Evidence map›Paper›PMID 36709462›Full record

SynthesisBJU international2023

Adjuvant immunotherapy in renal cell carcinoma: a systematic review and meta-analysis.

Carlos Riveros, Emily Huang, Sanjana Ranganathan, Zachary Klaassen, Brian Rini, Christopher J D Wallis, Raj Satkunasivam

Open access · bronzeAbstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in BJU international, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

9 citing papers in PubMed, 9 citations in OpenAlex.

  1. Sarcomatoid Renal Cell Carcinoma: A Clinical Review.Diagnostics (Basel, Switzerland) · 2026
    Review
  2. Article
  3. Review
  4. Article
  5. Article
  6. [Non-clear cell renal cell carcinoma].Urologie (Heidelberg, Germany) · 2024
    Review
  7. Review
  8. Article
  9. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 2 countries.

Carlos RiverosDepartment of Urology, Houston Methodist Hospital, Houston, TX, USA.ORCID 0000-0001-8030-6605
Emily HuangDepartment of Urology, Houston Methodist Hospital, Houston, TX, USA.
Sanjana RanganathanDepartment of Urology, Houston Methodist Hospital, Houston, TX, USA.
Zachary KlaassenDivision of Urology, Medical College of Georgia, Augusta University, Augusta, GA, USA.ORCID 0000-0001-7392-8916
Brian RiniDivision of Hematology and Oncology, Vanderbilt University Medical Center, Nashville, TN, USA.
Christopher J D WallisDivision of Urology and Surgical Oncology, Department of Surgery, Princess Margaret Cancer Centre, University Health Network, University of Toronto, Toronto, ON, Canada.ORCID 0000-0002-5990-4026
Raj SatkunasivamDepartment of Urology, Houston Methodist Hospital, Houston, TX, USA.
Methodist Hospital · USAugusta University · USMount Sinai Hospital · CAVanderbilt University Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo synthesise available data regarding the disease-free survival (DFS) benefit of adjuvant immune checkpoint inhibitors (ICIs) for patients with renal cell carcinoma (RCC) and evaluate the overall safety profile of ICIs in this setting. MATERIALS AND

methodsWe utilised PubMed, Embase, and relevant conference proceedings to identify phase III randomised controlled trials comparing adjuvant ICIs vs placebo/observation for RCC. The primary outcome of interest was DFS. Variables for subgroup analyses were programmed death-ligand 1 (PD-L1) expression, sarcomatoid features, nephrectomy type, and disease-risk category. Secondary outcomes included Grade ≥3 adverse events (AEs), immune-related AEs, and treatment discontinuation due to AEs. All outcomes were analysed using random-effects models owing to inter-study heterogeneity.

resultsAmong the four included studies, one demonstrated a significant DFS benefit. There was considerable clinical and statistical heterogeneity (I

conclusionThe evidence base to date regarding ICIs as adjuvant therapy in RCC is mixed - conclusions are limited by considerable heterogeneity between studies. However, pooled analyses suggest that patients with positive PD-L1 expression or sarcomatoid features are most likely to benefit from adjuvant immunotherapy.

Indexed as

Carcinoma, Renal CellKidney NeoplasmsAdjuvants, ImmunologicB7-H1 AntigenDisease-Free SurvivalHumansImmunotherapyAdjuvants, ImmunologicB7-H1 Antigenadjuvantdisease-free survivalimmunotherapy#kcsm#KidneyCancerrenal cell carcinomasafety#uroonc

Identifiers

PMID36709462
OpenAlexW4318450598

What OpenQuestion holds

Textmetadata
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.