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March 23, 2015International Journal of UrologyOpen Access

Venous tumor thrombus consistency is not predictive of survival in patients with renal cell carcinoma: A retrospective study of 147 patients

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Key result

Friable venous tumor thrombus consistency was associated with worse survival on univariate analysis but was not an independent predictor of survival in a multivariable model.

Why the study?

Does venous tumor thrombus consistency predict survival in patients with renal cell carcinoma?

Population

147 patients with renal cell carcinoma and a tumor thrombosis submitted to surgery from 2000 to 2013

Comparison

Assessment of venous tumor thrombus consistency vs Solid venous tumor thrombus consistency

Design

Cohort, Histological slides revised by two uropathologists blinded to clinical…

Follow-up

median 40.5 months

Authors

AAAlessandro AntonelliUniversity of VeronaMSM. SodanoMSMarco SandriUniversity of Padua

Discussion

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Implication

Venous tumor thrombus consistency should not yet inform prognosis in renal cell carcinoma; leaves open its role in refined multivariable models.

Study Design

Type

Cohort (n=147)

Blinding

Blinded outcome assessment

Structured PICO

Does venous tumor thrombus consistency predict survival in patients with renal cell carcinoma?

P
Population
147 patients with renal cell carcinoma and a tumor thrombosis who underwent surgery, followed for a median of 40.5 months.
E
Exposure
Assessment of venous tumor thrombus consistency (friable)
C
Comparator
Solid venous tumor thrombus consistency
O
Outcome
Cancer-specific and overall survivalhard clinical

Venous tumor thrombus consistency does not have an independent prognostic role for survival in patients with renal cell carcinoma.

Cite This Study

Antonelli et al. (2015) conducted a cohort in Renal cell carcinoma with tumor thrombosis (n=147). Friable venous tumor thrombus consistency vs. Solid venous tumor thrombus consistency was evaluated on Survival (cancer-specific and overall). Friable venous tumor thrombus consistency was associated with worse survival on univariate analysis but was not an independent predictor of survival in a multivariable model.

synapsesocial.com/papers/6a930d83c0b3311637eb48a0https://doi.org/10.1111/iju.12738
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Charlson Co-Morbidity Index as a Predictor of Outcome After Surgery for Renal Cell Carcinoma With Renal Vein, Vena Cava or Right Atrium Extension.2003 · 86 citations
  2. 2Evaluating the added predictive ability of a new marker: From area under the ROC curve to reclassification and beyond2007 · 6,537 citations
  3. 3Prognostic significance of venous tumour thrombus consistency in patients with renal cell carcinoma ( RCC )2013 · 33 citations
  4. 4The follow‐up management of non‐metastatic renal cell carcinoma: definition of a surveillance protocol2006 · 95 citations
  5. 5Estimating and comparing time‐dependent areas under receiver operating characteristic curves for censored event times with competing risks2013 · 2,005 citations