Evidence map›Paper›PMID 41168704›Full record

SynthesisBMC cancer2025

Renal cell carcinoma detection: a systematic review in diagnostic urinary biomarkers.

Jaycey F Kelly, Iryna V Samarska, Bram Ramaekers, Tom Marcelissen, Joep G van Roermund, Maureen J B Aarts, Thomas Kerkhofs, Tom Hermans, Frits van Osch, Tim de Meyer and 2 more

Abstract readSystematic Review
In one paragraph

Synthesis in BMC cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. 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

12 authors.

Jaycey F KellyDepartment of Pathology, GROW - Research Institute for Oncology & Reproduction, Maastricht University Medical Center, P.O. Box 5800, Maastricht, 6202AZ, The Netherlands.
Iryna V SamarskaDepartment of Pathology, GROW - Research Institute for Oncology & Reproduction, Maastricht University Medical Center, P.O. Box 5800, Maastricht, 6202AZ, The Netherlands.
Bram RamaekersDepartment of Clinical Epidemiology and Medical Technology, CAPHRI Care and Public Health Research Institute, Maastricht University Medical Center, Maastricht, The Netherlands.
Tom MarcelissenDepartment of Urology, GROW - Research Institute for Oncology & Reproduction, Maastricht University Medical Center, Maastricht, The Netherlands.
Joep G van RoermundDepartment of Urology, GROW - Research Institute for Oncology & Reproduction, Maastricht University Medical Center, Maastricht, The Netherlands.
Maureen J B AartsDepartment of Medical Oncology, GROW - Research Institute for Oncology & Reproduction, Maastricht University Medical Center, Maastricht, The Netherlands.
Thomas KerkhofsDepartment of Medical Oncology, GROW - Research Institute for Oncology & Reproduction, Maastricht University Medical Center, Maastricht, The Netherlands.
Tom HermansDepartment of Urology, GROW - Research Institute for Oncology & Reproduction, Maastricht University Medical Center, Maastricht, The Netherlands.
Frits van OschDepartment of Clinical Epidemiology, VieCuri Medical Center, Venlo, The Netherlands.
Tim de MeyerDepartment of Data Analysis and Mathematical Modeling, Ghent University, Ghent, Belgium.
Leo J SchoutenDepartment of Epidemiology, GROW - Research Institute for Oncology & Reproduction, Maastricht University Medical Center, Maastricht, The Netherlands.
Kim M SmitsDepartment of Pathology, GROW - Research Institute for Oncology & Reproduction, Maastricht University Medical Center, P.O. Box 5800, Maastricht, 6202AZ, The Netherlands. kim.smits@maastrichtuniversity.nl.

Funding

Kankeronderzoekfonds Limburg PRECEDE-2
6 · The paper itself

Abstract

backgroundRenal cell carcinoma (RCC) accounts for 90% of all renal neoplasms and is often incidentally detected through unrelated imaging procedures. Differentiating between benign and malignant renal masses remains challenging using imaging alone. Urinary biomarkers may aid in this distinction, yet none are currently implemented in the clinic. Moreover, a comprehensive overview of urinary diagnostic biomarkers for RCC is lacking. Therefore, we aimed to systematically review and summarize existing literature on potential urinary biomarkers with diagnostic properties for RCC.

methodsPubMed, Scopus and Web of Science were used for the identification of eligible studies evaluating urinary biomarkers in adults with sporadic RCC which reported diagnostic properties compared to controls groups. Standardized data extraction was performed. Risk of bias of was assessed by using a modified STROBE 22-items checklist for observational studies.

resultsIn total 136 articles were identified through database search, four via a previous review and 19 through cross-referencing. After screening, 46 articles were included, identifying 105 individual biomarkers: metabolites (n = 40), proteins (n = 29), miRNAs (n = 12), DNA methylation markers (n = 13) and others (n = 11). Additionally, 29 multi-biomarker panels were described. Promising diagnostic markers (AUC ≥ 0.80) included dysregulated energy metabolism markers, proteins AQP1 and PLIN2, and miRNAs; miR-122-5p, miR-15a and miR-30c, however validation is severely lacking.

conclusionsVarious urinary biomarkers for RCC show promising diagnostic potential. The diagnostic ability of multi-biomarker panels often exceeded those of individual markers. However, individual markers and panels require external validation before clinical implementation.

trial registrationThis systematic review was registered on PROSPERO (CRD42023474582), and was designed and written based on the PRISMA guidelines.

Indexed as

Biomarkers, TumorCarcinoma, Renal CellKidney NeoplasmsDNA MethylationHumansMicroRNAsBiomarkers, TumorMicroRNAsDiagnosisLiquid BiopsyRenal Cell CarcinomaUrinary Biomarkers

Identifiers

PMID41168704
PMCPMC12574123

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.