Table 2 Evolution of prognostic factors in Wilms tumour studies in the NWTS Group and the COG

From: Updated favourable-histology Wilms tumour risk stratification: rationale for future Children’s Oncology Group clinical trials

Study

Prognostic factors included

Refs.

NWTS-1

Stage

17,41

NWTS-2

Stage

 

18,115

NWTS-3

Stage

Histology

19,51

NWTS-4

Stage

Histology

20,28,116

NWTS-5

Stage

Histology

Age

Tumour nephrectomy weight

5,14,21,42,65

COG first-generation studies (AREN0321, 0532, 0533, 0534)

Stage

Histology

Age

Tumour nephrectomy weight

LOH of 1p and 16q

Lung metastatic response

Extrapulmonary metastases

Bilateral/predisposition

Post-chemotherapy histology (bilateral/predisposed only)

7,8,9,11,27,47

COG second-generation studies (AREN2231, to be decided)

Stage

Histologya

Ageb

 –

LOH of 1p and/or 16q

Lung metastatic response

Extrapulmonary metastases

Bilateral/predisposition

Post-chemotherapy histology (all)

LOH 11p15c

1q gain

Lymph node involvement

  1. COG, Children’s Oncology Group; LOH, loss of heterozygosity; NWTS, National Wilms Tumor Study. aNew histological groups incorporated. bAge cut-off changed from 2 to 4 years. cLoss of imprinting of 11p15 also prognostic but not incorporated into AREN2231 as current testing technologies are not routinely available and do not return results fast enough to be used in upfront clinical decisions at this time.