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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Partial versus radical nephrectomy in very elderly patients: a propensity score analysis of surgical, functional and oncologic outcomes (RESURGE project)
World Journal of Urology, Volume 38, No. 1, Year 2020
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Description
Purpose: To compare the outcomes of PN to those of RN in very elderly patients treated for clinically localized renal tumor. Patients and methods: A purpose-built multi-institutional international database (RESURGE project) was used for this retrospective analysis. Patients over 75 years old and surgically treated for a suspicious of localized renal with either PN or RN were included in this database. Surgical, renal function and oncological outcomes were analyzed. Propensity scores for the predicted probability to receive PN in each patient were estimated by logistic regression models. Cox proportional hazard models were estimated to determine the relative change in hazard associated with PN vs RN on overall mortality (OM), cancer-specific mortality (CSM) and other-cause mortality (OCM). Results: A total of 613 patients who underwent RN were successfully matched with 613 controls who underwent PN. Higher overall complication rate was recorded in the PN group (33% vs 25%; p = 0.01). Median follow-up for the entire cohort was 35 months (interquartile range [IQR] 13–63 months). There was a significant difference between RN and PN in median decline of eGFR (39% vs 17%; p < 0.01). PN was not correlated with OM (HR = 0.71; p = 0.56), OCM (HR = 0.74; p = 0.5), and showed a protective trend for CSM (HR = 0.19; p = 0.05). PN was found to be a protective factor for surgical CKD (HR = 0.28; p < 0.01) and worsening of eGFR in patients with baseline CKD. Retrospective design represents a limitation of this analysis. Conclusions: Adoption of PN in very elderly patients with localized renal tumor does not compromise oncological outcomes, and it allows better functional preservation at mid-term (3-year) follow-up, relative to RN. Whether this functional benefit translates into a survival benefit remains to be determined. © 2019, Springer-Verlag GmbH Germany, part of Springer Nature.
Authors & Co-Authors
Mir, Maria Carmen
Spain, Valencia
Instituto Valenciano de Oncologia
Pavan, Nicola
Italy, Trieste
Università Degli Studi Di Trieste
Capitanio, Umberto
Italy, Milan
Irccs Ospedale San Raffaele
Antonelli, Alessandro
Italy, Brescia
Spedali Civili Di Brescia
Derweesh, Ithaar H.
United States, La Jolla
University of California, San Diego
Linares, Estefanía
Spain, Madrid
Hospital Universitario la Paz
Takagi, Toshio
Japan, Tokyo
Tokyo Women's Medical University
Rha, Koonho
South Korea, Seoul
Yonsei University College of Medicine
Fiori, Cristian
Italy, Orbassano
Azienda Ospedaliera S. Luigi Gonzaga
Maurer, Tobias
Germany, Munich
Technische Universität München
Zang, Chao
China, Shanghai
Changhai Hospital
Mottrie, Alexandre Marie
Belgium, Melle
Orsi Academy
Belgium, Aalst
Onze Lieve Vrouwe Kliniek
Umari, Paolo
Belgium, Melle
Orsi Academy
Belgium, Aalst
Onze Lieve Vrouwe Kliniek
De Nunzio, Cosimo D.
Italy, Rome
Sapienza Università Di Roma
Tubaro, Andrea
Italy, Rome
Sapienza Università Di Roma
Tracey, Andrew T.
United States, Richmond
Virginia Commonwealth University
Ferro, Matteo
Italy, Milan
Istituto Europeo Di Oncologia
Micali, Salvatore
Italy, Modena
Università Degli Studi Di Modena e Reggio Emilia
Bevilacqua, Luigi
Italy, Modena
Università Degli Studi Di Modena e Reggio Emilia
Torres, João Nuno
Portugal, Braga
Universidade do Minho
Schips, Luigi
Unknown Affiliation
Castellucci, Roberto
Unknown Affiliation
Dobbs, Ryan W.
Unknown Affiliation
Quarto, Giuseppe
Italy, Naples
Istituto Nazionale Tumori Irccs - Fondazione g Pascale, Napoli
Bove, Pierluigi
Italy, Rome
Università Degli Studi Di Roma Tor Vergata
Celia, Antonio
Unknown Affiliation
de Concilio, Bernardino
Unknown Affiliation
Trombetta, Carlo Simone
Italy, Trieste
Università Degli Studi Di Trieste
Larcher, Alessandro
Italy, Milan
Irccs Ospedale San Raffaele
Montorsi, Francesco
Italy, Milan
Irccs Ospedale San Raffaele
Furlan, Maria Chiara
Italy, Brescia
Spedali Civili Di Brescia
Bindayi, Ahmet
United States, La Jolla
University of California, San Diego
Breda, Alberto
Spain, Barcelona
Fundacio Puigvert
Palou, Joan
Spain, Barcelona
Fundacio Puigvert
Aguilera Bazán, Alfredo
Spain, Madrid
Hospital Universitario la Paz
Tanabe, Kazunari
Japan, Tokyo
Tokyo Women's Medical University
Abdel Raheem, Ali
South Korea, Seoul
Yonsei University College of Medicine
Amiel, Thomas
Germany, Munich
Technische Universität München
Yang, Bo
China, Shanghai
Changhai Hospital
Lima, Estevo A.R.
Portugal, Braga
Universidade do Minho
Crivellaro, Simone
Unknown Affiliation
Perdonà, Sisto
Italy, Naples
Istituto Nazionale Tumori Irccs - Fondazione g Pascale, Napoli
Porpiglia, Francesco
Italy, Orbassano
Azienda Ospedaliera S. Luigi Gonzaga
Autorino, Riccardo
United States, Richmond
Virginia Commonwealth University
Statistics
Citations: 24
Authors: 44
Affiliations: 23
Identifiers
Doi:
10.1007/s00345-019-02665-2
ISSN:
07244983
Research Areas
Cancer
Environmental
Health System And Policy
Study Design
Cohort Study