Evidence map›Paper›PMID 38244094›Full record

ReviewWorld journal of urology2024

Surgical metastasectomy for metastatic renal cell carcinoma in the era of targeted and immune therapy: a narrative review.

Georges Abi Tayeh, Marwan Alkassis, Alexandre De La Taille, Dimitri Vordos, Cécile Maud Champy, Tiphaine Pelegrin, Alexandre Ingels

Abstract readReview
PubMed Publisher
In one paragraph

Review in World journal of urology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 11% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. 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

7 authors at 3 institutions in 1 country.

Georges Abi TayehDepartment of Urology, Henri Mondor Hospital, University of Paris Est Créteil, Créteil, France. georges.abitayeh1@gmail.com.ORCID http://orcid.org/0000-0002-0921-3083
Marwan AlkassisDepartment of Urology, Henri Mondor Hospital, University of Paris Est Créteil, Créteil, France.ORCID http://orcid.org/0000-0002-8203-7952
Alexandre De La TailleDepartment of Urology, Henri Mondor Hospital, University of Paris Est Créteil, Créteil, France.
Dimitri VordosDepartment of Urology, Henri Mondor Hospital, University of Paris Est Créteil, Créteil, France.
Cécile Maud ChampyDepartment of Urology, Henri Mondor Hospital, University of Paris Est Créteil, Créteil, France.ORCID http://orcid.org/0000-0002-3103-4399
Tiphaine PelegrinDepartment of Urology, Henri Mondor Hospital, University of Paris Est Créteil, Créteil, France.
Alexandre IngelsDepartment of Urology, Henri Mondor Hospital, University of Paris Est Créteil, Créteil, France.
Université Paris-Est Créteil · FRInserm · FRCentre National de la Recherche Scientifique · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMetastatic renal cell carcinoma (mRCC) still harbours a big propensity for future metastasis. Combinations of immune and targeted therapies are currently the cornerstone of management with a less clear role for surgical metastasectomy (SM).

methodsWe performed a narrative review of literature searching for the available evidence on the yield of surgical metastasectomy in the era of targeted and immune therapies. The review consisted of a PubMed search of relevant articles using the Mesh terms:" renal cell carcinoma", "surgery», «resection", "metastasectomy", "molecular targeted therapies", "immune checkpoint inhibitors" alone or in combination.

resultsIn this review, we exposed the place of surgical metastasectomy within a multimodal treatment algorithm for mRCC Also, we detailed the patient selection criteria that yielded the best results when SM was performed. Finally, we discussed the feasibility and advantages of SM per organ site.

conclusionOur work was able to show that SM could be proposed as a consolidation treatment to excise residual lesions that were deemed unresectable prior to a combination of systemic therapies. Contrastingly, it can be proposed as an upfront treatment, leaving systemic therapies as an alternative in case of future relapse. However, patient selection regarding their performance status, metastatic sites, number of lesions and tumorous characteristics is of paramount importance.

Indexed as

Carcinoma, Renal CellKidney NeoplasmsMetastasectomyCombined Modality TherapyHumansNeoplasm Recurrence, LocalImmune checkpoint inhibitorsMetastasectomyMolecular targeted therapiesRenal cell carcinomaResectionSurgery

Identifiers

PMID38244094
OpenAlexW4391051620

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.