Evidence map›Paper›PMID 39589523›Full record

ArticleWorld journal of urology2024

Squamous cell carcinoma of the upper urinary tract: clinical characteristics, treatment patterns, and survival outcomes in the National Cancer Database.

Christopher Connors, Olamide Omidele, Nir Tomer, Micah Levy, Reza Mehrazin, Ketan Badani, John P Sfakianos

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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.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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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

3 citing papers in PubMed.

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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.

Christopher ConnorsDepartment of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USA. christopher.connors@icahn.mssm.edu.ORCID http://orcid.org/0000-0003-3143-8745
Olamide OmideleDepartment of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Nir TomerDepartment of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Micah LevyDepartment of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Reza MehrazinDepartment of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Ketan BadaniDepartment of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
John P SfakianosDepartment of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe sought to investigate the disease characteristics, treatment patterns, and survival outcomes of upper urinary tract squamous cell carcinoma (UT-SCC) using the National Cancer Database (NCDB).

methodsThe NCDB was queried for UT-SCC patients from 2004 to 2020. Patients with upper tract urothelial carcinoma (UTUC) were also identified for comparison with UT-SCC. Baseline characteristics were compared between UT-SCC and UTUC patients. Kaplan-Meier analysis assessed stage-based differences in median overall survival (mOS) between 1:4 propensity-matched cohorts of UT-SCC and UTUC patients. Predictors of mortality were assessed via multivariate cox regression.

results644 cases of UT-SCC and 55,994 cases of UTUC were identified. Compared to UTUC, UT-SCC patients were more likely to have a higher TNM stage, lymphovascular invasion, and positive surgical margins. UT-SCC demonstrated a comparable mOS to UTUC for non-metastatic T1-T2 disease (74.84 vs. 106.38 months, p = 0.353) and metastatic disease (5.62 vs. 7.16 months, p = 0.058). However, UT-SCC carried a poorer prognosis for carcinoma in situ (45.14 vs. 69.32 months, p = 0.032) and non-metastatic T3-T4 disease (13.63 vs. 31.93 months, p < 0.001). Moreover, we found increasing T stage, metastatic disease, and positive surgical margins to be significant predictors of UT-SCC mortality. Lastly, we found that surgery does not confer a survival benefit over other management strategies for metastatic UT-SCC.

conclusionsUT-SCC is a rare, aggressive malignancy that typically presents with a more advanced stage than UTUC. Surgical margin status may represent one of the most salient predictors of UT-SCC mortality. Further studies are needed to best define treatment strategy for this uncommon malignancy.

Indexed as

Carcinoma, Squamous CellDatabases, FactualKidney NeoplasmsUreteral NeoplasmsAgedAged, 80 and overCarcinoma, Transitional CellFemaleHumansMaleMiddle AgedNeoplasm StagingRetrospective StudiesSurvival RateUnited StatesRenal pelvisSquamous cell carcinomaSurvival analysisUpper tract urothelial cell carcinomaUreter

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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.