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Increased use of cr...
Increased use of cross-sectional imaging for follow-up does not improve post-recurrence survival of surgically treated initially localized RCC : results from a European multicenter database (RECUR)
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- Dabestani, Saeed (författare)
- Lund University,Lunds universitet,Urologi,Forskargrupper vid Lunds universitet,Urology,Lund University Research Groups,Skåne University Hospital
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- Beisland, Christian (författare)
- Haukeland University Hospital,University of Bergen
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- Stewart, Grant D. (författare)
- University of Cambridge
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- Bensalah, Karim (författare)
- University of Rennes I
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- Gudmundsson, Eirikur (författare)
- National University Hospital of Iceland
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- Lam, Thomas B. (författare)
- University of Aberdeen
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- Gietzmann, William (författare)
- University of Aberdeen
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- Zakikhani, Paimaun (författare)
- Aberdeen Royal Infirmary
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- Marconi, Lorenzo (författare)
- University Hospital of Coimbra
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- Fernandéz-Pello, Sergio (författare)
- University Hospital Cabueñes
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- Monagas, Serenella (författare)
- San Agustin University Hospital
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- Williams, Samuel P. (författare)
- University of Edinburgh
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- Powles, Thomas (författare)
- Queen Mary University
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- Van Werkhovenn, Erik (författare)
- Netherlands Cancer Institute
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- Meijer, Richard (författare)
- University Medical Center Utrecht
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- Volpe, Alessandro (författare)
- University of Eastern Piedmont
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- Staehler, Michael (författare)
- Ludwig-Maximilian University of Munich
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- Ljungberg, Börje, 1949- (författare)
- Umeå University,Umeå universitet,Urologi och andrologi
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- Bex, Axel (författare)
- Netherlands Cancer Institute
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(creator_code:org_t)
- 2019-03-25
- 2019
- Engelska.
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Ingår i: Scandinavian journal of urology. - : Taylor & Francis Group. - 2168-1805 .- 2168-1813. ; 53:1, s. 14-20
- Relaterad länk:
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http://dx.doi.org/10...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://lup.lub.lu.s...
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Abstract
Ämnesord
Stäng
- Objective: Modality and frequency of image-based renal cell carcinoma (R.C.C.) follow-up strategies are based on risk of recurrence. Using the R.E.C.U.R.-database, frequency of imaging was studied in regard to prognostic risk groups. Furthermore, it was investigated whether imaging modality utilized in contemporary follow-up were associated with outcome after detection of recurrence. Moreover, outcome was compared based on whether the assessment of potential curability was a pre-defined set of criteria's (per-protocol) or stated by the investigator. Materials and methods: Consecutive non-metastatic R.C.C. patients (n = 1,612) treated with curative intent at 12 institutes across eight European countries between 2006 and 2011 were included. Leibovich or U.I.S.S. risk group, recurrence characteristics, imaging modality, frequency and survival were recorded. Primary endpoints were overall survival (O.S.) after detection of recurrence and frequency of features associated with favourable outcome (non-symptomatic recurrences and detection within the follow-up-programme). Results: Recurrence occurred in 336 patients. Within low, intermediate and high risk for recurrence groups, the frequency of follow-up imaging was highest in the early phase of follow-up and decreased significantly over time (p < 0.001). However, neither the image modality for detection nor >= 50% cross-sectional imaging during follow-up were associated with improved O.S. after recurrence. Differences between per protocol and investigator based assessment of curability did not translate into differences in O.S. Conclusions: As expected, the frequency of imaging was highest during early follow-up. Cross-sectional imaging use for detection of recurrences following surgery for localized R.C.C. did not improve O.S. post-recurrence. Prospective studies are needed to determine the value of imaging in follow-up.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Urologi och njurmedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Urology and Nephrology (hsv//eng)
Nyckelord
- Renal cell carcinoma
- follow-up
- imaging
- overall survival
- follow-up
- imaging
- overall survival
- Renal cell carcinoma
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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- Av författaren/redakt...
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Dabestani, Saeed
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Beisland, Christ ...
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Stewart, Grant D ...
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Bensalah, Karim
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Gudmundsson, Eir ...
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Lam, Thomas B.
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visa fler...
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Gietzmann, Willi ...
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Zakikhani, Paima ...
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Marconi, Lorenzo
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Fernandéz-Pello, ...
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Monagas, Serenel ...
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Williams, Samuel ...
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Powles, Thomas
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Van Werkhovenn, ...
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Meijer, Richard
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Volpe, Alessandr ...
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Staehler, Michae ...
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Ljungberg, Börje ...
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Bex, Axel
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- MEDICIN OCH HÄLSOVETENSKAP
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Umeå universitet
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