Evidence map›Paper›PMID 39404957›Full record

ReviewJournal of nephrology2025

Management of cytotoxic chemotherapy in patients undergoing dialysis: a still unresolved issue of onconephrology.

Marta Pirovano, Carlo Ganini, Maurizio Gallieni, Camillo Porta, Laura Cosmai

Abstract readReview
In one paragraph

Review in Journal of nephrology, 2025. 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

5 authors.

Marta PirovanoOnconephrology Outpatients Clinic, Division of Nephrology and Dialysis, ASST Fatebenefratelli Sacco, Fatebenefratelli Hospital, Piazzale Principessa Clotilde 3, 20121, Milan, Italy. marta.pirovano@unimi.it.ORCID http://orcid.org/0000-0002-9737-7052
Carlo GaniniInterdisciplinary Department of Medicine, University of Bari "Aldo Moro", Bari, Italy.
Maurizio GallieniDepartment of Biomedical and Clinical Sciences, University of Milan, Milan, Italy.
Camillo PortaInterdisciplinary Department of Medicine, University of Bari "Aldo Moro", Bari, Italy.
Laura CosmaiOnconephrology Outpatients Clinic, Division of Nephrology and Dialysis, ASST Fatebenefratelli Sacco, Fatebenefratelli Hospital, Piazzale Principessa Clotilde 3, 20121, Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The incidence of tumors increases significantly in individuals with chronic kidney disease (CKD), particularly among those undergoing dialysis. This dialysis-associated condition not only impacts therapy but also influences the prognosis of oncological patients, contributing to heightened mortality rates related to both cancer and non-cancer causes. Importantly, it stands as a primary factor leading to suboptimal utilization of therapies. Dosage adjustment for many types of chemotherapy is a necessity in patients with kidney impairment. However, due to a lack of comprehensive knowledge about the pharmacokinetic and pharmacodynamic properties of these drugs in dialysis, adjustments are often made empirically, and in many cases, chemotherapy is avoided altogether. In this review, we highlight the current challenges and gaps in knowledge, and emphasize the imperative need for dedicated research to establish evidence-based guidelines for chemotherapy management in this vulnerable patient population.

Indexed as

Antineoplastic AgentsNeoplasmsRenal DialysisRenal Insufficiency, ChronicHumansNephrologyAntineoplastic AgentsChemotherapyCKDDialysisESRDOnco-nephrology

Identifiers

PMID39404957
PMCPMC12289775

What OpenQuestion holds

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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.