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Contemporary treatm...
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Nisen, HarryDepartment of Urology, Helsinki University Hospital, Helsinki, Finland
(author)
Contemporary treatment of renal tumors : a questionnaire survey in the Nordic countries (the NORENCA-I study)
- Article/chapterEnglish2017
Publisher, publication year, extent ...
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2017-06-23
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Taylor & Francis,2017
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LIBRIS-ID:oai:DiVA.org:oru-60813
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https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-60813URI
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https://doi.org/10.1080/21681805.2017.1326524DOI
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https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-142480URI
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Language:English
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Summary in:English
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
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Funding Agency:Scandinavian Association of Urology (NUF)
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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.
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Järvinen, PetrusDepartment of Urology, Helsinki University Hospital, Helsinki, Finland
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Fovaeus, MagnusDepartment of Urology, Sahlgrenska University Hospital, Gothenburg, Sweden
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Guðmundsson, EirikurDepartment of Urology, Landspitali University Hospital, Reykjavik, Iceland
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Kromann-Andersen, BjarneDepartment of Urology, Herlev University Hospital, Copenhagen, Denmark
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Ljungberg, BörjeUmeå universitet,Urologi och andrologi(Swepub:umu)bolj0001
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Lund, LarsDepartment of Urology, Odense University Hospital, Odense, Denmark; Clinical Institute, Southern University of Denmark, Odense, Denmark
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Nilsen, FrodeDepartment of Urology, Akershus University Hospital, Lörenskog, Norway
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Sundqvist, Pernilla,1973-Örebro universitet,Institutionen för medicinska vetenskaper,Department of Urology, Faculty of Health and Medical Sciences, Örebro University, Örebro, Sweden(Swepub:oru)pst
(author)
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Beisland, ChristianDepartment of Urology, Haukeland University Hospital, Bergen, Norway; Department of Clinical Medicine, University of Bergen, Bergen, Norway
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Department of Urology, Helsinki University Hospital, Helsinki, FinlandDepartment of Urology, Sahlgrenska University Hospital, Gothenburg, Sweden
(creator_code:org_t)
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In:Scandinavian journal of urology: Taylor & Francis51:5, s. 360-3662168-18052168-1813
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