Evidence map›Paper›PMID 40897796›Full record

ArticleScientific reports2025

Perirenal fat thickness may be a significant predictor of prognosis and postoperative renal function in renal cancer surgery patients.

Huancheng Tang, Ye Xie, Ling Yang, Lihao Zhang, Qiao Fu, Yixin Huang, Tingxuan Huang, Dongxiang Wen, Baokui Ye, Xiaofeng Yang and 4 more

Abstract read
In one paragraph

Article in Scientific reports, 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

14 authors.

Huancheng Tang *Department of Urology, Wuhan Third Hospital, Tongren Hospital of Wuhan University, Wuhan, China.
Ye Xie *Department of Urology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
Ling Yang *Department of Anesthesiology, Affiliated Hospital of Hebei University, Baoding, China. 646459332@qq.com.
Lihao Zhang *Departments of Urology, Sun Yat-sen University Cancer Center, Dongfengdonglu 651, Guangzhou, China.
Qiao Fu *Department of Urology, Wuhan Third Hospital, Tongren Hospital of Wuhan University, Wuhan, China.
Yixin HuangDepartments of Urology, Sun Yat-sen University Cancer Center, Dongfengdonglu 651, Guangzhou, China.
Tingxuan HuangDepartments of Urology, Sun Yat-sen University Cancer Center, Dongfengdonglu 651, Guangzhou, China.
Dongxiang WenDepartments of Urology, Sun Yat-sen University Cancer Center, Dongfengdonglu 651, Guangzhou, China.
Baokui YeDepartments of Urology, Sun Yat-sen University Cancer Center, Dongfengdonglu 651, Guangzhou, China.
Xiaofeng YangDepartments of Urology, Sun Yat-sen University Cancer Center, Dongfengdonglu 651, Guangzhou, China.
Zhiling ZhangDepartments of Urology, Sun Yat-sen University Cancer Center, Dongfengdonglu 651, Guangzhou, China.
Fangjian ZhouDepartments of Urology, Sun Yat-sen University Cancer Center, Dongfengdonglu 651, Guangzhou, China.
Yulu PengDepartments of Urology, Sun Yat-sen University Cancer Center, Dongfengdonglu 651, Guangzhou, China. pengyl1@sysucc.org.cn.
Wei ZhangDepartment of Urology, Wuhan Third Hospital, Tongren Hospital of Wuhan University, Wuhan, China. vonbasten@163.com.

Funding

China Postdoctoral Science Foundation NO. 2023M734038National Natural Science Foundation of China No. 82203288, 82203320, 82273031, 82273311, 82303922 and 82373225National Postdoctoral Program for Innovative Talents NO. BX20220363Science Fund for Distinguished Young Scholars of Guangdong Province No. 2021B1515020077Wuhan Natural Science Foundation Exploration Project 2024040801020372
6 · The paper itself

Abstract

Renal cell carcinoma accounts for a significant number of kidney malignancy-related fatalities globally. Perirenal Fat Thickness (PRFT) may indicate a state of nutritional excess in patients, which is potentially directly linked to both the incidence and prognosis of kidney cancer. This study investigated the association between perirenal fat thickness (PRFT) and overall survival (OS), as well as the predictive value of PRFT for postoperative estimated glomerular filtration rate (eGFR) in patients with renal cell carcinoma (RCC). A retrospective cohort of 1647 RCC patients from 2014 to 2021 was analyzed, divided into radical nephrectomy (RN) and partial nephrectomy (PN) groups. Preoperative measurements included visceral fat area, PRFT, and subcutaneous fat area. Kaplan-Meier curves compared OS between high and low PRFT groups, while Cox regression analyses identified prognostic factors for OS, and linear regression analyses assessed predictors of postoperative eGFR. PRFT significantly influenced OS in RN patients in univariate analysis (HR: 0.32; 95% CI: 0.19-0.52; P < 0.001), but not in PN patients. After adjusting for covariates such as age, sex, sarcomatoid features, necrosis, T stage, Fuhrman grade, smoking status, subcutaneous adipose tissue, and BMI, PRFT remained an independent risk factor for OS (HR: 0.56; 95% CI: 0.33-0.96; P < 0.001). Kaplan-Meier analysis showed that higher PRFT was associated with improved OS in RN patients. Univariate linear regression revealed that high PRFT correlated with reduced postoperative eGFR in both RN (β = -0.2, P = 0.002) and PN (β = -0.34, P < 0.001) groups; however, this correlation was not significant after multivariate adjustment. In conclusion, Low PRFT is independently associated with higher mortality in RCC patients undergoing RN. High PRFT is associated with reduced postoperative eGFR in initial analyses, but this association was not significant in multivariate analysis.

Indexed as

Carcinoma, Renal CellIntra-Abdominal FatKidneyKidney NeoplasmsAgedFemaleGlomerular Filtration RateHumansKaplan-Meier EstimateMaleMiddle AgedNephrectomyPostoperative PeriodPrognosisRetrospective StudiesPerirenal fat thicknessPrognosisRenal cancerRenal function

Identifiers

PMID40897796
PMCPMC12405544

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.