Evidence map›Paper›PMID 38678165›Full record

ArticleWorld journal of urology2024

Patient's self-reported quality of life as a prognostic factor in metastatic renal cell carcinoma initially treated with TKI: nomogram proposal.

Guillermo Lendínez-Cano, Ángel Vilches-Arenas, Belen Congregado-Ruíz, Rafael Medina-López

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Article 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 3 papers.

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3citing papers in PubMed
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1 · What the graph read from it

What it found

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3 · Its place in the literature

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3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Guillermo Lendínez-CanoUrology and Nephrology Department, Oncologic Urology Unit, University Hospital Virgen del Rocío, Av. Manuel Siurot, S/n, 41013, Seville, Spain. glendinez@gmail.com.
Ángel Vilches-ArenasPreventive Medicine and Public Health Department, Seville University, Seville, Spain.
Belen Congregado-RuízUrology and Nephrology Department, Oncologic Urology Unit, University Hospital Virgen del Rocío, Av. Manuel Siurot, S/n, 41013, Seville, Spain.
Rafael Medina-LópezUrology and Nephrology Department, Oncologic Urology Unit, University Hospital Virgen del Rocío, Av. Manuel Siurot, S/n, 41013, Seville, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNumerous prognostic factors have been described for metastatic renal cell carcinoma (mRCC). There are nomograms to assist in clinical decision-making and inform patients of their disease progression. However, they have a limited capacity and moderate concordance rates. Performance status (PS) is one of the most widely used prognostic factors and most closely related to overall survival (OS), but this is a subjective assessment based solely on the clinician's opinion. Patients must be at the center of care. Patient-reported outcomes (PROs) have shown benefits but are not widespread in daily clinical practice.

methodsWe analyzed 78 consecutive patients diagnosed with mRCC who initiated treatment at our institution between September 2012 and September 2019. We performed a descriptive analysis of the sample's baseline characteristics and the NCCN FKSI 19 questionnaire. We also conducted a survival analysis.

resultsThe baseline FKSI 19 score demonstrates its prognostic potential, HR of 0.94 (95% CI 0.92-0.97). Our prognostic model would include: FKSI < 58 (HR 3.61 95% CI 1.97-6.61), anemia, thrombocytosis, non-clear cell histology, and metastatic hepatic involvement. AUC 0.86 (95%CI 0.77-0.95).

conclusionAlthough it would need external validation, the proposed nomogram could be an alternative to other previously described models. The NCCN FKSI 19 baseline score could replace the clinician's subjective determination of PS. CLINICAL

trial registrationNot applicable.

Indexed as

Carcinoma, Renal CellKidney NeoplasmsNomogramsQuality of LifeAdultAgedFemaleHumansMaleMiddle AgedNeoplasm MetastasisPatient Reported Outcome MeasuresPrognosisProtein Kinase InhibitorsRetrospective StudiesSelf ReportProtein Kinase InhibitorsFKSIMetastatic renal cell carcinomaNomogramPrognostic factorQuality of life

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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.