Evidence map›Paper›PMID 36980748›Full record

ArticleCancers2023

Clinical Determinants of Extraurinary Tract Recurrence and Survival after Radical Surgery for pT2 Upper Tract Urothelial Carcinoma.

Yun-Ching Huang, Jui-Ming Liu, Hui-Ying Liu, Yin-Lun Chang, Chih-Shou Chen, Dong-Ru Ho, Chun-Te Wu, Miao-Fen Chen, Hung-Jen Wang, Hao-Lun Luo

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Article in Cancers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

10 authors.

Yun-Ching HuangDepartment of Urology, Chang Gung Memorial Hospital, Chiayi 613, Taiwan.ORCID 0000-0002-5683-8406
Jui-Ming LiuDepartment of Urology, Taoyuan General Hospital, Ministry of Health and Welfare, Taoyuan 330, Taiwan.ORCID 0000-0003-3868-085X
Hui-Ying LiuDepartment of Urology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung 833, Taiwan.
Yin-Lun ChangDepartment of Urology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung 833, Taiwan.
Chih-Shou ChenDepartment of Urology, Chang Gung Memorial Hospital, Chiayi 613, Taiwan.
Dong-Ru HoDepartment of Urology, Chang Gung Memorial Hospital, Chiayi 613, Taiwan.
Chun-Te WuDepartment of Urology, Chang Gung Memorial Hospital, Linkou, Taoyuan 333, Taiwan.
Miao-Fen ChenDepartment of Radiation Oncology, Chang Gung Memorial Hospital, Linkou, Taoyuan 333, Taiwan.
Hung-Jen WangDepartment of Urology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung 833, Taiwan.
Hao-Lun LuoDepartment of Urology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung 833, Taiwan.

Funding

Chang Gung Medical Foundation BMRPB51
6 · The paper itself

Abstract

backgroundOncologic outcomes for pT2N0M0 upper tract urothelial carcinoma (UTUC) after nephroureterectomy are not well defined, with most previous studies focused on a heterogeneous population. Therefore, we aimed to investigate the clinical determinants of extraurinary tract recurrence and survival after radical surgery in patients with localized UTUC.

methodsWe retrospectively identified 476 patients with pT2N0M0 UTUC who underwent radical nephroureterectomy or ureterectomy between October 2002 and March 2022. To evaluate the prognostic impact, patients were divided into renal pelvic, ureteral, and both-region (renal pelvis plus synchronous ureter) groups based on tumor location. The outcomes included recurrence-free survival (RFS), cancer-specific survival (CSS), and overall survival (OS). Associations were evaluated using multivariable Cox regression analyses for prognostic factors and Kaplan-Meier analyses for survival curves.

resultsThe renal pelvic, ureteral, and both-region groups consisted of 151 (31.7%), 314 (66.0%), and 11 (2.3%) patients, respectively. Kaplan-Meier analyses comparing the three tumor types showed significant differences in 5-year RFS (83.6% vs. 73.6% vs. 52.5%,

conclusionsPatients with pT2 UTUC and presence of ureteral involvement had more frequent disease relapse. Subsequent adjuvant therapy regimens and close follow-up in patients with negative prognostic factors are warranted despite complete pathological removal of the tumor.

Indexed as

nephroureterectomyrecurrencesurvivalupper tract urothelial carcinomaureterectomy

Identifiers

PMID36980748
PMCPMC10047134

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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.