Evidence map›Paper›PMID 36765656›Full record

ArticleCancers2023

Sutureless Purely Off-Clamp Robot-Assisted Partial Nephrectomy: Avoiding Renorrhaphy Does Not Jeopardize Surgical and Functional Outcomes.

Aldo Brassetti, Leonardo Misuraca, Umberto Anceschi, Alfredo Maria Bove, Manuela Costantini, Maria Consiglia Ferriero, Salvatore Guaglianone, Riccardo Mastroianni, Giulia Torregiani, Marco Covotta and 2 more

Abstract read
In one paragraph

Article in Cancers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

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

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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

12 authors.

Aldo BrassettiDepartment of Urology, IRCCS "Regina Elena" National Cancer Institute, 00144 Rome, Italy.ORCID 0000-0001-9643-8979
Leonardo MisuracaDepartment of Urology, IRCCS "Regina Elena" National Cancer Institute, 00144 Rome, Italy.
Umberto AnceschiDepartment of Urology, IRCCS "Regina Elena" National Cancer Institute, 00144 Rome, Italy.
Alfredo Maria BoveDepartment of Urology, IRCCS "Regina Elena" National Cancer Institute, 00144 Rome, Italy.
Manuela CostantiniDepartment of Urology, IRCCS "Regina Elena" National Cancer Institute, 00144 Rome, Italy.
Maria Consiglia FerrieroDepartment of Urology, IRCCS "Regina Elena" National Cancer Institute, 00144 Rome, Italy.
Salvatore GuaglianoneDepartment of Urology, IRCCS "Regina Elena" National Cancer Institute, 00144 Rome, Italy.
Riccardo MastroianniDepartment of Urology, IRCCS "Regina Elena" National Cancer Institute, 00144 Rome, Italy.
Giulia TorregianiDepartment of Anesthesiology, IRCCS "Regina Elena" National Cancer Institute, 00144 Rome, Italy.
Marco CovottaDepartment of Anesthesiology, IRCCS "Regina Elena" National Cancer Institute, 00144 Rome, Italy.
Gabriele TudertiDepartment of Urology, IRCCS "Regina Elena" National Cancer Institute, 00144 Rome, Italy.ORCID 0000-0003-4480-9090
Giuseppe SimoneDepartment of Urology, IRCCS "Regina Elena" National Cancer Institute, 00144 Rome, Italy.ORCID 0000-0002-4868-9025

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To compare outcomes of sutureless (SL) vs. renorrhaphy (RR) off-clamp robotic partial nephrectomy (ocRPN), we retrospectively analyzed procedures performed at our center, from January 2017 to April 2021, for cT1-2N0M0 renal masses. All the patients with a minimum follow-up < 1 month were excluded from the analysis. The trifecta rate defined surgical quality. Any worsening from chronic kidney disease (CKD) I-II to ≧ IIIa (from IIIa to ≧ IIIb, and from IIIb to ≧ IV) was considered as significant stage migration (sCKDsm). A 1:1 propensity score-matched (PSM) analysis minimized baseline imbalances between SL and RR cohorts in terms of age, gender, ASA score, baseline estimated glomerular filtration rate (eGFR), tumor size, and RENAL score. Logistic regression analyses identified predictors of trifecta achievement. Kaplan-Meier (KM) analysis assessed the impact of RR on significant chronic kidney disease sCKDsm-free survival (SMFS), while Cox regression analyses identified its predictors. Overall, 531 patients were included, with a median tumor size of 3.5 cm (IQR: 2.7-5); 70 (13%) presented with a cT2 mass. An SL approach was pursued in 180 cases, but 10 needed conversion to RR. After PSM analysis, patients receiving SL showed a higher trifecta rate (94% vs. 84%;

Indexed as

partial nephrectomyrenal cancerrenal functionrenorrhaphysutureless

Identifiers

PMID36765656
PMCPMC9913582

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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.