Analysis of Renal Functional Outcomes After Radical or Partial Nephrectomy for Renal Masses ≥7 cm Using the RENAL Score
Autor: | Nishant Patel, Ryan Kopp, Ramzi Jabaji, Hak J. Lee, Michael A. Liss, Kerrin Palazzi, Reza Mehrazin, Anthony L. Patterson, Kyle Gillis, Song Wang, Ithaar Derweesh, Hossein S. Mirheydar, Jim Y. Wan |
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Rok vydání: | 2015 |
Předmět: |
Male
medicine.medical_specialty Urology medicine.medical_treatment Renal function Kidney Kidney Function Tests urologic and male genital diseases Nephrectomy medicine Humans Carcinoma Renal Cell Survival analysis Retrospective Studies business.industry Hazard ratio Retrospective cohort study Recovery of Function Odds ratio Middle Aged medicine.disease Kidney Neoplasms Tumor Burden Surgery Renal physiology Female business Kidney disease |
Zdroj: | Urology. 86:312-320 |
ISSN: | 0090-4295 |
Popis: | Objective To determine if partial nephrectomy (PN) confers a renal functional benefit compared to radical nephrectomy (RN) for clinical T2 renal masses (T2RM) when adjusting for tumor complexity characterized by the RENAL nephrometry score. Methods A 2-center study of 202 patients with T2RM undergoing RN (122) or PN (80) (median follow-up, 41.5 months). RN and PN cohorts were subanalyzed according to RENAL sum as a categorical variable of 10, with larger relative decrease in eGFR for each decrease in RENAL sum. Further investigation is required to determine optimal candidates for PN in T2RM. |
Databáze: | OpenAIRE |
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