Evidence map›Paper›PMID 38201523›Full record

ArticleCancers2023

Surgical Trends and Complications in Partial and Radical Nephrectomy: Results from the GRAND Study.

Nikolaos Pyrgidis, Gerald Bastian Schulz, Christian Stief, Iulia Blajan, Troya Ivanova, Annabel Graser, Michael Staehler

Open access · goldAbstract 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 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
6.2field-weighted citation impact, top 3% 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 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

7 authors at 1 institution in 1 country.

Nikolaos PyrgidisDepartment of Urology, LMU University Hospital, LMU Munich, 81377 Munich, Germany.
Gerald Bastian SchulzDepartment of Urology, LMU University Hospital, LMU Munich, 81377 Munich, Germany.ORCID 0000-0002-0340-0304
Christian StiefDepartment of Urology, LMU University Hospital, LMU Munich, 81377 Munich, Germany.
Iulia BlajanDepartment of Urology, LMU University Hospital, LMU Munich, 81377 Munich, Germany.
Troya IvanovaDepartment of Urology, LMU University Hospital, LMU Munich, 81377 Munich, Germany.
Annabel GraserDepartment of Urology, LMU University Hospital, LMU Munich, 81377 Munich, Germany.
Michael StaehlerDepartment of Urology, LMU University Hospital, LMU Munich, 81377 Munich, Germany.ORCID 0000-0002-4574-6522
LMU Klinikum · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe aimed to evaluate the current trends in renal cancer surgery, as well as to compare the perioperative outcomes of partial versus radical nephrectomy.

methodsWe used the GeRmAn Nationwide inpatient Data (GRAND), provided by the Research Data Center of the Federal Bureau of Statistics (2005-2021). We report the largest study in the field, with 317,843 patients and multiple patient-level analyses.

resultsOverall, 123,924 (39%) patients underwent partial and 193,919 (61%) underwent radical nephrectomy in Germany from 2005 to 2021. Of them, 57,308 (18%) were operated on in low-, 142,702 (45%) in intermediate-, and 117,833 (37%) in high-volume centers. A total of 249,333 (78%) patients underwent open, 44,994 (14%) laparoscopic, and 23,516 (8%) robotic nephrectomy. The number of patients undergoing renal surgery remained relatively stable from 2005 to 2021. Over the study period, the utilization of partial nephrectomy increased threefold, while radical nephrectomy decreased by about 40%. After adjusting for major risk factors in the multivariate regression analysis, radical nephrectomy was associated with 3.2-fold higher odds (95% CI: 3.2 to 3.9,

conclusionsMore patients are offered partial nephrectomy in Germany. Patients undergoing radical nephrectomy present with a higher rate of concomitant risk factors and have increased perioperative morbidity and mortality, prolonged hospitalization, and increased in-hospital costs.

Indexed as

cohort studymortalitypartial nephrectomyperioperative outcomesradical nephrectomy

Identifiers

PMID38201523
PMCPMC10778168
OpenAlexW4390174951

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.