Evidence map›Paper›PMID 36035351›Full record

ReviewAsian journal of urology2022

Potential benefit of lymph node dissection during radical nephrectomy for kidney cancer: A review and critical analysis of current literature.

Michele Marchioni, Daniele Amparore, Igino Andrea Magli, Riccardo Bertolo, Umberto Carbonara, Selcuk Erdem, Alexandre Ingels, Constantijn H J Muselaers, Onder Kara, Marco Mascitti and 9 more

Abstract readReview
In one paragraph

Review in Asian journal of urology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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

19 authors.

Michele MarchioniDepartment of Urology, SS Annunziata Hospital, "G. D'Annunzio" University of Chieti, Chieti, Italy.
Daniele AmparoreDivision of Urology, Department of Oncology, School of Medicine, San Luigi Hospital, University of Turin, Orbassano, Turin, Italy.
Igino Andrea MagliDepartment of Urology, SS Annunziata Hospital, "G. D'Annunzio" University of Chieti, Chieti, Italy.
Riccardo BertoloDepartment of Urology, San Carlo Di Nancy Hospital, Rome, Italy.
Umberto CarbonaraDepartment of Emergency and Organ Transplantation-Urology, Andrology and Kidney Transplantation Unit, University of Bari, Bari, Italy.
Selcuk ErdemDivision of Urologic Oncology, Department of Urology, Istanbul University Istanbul Faculty of Medicine, Istanbul, Turkey.
Alexandre IngelsDepartment of Urology, University Hospital Henri Mondor, APHP, Créteil, France.
Constantijn H J MuselaersDepartment of Urology, Radboud University Medical Center, Nijmegen, the Netherlands.
Onder KaraDepartment of Urology, Kocaeli University School of Medicine, Kocaeli, Turkey.
Marco MascittiDepartment of Urology, SS Annunziata Hospital, "G. D'Annunzio" University of Chieti, Chieti, Italy.
Tobias KlatteDepartment of Urology, Royal Bournemouth Hospital, Bournemouth, UK.
Maximilian KriegmairDepartment of Urology, University Medical Centre Mannheim, Mannheim, Germany.
Nicola PavanUrology Clinic, Department of Medical, Surgical and Health Science, University of Trieste, Trieste, Italy.
Eduard RousselDepartment of Urology, University Hospitals Leuven, Leuven, Belgium.
Angela PecoraroDivision of Urology, Department of Oncology, School of Medicine, San Luigi Hospital, University of Turin, Orbassano, Turin, Italy.
Laura MarandinoDepartment of Medical Oncology, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Riccardo CampiUnit of Urological Robotic Surgery and Renal Transplantation, University of Florence, Careggi Hospital, Florence, Italy.
Luigi SchipsDepartment of Urology, SS Annunziata Hospital, "G. D'Annunzio" University of Chieti, Chieti, Italy.
European Association of Urology (EAU) Young Academic Urologists (YAU) Renal Cancer group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: The role of lymph node dissection (LND) is still controversial in patients with renal cell carcinoma undergoing surgery. We aimed to provide a comprehensive review of the literature about the effect of LND on survival, prognosis, surgical outcomes, as well as patient selection and available LND templates. Methods: Recent literature (from January 2011 to December 2021) was assessed through PubMed and MEDLINE databases. A narrative review of most relevant articles was provided. Results: The frequencies in which LNDs are being carried out are decreasing due to an increase in minimally invasive and nephron sparing surgery. Moreover, randomized clinical trials and meta-analyses failed to show any survival advantage of LND versus no LND. However, retrospective studies suggest a survival benefit of LND in high-risk patients (bulky tumors, T3-4 stage, and cN1 patients). Moreover, extended LND might provide important staging information, which could be of interest for adjuvant treatment planning. Conclusion: No level 1 evidence of any survival advantage deriving from LND is currently available in literature. Thus, the role of LND is limited to staging purposes. However, low grade evidence suggests a possible role of LND in high-risk patients. Randomized clinical trials are warranted to corroborate these findings.

Indexed as

Lymph node dissectionRadical nephrectomyRenal cell carcinomaSalvage lymph node dissection

Identifiers

PMID36035351
PMCPMC9399553

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.