The prognostic significance of nodal disease burden in patients with lymph node metastases from renal cell carcinoma Journal Article


Authors: Zareba, P.; Russo, P.
Article Title: The prognostic significance of nodal disease burden in patients with lymph node metastases from renal cell carcinoma
Abstract: Objectives: To assess the relationship between nodal disease burden and overall survival (OS) among patients with lymph node (LN) metastases from renal cell carcinoma (RCC) Methods: The National Cancer Data Base was used to identify 2,975 patients with RCC who were treated with radical nephrectomy and were found to have regional LN metastases. Associations between the number of positive and negative LN removed and OS were assessed using Cox proportional hazards regression. The median follow-up time among survivors was 3.6years. Results: The median number of positive LN was 1 (interquartile range 1–3). A higher number of positive LN was associated with higher all-cause mortality on multivariable analysis (HR 1.06 per 1 positive LN, 95% CI 1.04, 1.07, P < 0.001). Conversely, higher negative LN counts were associated with better OS (HR 0.97 per 1 negative LN, 95% CI 0.96, 0.99, P < 0.001). The adjusted probability of a patient with 1 LN removed that was positive surviving at least 2 years was 56%, a figure that increased to 64% when 1 out of 10 LN removed was positive and decreased to 38% when 10 out of 10 LN removed were positive. Conclusions: Ours is the first study to show that differences in nodal disease burden translate into clinically significant differences in survival among patients with LN metastases from RCC. © 2019 Elsevier Inc.
Keywords: adult; cancer survival; aged; survival analysis; major clinical study; overall survival; cancer patient; follow up; lymph node metastasis; lymph node dissection; lymphatic metastasis; renal cell carcinoma; nephrectomy; cancer survivor; radical nephrectomy; cancer prognosis; disease burden; human; male; female; priority journal; article; median survival time; all cause mortality
Journal Title: Urologic Oncology: Seminars and Original Investigations
Volume: 37
Issue: 5
ISSN: 1078-1439
Publisher: Elsevier Inc.  
Date Published: 2019-05-01
Start Page: 302.e1
End Page: 302.e6
Language: English
DOI: 10.1016/j.urolonc.2019.02.006
PUBMED: 30826169
PROVIDER: scopus
DOI/URL:
Notes: Article -- Export Date: 1 May 2019 -- Source: Scopus
Altmetric Score
MSK Authors
  1. Paul Russo
    469 Russo