Evidence map›Paper›PMID 40542227›Full record

ReviewNature reviews. Urology2025

Updated favourable-histology Wilms tumour risk stratification: rationale for future Children's Oncology Group clinical trials.

Daniel J Benedetti, Nicholas G Cost, Peter F Ehrlich, Nicholas Evageliou, Elizabeth Fialkowski, Lauren N Parsons, Kelly L Vallance, Lindsay A Renfro, Andrew L Hong, Jennifer H Aldrink and 8 more

Abstract readReview
In one paragraph

Review in Nature reviews. Urology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
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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

18 authors.

Daniel J Benedetti *Department of Pediatrics, Division of Hematology/Oncology, Vanderbilt University Medical Center, Nashville, TN, USA. Daniel.Benedetti@vumc.org.ORCID 0000-0003-1524-3518
Nicholas G Cost *Department of Surgery, Division of Urology and Surgical Oncology Program at Children's Hospital Colorado, University of Colorado School of Medicine, Aurora, CO, USA.
Peter F EhrlichSection of Pediatric Surgery, University of Michigan, Ann Arbor, MI, USA.
Nicholas EvageliouDivision of Oncology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.ORCID 0000-0002-5567-0007
Elizabeth FialkowskiDepartment of Surgery, Division of Pediatric Surgery, Oregon Health and Science University, Portland, OR, USA.
Lauren N ParsonsMedical College of Wisconsin, Children's Hospital of Wisconsin, Milwaukee, WI, USA.
Kelly L VallanceHematology and Oncology, Cook Children's Medical Center, Fort Worth, TX, USA.ORCID 0000-0003-4185-921X
Lindsay A RenfroDivision of Biostatistics, University of Southern California, Los Angeles, California, and Children's Oncology Group, Los Angeles, CA, USA.
Andrew L HongAflac Cancer and Blood Disorders Center, Children's Healthcare of Atlanta, Emory University School of Medicine, Atlanta, GA, USA.ORCID 0000-0003-0374-1667
Jennifer H AldrinkDepartment of Surgery, Division of Pediatric Surgery, Nationwide Children's Hospital, Ohio State University College of Medicine, Columbus, OH, USA.
Luke PaterDepartment of Radiation Oncology, University of Cincinnati, Cincinnati, OH, USA.
Arnold C PaulinoDepartment of Radiation Oncology, University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Jesse K SandbergDepartment of Radiology, Stanford University School of Medicine, Palo Alto, CA, USA.
Ethan A SmithDepartment of Radiology, Cincinnati Children's Hospital Medical Center, University of Cincinnati, Cincinnati, OH, USA.
Amy L TreeceDepartment of Pathology and Laboratory Medicine, Children's of Alabama, Birmingham, AL, USA.
Jeffrey S DomeDivision of Oncology, Children's National Hospital, Washington, DC, USA.
James I GellerDivision of Oncology, Cincinnati Children's Hospital Medical Center, University of Cincinnati, Cincinnati, OH, USA.
Elizabeth A MullenDepartment of Pediatric Hematology/Oncology, Dana-Farber Cancer Institute/Boston Children's Hospital, Boston, MA, USA.ORCID 0000-0002-6704-0002

Funding

NCTN BIQSFP ANBL1531 (NRT)U10CA180886 · NCI · PUBLIC HEALTH INSTITUTE · PI Douglas S. Hawkins · 2014 to 2026
$390.6M
COG SDMC - Statistics CoreU10CA180899 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI TODD A ALONZO · 2014 to 2026
$132.8M
Development, review, and conduct of Children's Oncology Group (COG) Clinical TrialsR50CA275931 · NCI · CHILDREN'S RESEARCH INSTITUTE · PI JEFFREY S DOME · 2023 to 2026
$569k
NCI NIH HHS R50 CA275931NCI NIH HHS U10 CA180886NCI NIH HHS U10 CA180899
6 · The paper itself

Abstract

Patients with Wilms tumour have benefited from the results of decades of large collaborative clinical trials, leading to improved care. In the National Wilms Tumor Study Group and now Children's Oncology Group (COG) trials, risk stratification evolved and expanded with each generation of studies and, therefore, ensuring that each patient receives the appropriate therapy has become increasingly complex. A new risk stratification system has been developed that forms the basis of the upcoming COG favourable-histology Wilms tumour (FHWT) study. Topics of diagnostic and prognostic uncertainty, such as the findings of tumour pulmonary emboli or extra-abdominal lymphadenopathy at diagnosis, will be integrated into the central review determination of staging of FHWT by committee consensus to facilitate clinical classification for therapeutic studies. Clear documentation of the elements of current risk stratification are of particular importance as refinement of the classification of patients with FHWT continues in an effort to optimize research, personalize treatment and provide an educational resource.

Indexed as

Clinical Trials as TopicKidney NeoplasmsWilms TumorChildHumansRisk Assessment

Identifiers

PMID40542227
PMCPMC12857563

What OpenQuestion holds

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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.