renal cell carcinoma patients treated with stereotactic body radiotherapy: a multi-institutional study.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2022
    Article
  14. Review
  15. 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

20 authors at 12 institutions in 1 country.

Ciro FranzeseDepartment of Biomedical Sciences, Humanitas University, Via Rita Levi Montalcini 4, 20090, Pieve Emanuele-Milan, Italy. ciro.franzese@hunimed.eu.ORCID 0000-0001-6893-6284
Giulia MarvasoDivision of Radiation Oncology, IEO, European Institute of Oncology, IRCCS, Milano, Italy.
Giulio FrancoliniRadiation Oncology Unit, Oncology Department, Azienda Ospedaliero Universitaria Careggi, Firenze, Italy.
Paolo BorghettiRadiation Oncology Unit, Department of Medical and Surgical Specialties, Radiological Science and Public Health, ASST Spedali Civili of Brescia, University of Brescia, Brescia, Italy.
Luca Eolo TrodellaRadiation Oncology, Campus Bio-Medico University, University of Rome, Rome, Italy.
Matteo SepulcriDepartment of Radiation Oncology, Veneto Institute of Oncology IOV - IRCCS, Padua, Italy.
Fabio MatroneDepartment of Radiation Oncology, Centro di Riferimento Oncologico di Aviano (CRO) IRCCS, Aviano, Italy.
Luca NicosiaAdvanced Radiation Oncology Department, IRCCS Sacro Cuore Don Calabria Hospital, Cancer Care Center, Negrar, Italy.
Giorgia TimonRadiation Oncology Unit, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Lucia OgnibeneRadiotherapy Unit, San Gaetano Radiotherapy and Nuclear Medicine Center, Palermo, Italy.
Annamaria VinciguerraDepartment of Radiation Oncology "G. D'Annunzio", University of Chieti, SS. Annunziata Hospital, Chieti, Italy.
Filippo AlongiAdvanced Radiation Oncology Department, IRCCS Sacro Cuore Don Calabria Hospital, Cancer Care Center, Negrar, Italy.
Roberto BortolusDepartment of Radiation Oncology, Centro di Riferimento Oncologico di Aviano (CRO) IRCCS, Aviano, Italy.
Luigi CortiDepartment of Radiation Oncology, Veneto Institute of Oncology IOV - IRCCS, Padua, Italy.
Sara RamellaRadiation Oncology, Campus Bio-Medico University, University of Rome, Rome, Italy.
Stefano Maria MagriniRadiation Oncology Unit, Department of Medical and Surgical Specialties, Radiological Science and Public Health, ASST Spedali Civili of Brescia, University of Brescia, Brescia, Italy.
Lorenzo LiviRadiation Oncology Unit, Oncology Department, Azienda Ospedaliero Universitaria Careggi, Firenze, Italy.
Barbara Alicja Jereczek-FossaDivision of Radiation Oncology, IEO, European Institute of Oncology, IRCCS, Milano, Italy.
Marta ScorsettiDepartment of Biomedical Sciences, Humanitas University, Via Rita Levi Montalcini 4, 20090, Pieve Emanuele-Milan, Italy.
Stefano ArcangeliUOC Radioterapia ASST Monza, Università di Milano, Bicocca, Italy.
Azienda Ospedaliero-Universitaria Careggi · ITCentro di Riferimento Oncologico · ITHumanitas University · ITIstituto Oncologico Veneto · ITOspedale Sacro Cuore Don Calabria · ITUniversità Campus Bio-Medico · ITUniversity of Brescia · ITAzienda Sanitaria Unità Locale di Reggio Emilia · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITUniversity of Chieti-Pescara · ITUniversity of Milan · ITUniversity of Milano-Bicocca · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although systemic therapy represents the standard of care for polymetastatic kidney cancer, stereotactic body radiation therapy (SBRT) may play a relevant role in the oligometastatic setting. We conducted a multicenter study including oligometastatic kidney cancer treated with SBRT. We retrospectively analyzed 207 patients who underwent 245 SBRT treatments on 385 lesions, including 165 (42.9%) oligorecurrent (OR) and 220 (57.1%) oligoprogressive (OP) lesions. Most common sites were lung (30.9%) for OR group, and bone (32.7%) for OP group. Among 78 (31.8%) patients receiving concomitant systemic therapy, sunitinib (61.5%) and pazopanib (15.4%) were the most common for OR patients, while sunitinib (49.2%) and nivolumab (20.0%) for OP patients. End points were local control (LC), progression free survival (PFS), overall survival (OS), time to next systemic therapy (TTNS) and toxicity. Median follow-up was 18.6 months. 1, 2 and 3-year LC rates were 89.4%, 80.1% and 76.6% in OR patients, and 82.7%, 76.9% and 64.3% in those with OP, respectively. LC for OP group was influenced by clear cell histology (p = 0.000), total number of lesions (p = 0.004), systemic therapy during SBRT (p = 0.012), and SBRT dose (p = 0.012). Median PFS was 37.9 months. 1, 2- and 3-year OS was 92.7%, 86.4% and 81.8%, respectively. Median TTNS was 15.8 months for OR patients, and 13.9 months for OP patients. No grade 3 or higher toxicities were reported for both groups. SBRT may be considered an effective safe option in the multidisciplinary management of both OR and OP metastases from kidney cancer.

Indexed as

RadiosurgeryAdultAgedAged, 80 and overAntineoplastic AgentsCarcinoma, Renal CellChemotherapy, AdjuvantDisease ProgressionFemaleHumansItalyKidney NeoplasmsMaleMiddle AgedProgression-Free SurvivalRetrospective StudiesAntineoplastic AgentsKidney cancerOligometastasesOligoprogressiveOligorecurrentRenal cell carcinomaSabrSbrtStereotactic body radiation therapy

Identifiers

PMID34748125
OpenAlexW3213165941

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.