Evidence map›Paper›PMID 37894293›Full record

ReviewCancers2023

Oncological Efficacy of Robotic Nephroureterectomy vs. Open and Laparoscopic Nephroureterectomy for Suspected Non-Metastatic UTUC-A Systematic Review and Meta-Analysis.

Karthik Rajan, Ahmad Khalifa, Robert Geraghty, Kalpesh Parmar, Gokul KandaSwamy, Juan Gómez Rivas, Bhaskar Somani, Bhavan Prasad Rai

Open access · goldAbstract readReview
In one paragraph

Review in Cancers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
5.4field-weighted citation impact, top 4% 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

13 citing papers in PubMed, 17 citations in OpenAlex.

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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

8 authors at 4 institutions in 2 countries.

Karthik RajanDepartment of Urology, Freeman Hospital, Newcastle NE7 7PJ, UK.
Ahmad KhalifaDepartment of Urology, Freeman Hospital, Newcastle NE7 7PJ, UK.ORCID 0000-0003-1376-5697
Robert GeraghtyDepartment of Urology, Freeman Hospital, Newcastle NE7 7PJ, UK.
Kalpesh ParmarDepartment of Urology, Freeman Hospital, Newcastle NE7 7PJ, UK.
Gokul KandaSwamyDepartment of Urology, Morriston Hospital, Swansea SA6 6NL, UK.
Juan Gómez RivasDepartment of Urology, Hospital Clínico San Carlos, 28040 Madrid, Spain.ORCID 0000-0002-0556-3035
Bhaskar SomaniDepartment of Urology, University Hospital Southampton, Southampton SO16 6YD, UK.ORCID 0000-0002-6248-6478
Bhavan Prasad RaiDepartment of Urology, Freeman Hospital, Newcastle NE7 7PJ, UK.
Freeman Hospital · GBHospital Clínico San Carlos · ESMorriston Hospital · GBUniversity Hospital Southampton NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

INTRODUCTION AND

aimsThe optimal approach for nephroureterectomy in patients with suspected UTUC remains a point of debate. In this review, we compare the oncological outcomes of robotic nephroureterectomy (RNU) with open (ONU) or laparoscopic nephroureterectomy (LNU).

methodsAll randomized trials and observational studies comparing RNU with ONU and/or LNU for suspected non-metastatic UTUC are included in this review. The systematic review was performed in accordance with the Cochrane Guidelines and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The primary outcome measures were overall survival (OS), cancer-specific survival (CSS), disease-free survival (DFS), and intravesical recurrence-free survival (IV-RFS). The secondary outcome measures were the lymph node dissection (LND) rates, positive margin rates, and the proportion of patients receiving bladder intravesical chemotherapy.

resultsWe identified 8172 references through our electronic searches and 8 studies through manual searching. A total of 15 studies met the inclusion criteria. The total number of patients in the review was 18,964. RNU had superior OS compared to LNU (HR: 0.81 (95% CI: 0.71, 0.93),

conclusionRNU offers comparable oncological efficacy to ONU, except for intravesical recurrence-free survival (IV-RFS). RNU has fewer positive surgical margin rates compared to ONU in well-balanced studies. RNU appears to outperform LNU for certain oncological parameters, such as OS and the proportion of patients who receive lymph node dissections. The quality of evidence comparing surgical techniques for UTUC has remained poor in the last decade.

Indexed as

laparoscopic nephroureterectomyminimally invasive techniquesneoplasms of ureteropen nephroureterectomyradical nephroureterectomyrobotic nephroureterectomyrobotic surgeryupper tract urothelial carcinoma

Identifiers

PMID37894293
PMCPMC10605607
OpenAlexW4387537792

What OpenQuestion holds

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LicenceCC BY
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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.