Evidence map›Paper›PMID 40979684›Full record

ArticleAdvances in radiation oncology2025

Extracranial Palliative Radiation Therapy for Renal Cell Carcinoma.

Young Suk Kwon, Eric Hsu, Maggie Stein, Alana Christie, Aurelie Garant, Neil B Desai, Andrew Wang, Daniel X Yang, Allen Yen, Mihailo Miljanic and 9 more

Abstract read
In one paragraph

Article in Advances in radiation oncology, 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

19 authors.

Young Suk KwonDepartment of Radiation Oncology, University of Texas, Southwestern Medical Center, Dallas, Texas.
Eric HsuDepartment of Radiation Oncology, University of Texas, Southwestern Medical Center, Dallas, Texas.
Maggie SteinDepartment of Radiation Oncology, University of Texas, Southwestern Medical Center, Dallas, Texas.
Alana ChristieKidney Cancer Program, Simmons Comprehensive Cancer Center, University of Texas, Southwestern Medical Center, Dallas, Texas.
Aurelie GarantDepartment of Radiation Oncology, University of Texas, Southwestern Medical Center, Dallas, Texas.
Neil B DesaiDepartment of Radiation Oncology, University of Texas, Southwestern Medical Center, Dallas, Texas.
Andrew WangDepartment of Radiation Oncology, University of Texas, Southwestern Medical Center, Dallas, Texas.
Daniel X YangDepartment of Radiation Oncology, University of Texas, Southwestern Medical Center, Dallas, Texas.
Allen YenDepartment of Radiation Oncology, University of Texas, Southwestern Medical Center, Dallas, Texas.
Mihailo MiljanicDepartment of Radiation Oncology, University of Texas, Southwestern Medical Center, Dallas, Texas.
Kevin D CourtneyDepartment of Internal Medicine, Hematology Oncology, University of Texas, Southwestern Medical Center, Dallas, Texas.
Hans HammersDepartment of Internal Medicine, Hematology Oncology, University of Texas, Southwestern Medical Center, Dallas, Texas.
Tian ZhangDepartment of Internal Medicine, Hematology Oncology, University of Texas, Southwestern Medical Center, Dallas, Texas.
Waddah ArafatDepartment of Internal Medicine, Hematology Oncology, University of Texas, Southwestern Medical Center, Dallas, Texas.
Qian QinDepartment of Internal Medicine, Hematology Oncology, University of Texas, Southwestern Medical Center, Dallas, Texas.
Suzanne ColeDepartment of Internal Medicine, Hematology Oncology, University of Texas, Southwestern Medical Center, Dallas, Texas.
James BrugarolasDepartment of Internal Medicine, Hematology Oncology, University of Texas, Southwestern Medical Center, Dallas, Texas.
Robert TimmermanDepartment of Radiation Oncology, University of Texas, Southwestern Medical Center, Dallas, Texas.
Raquibul HannanDepartment of Radiation Oncology, University of Texas, Southwestern Medical Center, Dallas, Texas.

Funding

UT Southwestern Medical Center Simmons Comprehensive Cancer CenterP30CA142543 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI MELANIE H. COBB · 2010 to 2026
$53.7M
NCI NIH HHS P30 CA142543
6 · The paper itself

Abstract

Purpose: Symptom management is an integral component of care for patients with renal cell carcinoma (RCC). We evaluated the efficacy of radiation therapy (RT) and factors influencing symptom in an ethnically diverse patient population. Methods and Materials: An institutional review board-approved retrospective review was conducted of patients with symptomatic extracranial RCC metastases treated with RT between 2011 and 2022 at a tertiary referral center. Symptoms were categorized as pain, neurologic (paresthesia or weakness), respiratory (dyspnea, hemoptysis, or cough) and gastrointestinal/genitourinary (GI/GU) bleeding. Time to symptom alleviation was measured from the start of RT and assessed during-treatment and follow-up visits. Descriptive and survival analyses were performed. Associations between symptom relief and treatment parameters were evaluated by generalized estimating equations. Results: We identified 240 symptomatic RCC patients who received RT to 581 metastases including 93.0% for pain, 4.0% for neurologic, 4.1% for respiratory, and 1.6% for GI/GU bleeding. Symptom improvement was observed in 84.0% of patients overall at 6 months (95% confidence interval [CI], 80.4-87.2%). Among symptom categories, pain improved in 84.6% (95% CI, 81.0-87.9%) at 6 months, respiratory symptoms in 69.9% (49.3-88.0%) at 6 months, neurologic symptoms in 88.6% (69.6-98.1%) at 6 months, and GI/GU bleeding in 37.5% (13.9-77.1%) at 1 month. The median times to overall and pain alleviation were 1.6 months (range, 1.4-1.9) and 1.6 months (range, 1.4-1.9), respectively. Although the odds of achieving pain palliation were similar between stereotactic and conventional RT, unexpectedly, symptom relief occurred more quickly with conventional RT ( Conclusions: Stereotactic and conventional RT are effective for symptom palliation for patients with metastatic RCC.

Identifiers

PMID40979684
PMCPMC12446645

What OpenQuestion holds

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Registered trials

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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.