ASO Author Reflections: Risk-Adapted Use of Adjuvant Systemic Therapy in Real-World Kidney Cancer Care
decision-making, and AST should be offered selectively rather than administered universally. FutureFuture studies should evaluate treatment patterns and realworld oncological outcomes as more mature follow-up in the era of adjuvant immune checkpoint inhibition becomes available.Data sources that distinguish between specific systemic agents and capture recurrence, comorbidity, contraindications, and patient preferences will be required to better assess treatment allocation and effectiveness.In parallel, greater awareness of guideline recommendations among treating physicians and multidisciplinary decision-making may help optimize the risk-adapted use of AST in routine clinical practice.
Authors
- Maximilian Filzmayer (ORCID: https://orcid.org/0009-0005-5715-9965)
- Yasmine Heß-Busch (ORCID: https://orcid.org/0000-0002-1546-5404)
- Luca Carmignani
- Clara Humke
- Jordan A. Goyal
- Michele Petix
- Pierre I. Karakiewicz
- Leonardo Quarta
- Filippo Orlandi
- Salvatore Micali
- Alberto Briganti
- Mike Wenzel
- Shahrokh F. Shariat
- Fred Saad
- Felix K.-H. Chun
Institutions
- Al-Ahliyya Amman University (JO)
- Goethe University Frankfurt (DE)
- University of Modena and Reggio Emilia (IT)
- Vita-Salute San Raffaele University (IT)
- University of Milan (IT)
- Cornell University (US)
- McGill University Health Centre (CA)
- Comprehensive Cancer Center Vienna (AT)
- IRCCS Policlinico San Donato (IT)
- University Hospital Frankfurt (DE)
- Istituti di Ricovero e Cura a Carattere Scientifico (IT)
- Istituto di Ricovero e Cura a Carattere Scientifico San Raffaele (IT)
- Université de Montréal (CA)
- Medical University of Vienna (AT)
- The University of Texas Southwestern Medical Center (US)
Publication Details
- Journal
- Annals of Surgical Oncology
- Published
- 2026-08-28
- DOI
- https://doi.org/10.1245/s10434-026-20472-z
- Primary Topic
- Renal cell carcinoma treatment
- Type
- article
- Field-Weighted Citation Impact
- 0.00