Evidence map›Paper›PMID 34983648›Full record

SynthesisSystematic reviews2022

Quality of life and complications after nephron-sparing treatment of renal cell carcinoma stage T1-a systematic review.

Theresa Junker, Louise Duus, Benjamin S B Rasmussen, Nessn Azawi, Lars Lund, Ole Graumann, Birgitte Nørgaard

Abstract readSystematic Review
In one paragraph

Synthesis in Systematic reviews, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Sex differences in health-related quality of life after renal cell carcinoma surgery: a population-based study in Sweden.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
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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.

Theresa JunkerDepartment of Radiology, Odense University Hospital, Kløvervænget 10, Indgang 112, 5000, Odense C, Denmark. Theresa.Junker@rsyd.dk.ORCID 0000-0002-2578-6172
Louise DuusDepartment of Radiology, Odense University Hospital, Kløvervænget 10, Indgang 112, 5000, Odense C, Denmark.
Benjamin S B RasmussenDepartment of Radiology, Odense University Hospital, Kløvervænget 10, Indgang 112, 5000, Odense C, Denmark.
Nessn AzawiDepartment of Urology, Zealand University Hospital, Sygehusvej 10, 4000, Roskilde, Denmark.
Lars LundDepartment of Clinical Research, University of Southern Denmark, Kløvervænget 10, Indgang 112, 5000, Odense C, Denmark.
Ole GraumannDepartment of Radiology, Odense University Hospital, Kløvervænget 10, Indgang 112, 5000, Odense C, Denmark.
Birgitte NørgaardDepartment of Public Health, User Perspectives and Community-based Interventions, University of Southern Denmark, J.B. Winsløws Vej 9B, 5000, Odense C, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite the fact that nephron-sparing treatment is considered preferable from a surgical perspective patients' quality of life (QoL) following different types of nephron-sparing treatments remains unclear. PURPOSE: To investigate the quality of life and complications after nephron-sparing treatment of renal cell carcinomas of stage T1. MATERIALS AND

methodsA systematic search of six databases was carried out. We included studies that reported the quality of life and complications in patients aged 18 years or older following nephron-sparing treatment of renal cell carcinoma stage T1. The quality assessment was performed using the Critical Appraisal Skills Programme (CASP) checklist for cohort studies and the CASP Randomized Controlled Trial Checklist. Data were analyzed using a narrative approach.

resultsEight studies were included, six of which investigated QoL after partial nephrectomy and two after ablation therapies. Seven studies reported complications. Three studies reported higher QoL scores after partial nephrectomy compared to radical nephrectomy. Two studies showed that QoL increased or returned to baseline levels up to 12 months following partial nephrectomy. One study reported a gradual increase in QoL after radiofrequency ablation, and one study reported that all patients recovered to baseline QoL following cryoablation. Across studies, we found a complication rate up to 20% after partial nephrectomy and up to 12.5% after ablation therapy.

conclusionsThe results of this systematic review suggest that nephron-sparing treatment appears to be superior or comparable to other treatment alternatives with regard to QoL outcomes. Additionally, based on the studies included in this review, partial nephrectomy appears to have a higher complication rate compared with ablation therapies. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42020155594.

Indexed as

Carcinoma, Renal CellKidney NeoplasmsAdolescentHumansNephrectomyNephronsQuality of Life

Identifiers

PMID34983648
PMCPMC8725354

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Registered trials

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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.