Evidence map›Paper›PMID 40753371›Full record

ArticleBMC musculoskeletal disorders2025

The prognostic role of key factors in renal cell carcinoma with bone metastases.

Furkan Erdoğan, Abdurrahman Murat Yıldırım, Tolgahan Cengiz, Alparslan Yurtbay, Hicabi Sezgin, Nevzat Dabak

Abstract read
In one paragraph

Article in BMC musculoskeletal disorders, 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. Article
  2. Review
  3. 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

6 authors.

Furkan ErdoğanFaculty of Medicine, Department of Orthopedics and Traumatology, Ondokuz Mayis University, Samsun, Turkey.ORCID http://orcid.org/0000-0001-7949-1348
Abdurrahman Murat YıldırımClinic of Orthopedics and Traumatology, Bafra State Hospital, Samsun, Turkey.ORCID http://orcid.org/0000-0002-2909-5766
Tolgahan CengizClinic of Orthopedics and Traumatology, Fatsa State Hospital, Ordu, Turkey. tolgahancengiz@hotmail.com.ORCID http://orcid.org/0000-0003-2363-0198
Alparslan YurtbayFaculty of Medicine, Department of Orthopedics and Traumatology, Samsun University, Samsun, Turkey.ORCID http://orcid.org/0000-0002-8156-3504
Hicabi SezginFaculty of Medicine, Department of Orthopedics and Traumatology, Amasya University, Amasya, Turkey.ORCID http://orcid.org/0000-0002-1332-3656
Nevzat DabakFaculty of Medicine, Department of Orthopedics and Traumatology, Ondokuz Mayis University, Samsun, Turkey.ORCID http://orcid.org/0000-0002-4591-7897

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesOur study aims to investigate the factors associated with survival in patients with skeletal metastases of renal cell carcinoma and to outline the principles of managing patients with skeletal metastases using a multidisciplinary approach. MATERIALS AND

methodsWe retrospectively reviewed 42 patients with clear cell metastatic renal cell carcinoma (mRCC) and bone metastases treated between 2005 and 2022. Demographics, tumor characteristics, metastasis patterns, surgical interventions, and systemic treatments were recorded. Survival outcomes were analyzed using the Kaplan-Meier method and the Cox proportional hazards model. Factors such as MSKCC and IMDC risk scores, the number and location of metastases, and treatment modalities were evaluated for their prognostic impact.

resultsForty-two patients with a mean age of 58.4 years and a mean follow-up period of 28.4 months were included in the study. The 1-, 2-, and 5-year overall survival (OS) rates were 73.7%, 44.2%, and 13.7%, respectively. Solitary metastases (5-year OS 80%) and complete metastasectomy (5-year OS 20.1%) were associated with significantly improved survival. Diffuse metastases (HR 22.8; p = 0.006) and oligometastases (HR 7.7; p = 0.044) were associated with higher mortality compared to solitary lesions. Neither MSKCC nor IMDC scores were independently predictive of OS in multivariate analysis. Systemic therapies, including tyrosine kinase inhibitors (TKIs), mTOR inhibitors, antiresorptive agents, and radiotherapy, did not significantly impact survival outcomes.

conclusionThis study emphasizes that metastatic burden and achieving complete metastasectomy are the most critical factors for prolonged survival in metastatic renal cell carcinoma (mRCC) with bone involvement. Systemic therapies alone provide limited benefit, highlighting the need for individualized, multidisciplinary treatment strategies. Prospective studies are warranted to refine prognostic models and optimize care for this challenging patient group.

Indexed as

Bone NeoplasmsCarcinoma, Renal CellKidney NeoplasmsAdultAgedAged, 80 and overFemaleFollow-Up StudiesHumansMaleMetastasectomyMiddle AgedPrognosisRetrospective StudiesSurvival RateBone metastasisPrognosisPrognostic factorRenal cell cancerSurvival analysis

Identifiers

PMID40753371
PMCPMC12317610

What Socratic holds

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LicenceCC BY-NC-ND
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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 Socratic graph.