Table 2.

All patients with renal cell cancer showed a high stress level independent of tumor and metastasis, disease history, sex and age.

Impact factors	Distress level (cutoff level ⩾5)
Tumor stages
pT1	4.5
pT2	4.8
pT3	5.1
pT4	5.0
Metastasis stages
N0/M0	4.8/4.6
N+/M+	4.2/5.3
Sex
Male	4.7
Female	4.9
Age
<65 years	4.8
⩾65 years	4.7
Treatment
Surgery	4.8
Chemotherapy	4.3
Progression
No progression	4.7
Progression	5.0
Cancer-specific death
Survival	4.7
Cancer-specific death	5.0