Evidence map›Paper›PMID 35025061›Full record

ReviewAdvances in therapy2022

Reviewing Treatment Options for Advanced Renal Cell Carcinoma: Is There Still a Place for Tyrosine Kinase Inhibitor (TKI) Monotherapy?

Mário Fontes-Sousa, Helena Magalhães, Alicia Oliveira, Filipa Carneiro, Filipa Palma Dos Reis, Pedro Silvestre Madeira, Sara Meireles

Open access · hybridAbstract readReview
In one paragraph

Review in Advances in therapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
3.5field-weighted citation impact, top 6% 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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Observational
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  6. Article
  7. Article
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  9. Article
  10. Review
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  12. Article
  13. Review
  14. Biomarkers in renal cell carcinoma and their targeted therapies: a review.Exploration of targeted anti-tumor therapy · 2023
    Review
  15. Article
  16. Article
  17. 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

7 authors at 7 institutions in 1 country.

Mário Fontes-SousaHospital CUF Tejo, Av. 24 Julho, 171A, 1350-352, Lisbon, Portugal. mario.fontes.sousa@cuf.pt.ORCID http://orcid.org/0000-0003-0337-3251
Helena MagalhãesHospital Pedro Hispano (Unidade Local de Saúde de Matosinhos), Rua Dr. Eduardo Torres, 4464-513, Senhora da Hora, Portugal.ORCID http://orcid.org/0000-0002-3815-0640
Alicia OliveiraHospital do Espírito Santo de Évora, Largo do Sr. da Pobreza, 7000-811, Évora, Portugal.ORCID http://orcid.org/0000-0003-0833-0736
Filipa CarneiroMedical oncology department, Instituto Português de Oncologia Do Porto, Rua Dr. António Bernardino de Almeida 865, 4200-072, Porto, Portugal.
Filipa Palma Dos ReisHospital de Santo António Dos Capuchos (Centro Hospitalar Universitário de Lisboa Central), Alameda Santo António Dos Capuchos, 1169-050, Lisbon, Portugal.ORCID http://orcid.org/0000-0002-9696-1759
Pedro Silvestre MadeiraInstituto Português de Oncologia de Coimbra, Av. Prof. Dr. Bissaya Barreto No. 98, 3000-075, Coimbra, Portugal.ORCID http://orcid.org/0000-0002-5184-4671
Sara MeirelesHospital de São João (Centro Hospitalar Universitário de São João), Alameda Prof. Hernâni Monteiro, 4200-319, Porto, Portugal.ORCID http://orcid.org/0000-0002-9861-7986
CUF Porto Hospital · PTHospital de Santo António · PTHospital de São João · PTHospital do Espírito Santo · PTHospital Pedro Hispano · PTInstituto Português de Oncologia de Coimbra Francisco Gentil · PTIPO Porto · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Renal cell carcinoma (RCC) comprises a highly heterogeneous group of kidney tumours built upon distinct genetic- and epigenetic-driven mechanisms and molecular pathways. Therefore, responsiveness to treatment is considerably variable across patients, adding an extra layer of complexity to the already challenging therapeutic decision process. The last decade brought an unprecedented shift in the medical approach to advanced or metastatic RCC; in fact, immunotherapy-based combinations have significantly transformed the therapeutic arsenal and clinical outcomes of these patients. These strategies were quickly adopted by international guidelines committees as the new standards of care. However, this enhanced efficacy comes at the expense of tolerability, with a predictable negative impact on patients' quality of life. Moreover, subgroup and post hoc analyses of the major clinical trials have shown that not all patients benefit equally from these innovative approaches. In this context, a group of experts on kidney cancer met and discussed the state of the art in the field, with a special emphasis on the appropriateness of using monotherapy with an anti-angiogenesis tyrosine kinase inhibitor (TKI) to treat specific subgroups of patients with RCC. This article reviews the main topics that were considered to be pertinent for that discussion and establishes the profile of patients for whom TKI monotherapy remains a sensible frontline option by avoiding overtreatment and an unnecessary exposure to treatment-related toxicity.

Indexed as

Carcinoma, Renal CellKidney NeoplasmsHumansImmunotherapyProtein Kinase InhibitorsQuality of LifeProtein Kinase InhibitorsAdvanced or metastatic renal cell carcinoma (mRCC)Immune checkpoint inhibitor (ICI)MonotherapyTyrosine kinase inhibitor (TKI)

Identifiers

PMID35025061
PMCPMC8756748
OpenAlexW4205609593

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.