Evidence map›Paper›PMID 40796357›Full record

ArticleThe oncologist2025

The impact of surgery on patients with Von Hippel-Lindau-associated tumors: an international patient survey.

Murali Sundaram, Christian Atkinson, Charley Cooper, Gavin Taylor-Stokes, Joshua Mann, Othon Iliopoulos

Abstract read
In one paragraph

Article in The oncologist, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

2 citing papers in PubMed.

  1. Article
  2. Review
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

6 authors.

Murali SundaramMerck & Co. Inc., Rahway, NJ 07065, United States.
Christian AtkinsonAdelphi Real World, Bollington, SK10 5JB, United Kingdom.ORCID 0000-0002-9417-695X
Charley CooperAdelphi Real World, Bollington, SK10 5JB, United Kingdom.
Gavin Taylor-StokesAdelphi Real World, Bollington, SK10 5JB, United Kingdom.
Joshua MannVHL Alliance, Boston, MA 02132, United States.
Othon IliopoulosMassachusetts General Hospital Center of Cancer Research and Harvard Medical School, Boston, MA 02114, United States.ORCID 0009-0005-3709-7971

Funding

Merck & Co., Inc.Merck Sharp & Dohme LLC
6 · The paper itself

Abstract

backgroundVon Hippel-Lindau syndrome (VHL) is a rare hereditary neoplastic disorder caused by mutations in the VHL gene. Treatment options for patients are limited to multiple surgeries dispersed between regular scans, watchful waiting, and treatments that preserve organ function.

methodsAn international, cross-sectional survey comprising patients in the United States (USA), Canada (CA), the United Kingdom (UK), France (FR), and Germany (DE) was conducted. Patients were recruited via the VHL Alliance; data were collected between Dec 2021 and May 2022. For inclusion, patients must have renal cell carcinoma, pancreatic neuroendocrine tumors, and/or central nervous system hemangioblastoma.

resultsIn all, 220 patients (68.2% female, median age 40.0, median disease duration 15.8 years) in the USA (n = 108), CA (n = 37), the UK (n = 21), FR (n = 3), and DE (n = 51) completed the study. In this sample, n = 205 (93.2%) patients had experienced surgery; n = 171 (77.7%) had experienced multiple surgeries (median number of surgeries, 4.0); 166 (n = 75.5%) patients recorded data on their most recent surgery. Of these, patients reported that their most recent surgery worsened (scored 1-3) their fatigue (51.8%, n = 86), mental health (51.2%, n = 85), and ability to go about daily life (45.2%, n = 75). Approximately, 47.3% (n = 104) of patients selected reducing the number of surgeries as a top treatment goal, whereas 73% (n = 161) of patients indicated they would prefer to take a pill which would possibly delay the time until surgery.

conclusionSurgery negatively impacts the lives of patients, leading to a worsening in their fatigue, mental health, and ability to go about daily life.

Indexed as

Carcinoma, Renal CellHemangioblastomaKidney NeoplasmsNeuroendocrine TumorsPancreatic Neoplasmsvon Hippel-Lindau DiseaseAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedQuality of LifeSurveys and QuestionnairesUnited Kingdomreal-worldsurgery outcomestumor managementVon Hippel-Lindau syndrome

Identifiers

PMID40796357
PMCPMC12445666

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.