Evidence map›Paper›PMID 34777999›Full record

ArticleUrology case reports2022

Preoperative ipilimumab/nivolumab combination therapy reduced operation risk by downstaging the inferior vena cava tumor thrombus extending to the right atrium in a metastatic renal cell carcinoma: A case report.

Hikari Otsuka, Kimihiko Masui, Toshihide Hosomi, Yuki Makino, Noboru Shibasaki, Yasumasa Shichiri

Open access · goldAbstract readCase Reports
In one paragraph

Article in Urology case reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.2field-weighted citation impact, top 20% 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

6 citing papers in PubMed, 13 citations in OpenAlex.

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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

6 authors at 2 institutions in 1 country.

Hikari OtsukaDepartment of Urology, Otsu City Hospital, Japan.
Kimihiko MasuiDepartment of Urology, Kyoto University Hospital, Japan.
Toshihide HosomiDepartment of Urology, Otsu City Hospital, Japan.
Yuki MakinoDepartment of Urology, Otsu City Hospital, Japan.
Noboru ShibasakiDepartment of Urology, Otsu City Hospital, Japan.
Yasumasa ShichiriDepartment of Urology, Otsu City Hospital, Japan.
Otsu Municipal Hospital · JPKyoto University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The success of immune checkpoint inhibitors in metastatic renal cell carcinoma (RCC) has renewed interest in studying these agents in preoperative settings. Here, we present a case of metastatic RCC with an inferior vena cava (IVC) tumor thrombus extending to the right atrium. Preoperative systemic therapy with ipilimumab/nivolumab was initiated for four cycles. The IVC tumor thrombus level was significantly downstaged from IV to I according to the Mayo classification, which enabled us to perform cytoreductive nephrectomy and IVC thrombectomy without extracorporeal circulation. Preoperative ipilimumab/nivolumab may lead to significant downstaging of caval tumor thrombus in metastatic RCC.

Indexed as

computed tomography, CTcytoreductive nephrectomy, CNimmune checkpoint inhibitors, ICIsinferior vena cava, IVCIpilimumab/nivolumabmagnet resonance imaging, MRIoverall survival, OSPreoperative treatmentRenal cell carcinomarenal cell carcinoma, RCCTumor thrombus

Identifiers

PMID34777999
PMCPMC8577410
OpenAlexW3210523887

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.