Evidence map›Paper›PMID 35546184›Full record

ReviewNature reviews. Urology2022

Complementary roles of surgery and systemic treatment in clear cell renal cell carcinoma.

Alexandre Ingels, Riccardo Campi, Umberto Capitanio, Daniele Amparore, Riccardo Bertolo, Umberto Carbonara, Selcuk Erdem, Önder Kara, Tobias Klatte, Maximilian C Kriegmair and 7 more

Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Urology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05589207 (Preoperative Imaging Diagnostic Evaluation Model Based on Evidence-based Pathological Diagnose Criteria for Renal Cell Carcinoma Tumor Thrombus With Inferior Vena Cava Wall Invasion), which is not on this map. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
10.0field-weighted citation impact, top 1% 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.

NCT05589207 recruitingnot on this mapstarted 2023, after this paper: background citation

Preoperative Imaging Diagnostic Evaluation Model Based on Evidence-based Pathological Diagnose Criteria for Renal Cell Carcinoma Tumor Thrombus With Inferior Vena Cava Wall Invasion

TypeobservationalSponsorPeking University Third HospitalRan2023 to 2027Enrolled232ConditionsCarcinoma, Renal Cell, Tumor Thrombus, Neoplasm Invasiveness, Inferior Vena Cava InterruptionArmsVascular wall invaded
3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 71 citations in OpenAlex.

  1. Trial
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  6. Review
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  13. Cancers · 2025
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  16. Preoperative prediction of WHO/ISUP grade of ccRCC using intratumoral and peritumoral habitat imaging: multicenter study.Cancer imaging : the official publication of the International Cancer Imaging Society · 2025
    Article
  17. Review
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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

17 authors at 15 institutions in 8 countries.

Alexandre IngelsDepartment of Urology, University Hospital Henri Mondor, APHP, UPEC, Créteil, France. alexandre.ingels@gmail.com.ORCID 0000-0002-0043-6520
Riccardo CampiYoung Academic Urologists (YAU) Renal Cancer Working Group, Arnhem, Netherlands.ORCID 0000-0001-5237-0888
Umberto CapitanioYoung Academic Urologists (YAU) Renal Cancer Working Group, Arnhem, Netherlands.ORCID 0000-0001-9225-1795
Daniele AmparoreYoung Academic Urologists (YAU) Renal Cancer Working Group, Arnhem, Netherlands.
Riccardo BertoloYoung Academic Urologists (YAU) Renal Cancer Working Group, Arnhem, Netherlands.ORCID 0000-0003-0260-4601
Umberto CarbonaraYoung Academic Urologists (YAU) Renal Cancer Working Group, Arnhem, Netherlands.
Selcuk ErdemYoung Academic Urologists (YAU) Renal Cancer Working Group, Arnhem, Netherlands.ORCID 0000-0002-3514-1394
Önder KaraYoung Academic Urologists (YAU) Renal Cancer Working Group, Arnhem, Netherlands.ORCID 0000-0003-1197-2932
Tobias KlatteYoung Academic Urologists (YAU) Renal Cancer Working Group, Arnhem, Netherlands.ORCID 0000-0002-4392-6861
Maximilian C KriegmairYoung Academic Urologists (YAU) Renal Cancer Working Group, Arnhem, Netherlands.
Michele MarchioniYoung Academic Urologists (YAU) Renal Cancer Working Group, Arnhem, Netherlands.ORCID 0000-0002-1702-4127
Maria C MirYoung Academic Urologists (YAU) Renal Cancer Working Group, Arnhem, Netherlands.
Idir OuzaïdYoung Academic Urologists (YAU) Renal Cancer Working Group, Arnhem, Netherlands.
Nicola PavanYoung Academic Urologists (YAU) Renal Cancer Working Group, Arnhem, Netherlands.ORCID 0000-0001-7355-7625
Angela PecoraroYoung Academic Urologists (YAU) Renal Cancer Working Group, Arnhem, Netherlands.
Eduard RousselYoung Academic Urologists (YAU) Renal Cancer Working Group, Arnhem, Netherlands.
Alexandre de la TailleDepartment of Urology, University Hospital Henri Mondor, APHP, UPEC, Créteil, France.
Université Paris-Est Créteil · FRUniversity of Turin · ITFundación Instituto Valenciano de Oncología · ESIRCCS Ospedale San Raffaele · ITIstanbul University · TRKocaeli Üniversitesi · TRKU Leuven · BEOspedale San Carlo · ITOspedale SS. Annunziata · ITUniversité Claude Bernard Lyon 1 · FRUniversity Medical Centre Mannheim · DEUniversity of Bari Aldo Moro · ITUniversity of Cambridge · GBUniversity of Florence · ITUniversity of Trieste · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Standard-of-care management of renal cell carcinoma (RCC) indisputably relies on surgery for low-risk localized tumours and systemic treatment for poor-prognosis metastatic disease, but a grey area remains, encompassing high-risk localized tumours and patients with metastatic disease with a good-to-intermediate prognosis. Over the past few years, results of major practice-changing trials for the management of metastatic RCC have completely transformed the therapeutic options for this disease. Treatments targeting vascular endothelial growth factor (VEGF) have been the mainstay of therapy for metastatic RCC in the past decade, but the advent of immune checkpoint inhibitors has revolutionized the therapeutic landscape in the metastatic setting. Results from several pivotal trials have shown a substantial benefit from the combination of VEGF-directed therapy and immune checkpoint inhibition, raising new hopes for the treatment of high-risk localized RCC. The potential of these therapeutics to facilitate the surgical extirpation of the tumour in the neoadjuvant setting or to improve disease-free survival in the adjuvant setting has been investigated. The role of surgery for metastatic RCC has been redefined, with results of large trials bringing into question the paradigm of upfront cytoreductive nephrectomy, inherited from the era of cytokine therapy, when initial extirpation of the primary tumour did show clinical benefits. The potential benefits and risks of deferred surgery for residual primary tumours or metastases after partial response to checkpoint inhibitor treatment are also gaining interest, considering the long-lasting effects of these new drugs, which encourages the complete removal of residual masses.

Indexed as

Carcinoma, Renal CellKidney NeoplasmsCytoreduction Surgical ProceduresHumansNephrectomyVascular Endothelial Growth Factor AVascular Endothelial Growth Factor A

Identifiers

PMID35546184
OpenAlexW4280518666

What OpenQuestion holds

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Read underepoch 390

Registered trials

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.