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The Adoption of Nephron-Sparing Surgery in Europe - A Trend Analysis in Two Referral Centers from Austria and Germany

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The Adoption of Nephron-Sparing Surgery in Europe - A Trend Analysis in Two Referral Centers from Austria and Germany. / Meyer, Christian; Hansen, Jens; Becker, Andreas; Schmid, Marianne; Pradel, Lea; Strini, Karin; Chromecki, Thomas; Jesche-Chromecki, Johanna; Fisch, Margit; Zigeuner, Richard; Chun, Felix K H.

In: UROL INT, Vol. 96, No. 3, 2016, p. 330-6.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Meyer, C, Hansen, J, Becker, A, Schmid, M, Pradel, L, Strini, K, Chromecki, T, Jesche-Chromecki, J, Fisch, M, Zigeuner, R & Chun, FKH 2016, 'The Adoption of Nephron-Sparing Surgery in Europe - A Trend Analysis in Two Referral Centers from Austria and Germany', UROL INT, vol. 96, no. 3, pp. 330-6. https://doi.org/10.1159/000442215

APA

Meyer, C., Hansen, J., Becker, A., Schmid, M., Pradel, L., Strini, K., Chromecki, T., Jesche-Chromecki, J., Fisch, M., Zigeuner, R., & Chun, F. K. H. (2016). The Adoption of Nephron-Sparing Surgery in Europe - A Trend Analysis in Two Referral Centers from Austria and Germany. UROL INT, 96(3), 330-6. https://doi.org/10.1159/000442215

Vancouver

Meyer C, Hansen J, Becker A, Schmid M, Pradel L, Strini K et al. The Adoption of Nephron-Sparing Surgery in Europe - A Trend Analysis in Two Referral Centers from Austria and Germany. UROL INT. 2016;96(3):330-6. https://doi.org/10.1159/000442215

Bibtex

@article{f1a15e3cce8e4fca8035c9866c6036ff,
title = "The Adoption of Nephron-Sparing Surgery in Europe - A Trend Analysis in Two Referral Centers from Austria and Germany",
abstract = "OBJECTIVE: To compare the trends of partial nephrectomy (PN) and radical nephrectomy (RN) in 2 European tertiary referral centers with regards to guideline changes.MATERIALS AND METHODS: A total of 1,573 patients who underwent RN or PN for localized (≤T2) renal cell carcinoma (RCC) were included. Logistic regression analyses assessed the predictors of PN and laparoscopy over time.RESULTS: Out of the total, 1,013 patients (65.6%) were treated with RN and 560 patients (34.4%) with PN. Also, 1,233 patients (80%) had open surgery whereas 340 patients (22%) were treated with a laparoscopic approach. Laparoscopic RN and PN were performed in 216 (13.7%) and 124 (7.8%) patients, respectively. T1b tumors were 73% less likely (p < 0.001) to be treated with PN compared to T1a tumors. The odds of undergoing PN or laparoscopy in 2008-2010 relative to 2000-2001 were 6.5-fold (p < 0.001) and 36-fold higher (p < 0.001), respectively.CONCLUSIONS: Tumor size and year of surgery are independent predictors of PN in our cohort. Our data exemplify the adoption of PN for RCC in tertiary care centers in Austria and Germany in line with implemented guideline changes. The utilization of PN has increased over time regardless of surgical approach. Further studies need to address the use of robot-assisted surgery and care in community hospitals.",
keywords = "Adult, Aged, Aged, 80 and over, Austria, Carcinoma, Renal Cell, Cohort Studies, Databases, Factual, Female, Germany, Humans, Kidney Neoplasms, Laparoscopy, Male, Middle Aged, Nephrectomy, Nephrons, Practice Guidelines as Topic, Referral and Consultation, Regression Analysis, Robotic Surgical Procedures, Journal Article, Multicenter Study",
author = "Christian Meyer and Jens Hansen and Andreas Becker and Marianne Schmid and Lea Pradel and Karin Strini and Thomas Chromecki and Johanna Jesche-Chromecki and Margit Fisch and Richard Zigeuner and Chun, {Felix K H}",
note = "{\textcopyright} 2015 S. Karger AG, Basel.",
year = "2016",
doi = "10.1159/000442215",
language = "English",
volume = "96",
pages = "330--6",
journal = "UROL INT",
issn = "0042-1138",
publisher = "S. Karger AG",
number = "3",

}

RIS

TY - JOUR

T1 - The Adoption of Nephron-Sparing Surgery in Europe - A Trend Analysis in Two Referral Centers from Austria and Germany

AU - Meyer, Christian

AU - Hansen, Jens

AU - Becker, Andreas

AU - Schmid, Marianne

AU - Pradel, Lea

AU - Strini, Karin

AU - Chromecki, Thomas

AU - Jesche-Chromecki, Johanna

AU - Fisch, Margit

AU - Zigeuner, Richard

AU - Chun, Felix K H

N1 - © 2015 S. Karger AG, Basel.

PY - 2016

Y1 - 2016

N2 - OBJECTIVE: To compare the trends of partial nephrectomy (PN) and radical nephrectomy (RN) in 2 European tertiary referral centers with regards to guideline changes.MATERIALS AND METHODS: A total of 1,573 patients who underwent RN or PN for localized (≤T2) renal cell carcinoma (RCC) were included. Logistic regression analyses assessed the predictors of PN and laparoscopy over time.RESULTS: Out of the total, 1,013 patients (65.6%) were treated with RN and 560 patients (34.4%) with PN. Also, 1,233 patients (80%) had open surgery whereas 340 patients (22%) were treated with a laparoscopic approach. Laparoscopic RN and PN were performed in 216 (13.7%) and 124 (7.8%) patients, respectively. T1b tumors were 73% less likely (p < 0.001) to be treated with PN compared to T1a tumors. The odds of undergoing PN or laparoscopy in 2008-2010 relative to 2000-2001 were 6.5-fold (p < 0.001) and 36-fold higher (p < 0.001), respectively.CONCLUSIONS: Tumor size and year of surgery are independent predictors of PN in our cohort. Our data exemplify the adoption of PN for RCC in tertiary care centers in Austria and Germany in line with implemented guideline changes. The utilization of PN has increased over time regardless of surgical approach. Further studies need to address the use of robot-assisted surgery and care in community hospitals.

AB - OBJECTIVE: To compare the trends of partial nephrectomy (PN) and radical nephrectomy (RN) in 2 European tertiary referral centers with regards to guideline changes.MATERIALS AND METHODS: A total of 1,573 patients who underwent RN or PN for localized (≤T2) renal cell carcinoma (RCC) were included. Logistic regression analyses assessed the predictors of PN and laparoscopy over time.RESULTS: Out of the total, 1,013 patients (65.6%) were treated with RN and 560 patients (34.4%) with PN. Also, 1,233 patients (80%) had open surgery whereas 340 patients (22%) were treated with a laparoscopic approach. Laparoscopic RN and PN were performed in 216 (13.7%) and 124 (7.8%) patients, respectively. T1b tumors were 73% less likely (p < 0.001) to be treated with PN compared to T1a tumors. The odds of undergoing PN or laparoscopy in 2008-2010 relative to 2000-2001 were 6.5-fold (p < 0.001) and 36-fold higher (p < 0.001), respectively.CONCLUSIONS: Tumor size and year of surgery are independent predictors of PN in our cohort. Our data exemplify the adoption of PN for RCC in tertiary care centers in Austria and Germany in line with implemented guideline changes. The utilization of PN has increased over time regardless of surgical approach. Further studies need to address the use of robot-assisted surgery and care in community hospitals.

KW - Adult

KW - Aged

KW - Aged, 80 and over

KW - Austria

KW - Carcinoma, Renal Cell

KW - Cohort Studies

KW - Databases, Factual

KW - Female

KW - Germany

KW - Humans

KW - Kidney Neoplasms

KW - Laparoscopy

KW - Male

KW - Middle Aged

KW - Nephrectomy

KW - Nephrons

KW - Practice Guidelines as Topic

KW - Referral and Consultation

KW - Regression Analysis

KW - Robotic Surgical Procedures

KW - Journal Article

KW - Multicenter Study

U2 - 10.1159/000442215

DO - 10.1159/000442215

M3 - SCORING: Journal article

C2 - 26699625

VL - 96

SP - 330

EP - 336

JO - UROL INT

JF - UROL INT

SN - 0042-1138

IS - 3

ER -