COMPARISON OF GUIDELINE RECOMMENDATIONS WITH DAILY PRACTICE IN PATIENTS WITH RENAL CELL CARCINOMA

Schlenker, B. and Seitz, M. and Bader, M. J. and Ganzer, R. and Tilki, D. and Bayrle, F. and Reich, O. and Staehler, M. and Bachmann, A. and Stief, C. G. and Gratzke, C. (2010) COMPARISON OF GUIDELINE RECOMMENDATIONS WITH DAILY PRACTICE IN PATIENTS WITH RENAL CELL CARCINOMA. EUROPEAN JOURNAL OF MEDICAL RESEARCH, 15 (6). pp. 253-257. ISSN 0949-2321,

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Abstract

Objectives and Aims: To compare guideline recommendations with daily practice patterns in a German patient cohort with renal cell carcinoma. Patients and Methods: 81 patients with T1 oder T2 renal cell carcinoma (RCC) were included in this prospective single-center study. All patients were operated in a single institution either by open radical nephrectomy (ORN) or nephron sparing surgery (NSS). Patients and doctors were evaluated using a written questionnaire with a follow-up of 12 months. Follow-up intervals, follow-up modalities (e. g. imaging modalities, laboratory controls of blood and urine) and the call on psycho-oncological support were evaluated. Results: The majority of patients (72%) were followed up by their urologists. Follow-up examinations included abdominal ultrasound, urine and blood diagnostics, conventional chest x-rays, computed tomography (CT) of abdomen, chest or head or abdominal Magnetic Resonance Imaging (MRI). There were no significant differences between patients operated by ORN or NSS. In total, 12.5% of patients were asking for psycho-oncological support. Conclusions: In general, patients were followed up according to existing guideline recommendations. Only a small proportion of patients asked for psycho-oncological treatment.

Item Type: Article
Uncontrolled Keywords: NEPHRON-SPARING SURGERY; RADICAL NEPHRECTOMY; PROGNOSTIC NOMOGRAM; KIDNEY CANCER; FOLLOW-UP; RECURRENCE; SURVEILLANCE; EPIDEMIOLOGY; TUMORS; renal cell carcinoma; oncological follow-up; open radical nephrectomy; nephron-sparing surgery
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Urologie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 28 Jul 2020 05:09
Last Modified: 28 Jul 2020 05:09
URI: https://pred.uni-regensburg.de/id/eprint/24545

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