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Contemporary treatm...
Contemporary treatment of renal tumors : a questionnaire survey in the Nordic countries (the NORENCA-I study)
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- Nisen, Harry (author)
- Department of Urology, Helsinki University Hospital, Helsinki, Finland
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- Järvinen, Petrus (author)
- Department of Urology, Helsinki University Hospital, Helsinki, Finland
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- Fovaeus, Magnus (author)
- Department of Urology, Sahlgrenska University Hospital, Gothenburg, Sweden
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- Guðmundsson, Eirikur (author)
- Department of Urology, Landspitali University Hospital, Reykjavik, Iceland
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- Kromann-Andersen, Bjarne (author)
- Department of Urology, Herlev University Hospital, Copenhagen, Denmark
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- Ljungberg, Börje (author)
- Umeå universitet,Urologi och andrologi
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- Lund, Lars (author)
- Department of Urology, Odense University Hospital, Odense, Denmark; Clinical Institute, Southern University of Denmark, Odense, Denmark
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- Nilsen, Frode (author)
- Department of Urology, Akershus University Hospital, Lörenskog, Norway
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- Sundqvist, Pernilla, 1973- (author)
- Örebro universitet,Institutionen för medicinska vetenskaper,Department of Urology, Faculty of Health and Medical Sciences, Örebro University, Örebro, Sweden
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- Beisland, Christian (author)
- Department of Urology, Haukeland University Hospital, Bergen, Norway; Department of Clinical Medicine, University of Bergen, Bergen, Norway
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(creator_code:org_t)
- 2017-06-23
- 2017
- English.
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In: Scandinavian journal of urology. - : Taylor & Francis. - 2168-1805 .- 2168-1813. ; 51:5, s. 360-366
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https://doi.org/10.1...
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Abstract
Subject headings
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- OBJECTIVE: The five Nordic countries comprise 25 million people, and have similar treatment traditions and healthcare systems. To take advantage of these similarities, a collaborative group (Nordic Renal Cancer Group, NORENCA) was founded in 2015.MATERIALS AND METHODS: A questionnaire of 17 questions on renal tumor management and surgical education was designed and sent to 91 institutions performing renal tumor surgery in 2015. The response rate was 68% (62 hospitals), including 28 academic, 25 central and nine district hospitals. Hospital volume was defined as low (LVH: < 20 operations), intermediate (IVH: 20-49 operations), high (HVH: 50-99) and very high (VHVH: ≥ 100). Descriptive statistics were performed.RESULTS: Fifteen centers were LVH, 16 IVH, 21 HVH and 10 VHVH. Of all 3828 kidney tumor treatments, 55% were radical nephrectomies (RNs), 37% partial nephrectomies (PNs) and 8% thermoablations. For RN and PN, the percentages of open, laparoscopic and robotic approaches were 47%, 40%, 13% and 47%, 20%, 33%, respectively. The mean complication rate (Clavien-Dindo 3-5) was 4.9%, and 30 day mortality (TDM) was 0.5%. The median length of hospital stay was 4 days. Training with a simulator, black box or animal laboratory was possible in 48%, 74% and 21% of institutions, respectively.CONCLUSIONS: Despite some differences between countries, the data suggest an overall general common Nordic treatment attitude for renal tumors. Furthermore, the data demonstrate high adherence to international standards, with a high proportion of PN and acceptable rates for major complications and TDM.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Urologi och njurmedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Urology and Nephrology (hsv//eng)
Keyword
- Complication
- kidney cancer
- minimally invasive methods
- mortality
- nephrectomy
- surgery
Publication and Content Type
- ref (subject category)
- art (subject category)
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