Evidence map›Paper›PMID 42109669›Full record

ReviewFrontiers in oncology2026

Hong Kong Urological Association-Hong Kong Society of Uro-Oncology 2025 consensus on the management of locally advanced or metastatic renal cell carcinoma.

Darren M C Poon, Philip W K Kwong, Samson Y S Chan, Brian S H Ho, Martin H C Lam, K S Law, Angus K C Leung, Clarence L H Leung, David K W Leung, W K Ma and 4 more

Abstract readReview
In one paragraph

Review in Frontiers in oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Darren M C PoonDepartment of Clinical Oncology, State Key Laboratory of Translational Oncology, Sir YK Pao Centre for Cancer, Hong Kong Cancer Institute, The Chinese University of Hong Kong, Hong Kong, Hong Kong SAR, China.
Philip W K KwongHong Kong Integrated Oncology Centre, Hong Kong, Hong Kong SAR, China.
Samson Y S ChanS.H. Ho Urology Centre, Department of Surgery, The Chinese University of Hong Kong, Hong Kong, Hong Kong SAR, China.
Brian S H HoMinimal Access Urology, Hong Kong, Hong Kong SAR, China.
Martin H C LamHong Kong Integrated Oncology Centre, Hong Kong, Hong Kong SAR, China.
K S LawDepartment of Clinical Oncology, Princess Margaret Hospital, Hong Kong, Hong Kong SAR, China.
Angus K C LeungAMO Oncology Centre, Hong Kong, Hong Kong SAR, China.
Clarence L H LeungeFLO Urology, Hong Kong, Hong Kong SAR, China.
David K W LeungS.H. Ho Urology Centre, Department of Surgery, The Chinese University of Hong Kong, Hong Kong, Hong Kong SAR, China.
W K MaHong Kong Urology Clinic, Hong Kong, Hong Kong SAR, China.
Barry B W WoDepartment of Clinical Oncology, Tuen Mun Hospital, Hong Kong, Hong Kong SAR, China.
Kenneth C W WongDepartment of Clinical Oncology, The Chinese University of Hong Kong, Hong Kong, Hong Kong SAR, China.
Philip Y WuDepartment of Clinical Oncology, Pamela Youde Nethersole Eastern Hospital, Hong Kong, Hong Kong SAR, China.
Peter K F ChiuS.H. Ho Urology Centre, Department of Surgery, The Chinese University of Hong Kong, Hong Kong, Hong Kong SAR, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Continuous efforts have been made to optimise treatment approaches for renal cell carcinoma (RCC), including locally advanced (la)RCC and metastatic (m)RCC. To update their joint consensus statements on the management of la/mRCC, the Hong Kong Urological Association and the Hong Kong Society of Uro-Oncology convened a series of Delphi meetings. Methods: A panel of six urologists and eight clinical oncologists was formed, addressing five areas: (i) surgical and (neo)adjuvant treatment in laRCC; (ii) first-line management of clear cell mRCC; (iii) second- and later-line treatment of clear cell mRCC; (iv) management of mRCCs with sarcomatoid features or non-clear cell histology; and (v) management of oligometastatic RCC. Consensus statements were drafted based on an extensive literature review and panel discussions. A consensus statement was established only if ≥ 80% of the panellists selected 'accept completely' or 'accept with some reservation' from a five-point Likert scale through anonymous voting. Results: A total of 42 consensus statements were accepted. Compared with the previous version, this set of consensus statements asserted the use of adjuvant therapy for laRCC and the use of immunotherapy-based combination therapy across different types of mRCC; multiple new areas were also added, including active surveillance in mRCC patients with very favourable prognosis, a novel therapeutic agent for mRCC (belzutifan), and the definitions and management of oligometastatic/oligoprogressive RCC. Conclusion: While several research gaps remain to be addressed, this set of consensus statements reflects contemporary approaches for la/mRCC management, offering practical references for clinicians in Hong Kong and the Asia-Pacific region.

Indexed as

adjuvant pembrolizumabcytoreductive nephrectomymetastasectomymetastasis-directed therapystereotactic body radiation therapytyrosine kinase inhibitor

Identifiers

PMID42109669
PMCPMC13149114

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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.