The results showed that high survivin expression in RCC was associated with poor OS (a fixed-effect model, HR = 2.84; 95% CI: 1.68–4.79; p < 0.001; I2 = 6.9%, p = 0.359; Fig. 2A), CSS (a random-effect model, HR = 2.36; 95% CI: 1.41–3.95; p < 0.001; I2 = 90.8%, p < 0.001; Fig. 2B), and PFS (a fixed-effect model, HR = 2.20; 95% CI: 1.58–3.08; p < 0.001; I2 = 0.0%, p = 0.857; Fig. 2C). Here, BIRC5 is linked to renal cell carcinoma.