Evidence map›Paper›PMID 40317391›Full record

Observational studyWorld journal of urology2025

Influence of tumour location on the survival outcomes of upper tract urothelial carcinoma treated with radical nephroureterectomy.

Kang Liu, David Ka-Wai Leung, Chris Ho-Ming Wong, Ivan Ching-Ho Ko, Rahim Horuz, Paolo Gontero, Pilar Laguna, Jean de la Rosette, Jeremy Yuen-Chun Teoh

Registry-linked trialAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in World journal of urology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02281188 (Registry for Treatment of Upper Urinary Tract Tumours; A Multi-Center, International Registry to Evaluate the Treatment of Upper Tract Urothelial Cancer), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT02281188 unknown statusnot on this map

Registry for Treatment of Upper Urinary Tract Tumours; A Multi-Center, International Registry to Evaluate the Treatment of Upper Tract Urothelial Cancer: Incidence, Indications, Treatment Types and Outcomes.

Typeobservational_patient_registrySponsorClinical Research Office of the Endourological SocietyRan2014 to 2024Enrolled2,451ConditionsUpper Urinary Tract Tumours
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Observational
  2. 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

9 authors.

Kang Liu *Department of Surgery, S.H. Ho Urology Centre, The Chinese University of Hong Kong, Hong Kong, China.
David Ka-Wai Leung *Department of Surgery, S.H. Ho Urology Centre, The Chinese University of Hong Kong, Hong Kong, China.
Chris Ho-Ming WongDepartment of Surgery, S.H. Ho Urology Centre, The Chinese University of Hong Kong, Hong Kong, China.
Ivan Ching-Ho KoDepartment of Surgery, S.H. Ho Urology Centre, The Chinese University of Hong Kong, Hong Kong, China.
Rahim HoruzInternational School of Medicine, Istanbul Medipol University, Istanbul, Turkey.
Paolo GonteroDepartment of Urology, University of Turin, Turin, Italy.
Pilar LagunaInternational School of Medicine, Istanbul Medipol University, Istanbul, Turkey.
Jean de la RosetteInternational School of Medicine, Istanbul Medipol University, Istanbul, Turkey.
Jeremy Yuen-Chun TeohDepartment of Surgery, S.H. Ho Urology Centre, The Chinese University of Hong Kong, Hong Kong, China. jeremyteoh@surgery.cuhk.edu.hk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the impact of tumour location on the survival outcomes of patients with upper tract urothelial carcinoma (UTUC) after radical nephroureterectomy (RNU).

methodPatients with ureteral urothelial carcinoma (UUC) or renal pelvic urothelial carcinoma (RPUC) of the Clinical Research Office of the Endourology Society (CROES)-UTUC registry were analyzed. Study outcomes included overall survival (OS), cancer-specific survival (CSS), intravesical recurrence-free survival (IRFS), and progression-free survival (PFS), which were compared using Kaplan-Meier method with log-rank test. Propensity score matching (PSM) was performed to balance the differences in tumour features between the two groups.

resultThe UUC and RPUC groups consisted of 309 (41.9%) and 429 (58.1%) patients, respectively. RPUC group had larger tumour size (77.9% ≥ 2 cm vs 67.0% in UUC, p < 0.01), and more T3/T4 tumours (36.4% vs. 22. 0%, p < 0.01). The UUC group exhibited worse PFS compared to the RPUC group ( p = 0.029 for the initial analysis and p = 0.013 after PSM). However, there were no significant differences in OS (p = 0.088 before PSM and p = 0.255 after PSM), CSS (p = 0.106 before PSM and p = 0.101 after PSM), or IRFS (p = 0.112 before PSM and p = 0.28 after PSM) between the two groups.

conclusionPatients with ureteral urothelial carcinoma exhibited worse PFS compared to those with renal pelvic urothelial carcinoma. However, no significant differences were observed in OS, CSS, or IRFS between the two tumour locations. UTUC patients should be counselled about their individualized prognosis accordingly. REGISTRATION: NCT02281188.

Indexed as

Carcinoma, Transitional CellKidney NeoplasmsKidney PelvisNephroureterectomyUreteral NeoplasmsAgedFemaleHumansMaleMiddle AgedRetrospective StudiesSurvival RateTreatment OutcomeLocationRadical NephroureterectomySurvivalUpper Tract Urothelial Carcinoma

Identifiers

PMID40317391
PMCPMC12049378

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Registered trials

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.