Evidence map›Paper›PMID 36900286›Full record

ArticleCancers2023

Impact of Time to Surgery on Outcome in Wilms Tumor Treated with Preoperative Chemotherapy.

Clemens-Magnus Meier, Rhoikos Furtwängler, Marvin Mergen, Nils Welter, Patrick Melchior, Jens-Peter Schenk, Christian Vokuhl, Leo Kager, Sabine Kroiss-Benninger, Stefan Wagenpfeil and 1 more

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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 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. Review
  3. Exploring theFrontiers in physiology · 2025
    Article
  4. Article
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

11 authors.

Clemens-Magnus MeierDepartment of General Surgery, Visceral, Vascular and Pediatric Surgery, Saarland University Medical Center, 66424 Homburg, Germany.ORCID 0000-0001-5553-6302
Rhoikos FurtwänglerDepartment of Pediatric Oncology and Hematology, Saarland University Medical Center, 66424 Homburg, Germany.ORCID 0000-0002-1967-8343
Marvin MergenDepartment of Pediatric Oncology and Hematology, Saarland University Medical Center, 66424 Homburg, Germany.ORCID 0000-0002-3891-580X
Nils WelterDepartment of Pediatric Oncology and Hematology, Saarland University Medical Center, 66424 Homburg, Germany.ORCID 0000-0001-9874-4726
Patrick MelchiorDepartment of Radiation Oncology, Saarland University Medical Center, 66424 Homburg, Germany.
Jens-Peter SchenkPediatric Radiology Section, Department for Diagnostic and Interventional Radiology, University Hospital Heidelberg, 69120 Heidelberg, Germany.
Christian VokuhlInstitute of Pathology, University Hospital Bonn, 53127 Bonn, Germany.
Leo KagerSt. Anna Children's Hospital, Department of Pediatrics, Medical University Vienna, 1090 Vienna, Austria.ORCID 0000-0003-4954-6488
Sabine Kroiss-BenningerDepartment of Oncology, University Children's Hospital Zürich, 8032 Zurich, Switzerland.
Stefan WagenpfeilInstitute for Medical Biometry, Epidemiology and Medical Informatics, Saarland University, Campus Homburg, 66424 Homburg, Germany.
Norbert GrafDepartment of Pediatric Oncology and Hematology, Saarland University Medical Center, 66424 Homburg, Germany.ORCID 0000-0002-2248-323X

Funding

Elterninitiative krebskranker Kinder im Saarland e.V.German Cancer Aid 70-1899 and 50-2709-GR2
6 · The paper itself

Abstract

(1) Background: Wilms tumor (WT) treated preoperatively is cured in over 90% of cases. However, how long preoperative chemotherapy can be given is unknown. (2) Methods: 2561/3030 patients with WT (age < 18 years) treated between 1989 and 2022 according to SIOP-9/GPOH, SIOP-93-01/GPOH, and SIOP-2001/GPOH are retrospectively analyzed to assess the risk of time to surgery (TTS) for relapse-free survival (RFS) and overall survival (OS). (3) Results: TTS was calculated for all surgeries, with the mean being 39 days (38.5 ± 12.5) for unilateral tumors (UWT) and 70 days (69.9 ± 32.7) for bilateral disease (BWT). Relapse occurred in 347 patients, of which 63 (2.5%) were local, 199 (7.8%) were metastatic, and 85 (3.3%) were combined. Moreover, 184 patients (7.2%) died, 152 (5.9%) due to tumor progression. In UWT, recurrences and mortality are independent of TTS. For BWT without metastases at diagnosis, the incidence of recurrence is less than 18% up to 120 days and increases to 29% after 120 days, and to 60% after 150 days. The risk of relapse (Hazard Ratio) adjusted for age, local stage, and histological risk group increases to 2.87 after 120 days (CI 1.19-7.95,

Indexed as

overall survivalpreoperative chemotherapyrelapse-free survivalsurgerytime to surgeryWilms tumor

Identifiers

PMID36900286
PMCPMC10001069

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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.