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Surgical waiting ti...
Surgical waiting times and all-cause mortality in patients with non-metastatic renal cell carcinoma
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- Rosenblad, Andreas, Fil. dr, 1973- (author)
- Karolinska Institutet,Uppsala universitet,Klinisk diabetologi och metabolism,Reg Canc Ctr Stockholm Gotland, Stockholm, Sweden.;Karolinska Inst, Div Family Med & Primary Care, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden.
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- Sundqvist, Pernilla, 1973- (author)
- Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department of Urology, Faculty of Medicine and Health, Örebro University, Örebro, Sweden,Örebro Univ, Fac Med & Hlth, Dept Urol, Örebro, Sweden.
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- Harmenberg, U. (author)
- Department of Oncology, Karolinska University Hospital and Karolinska Institutet, Stockholm, Sweden,Karolinska Univ Hosp, Dept Oncol, Stockholm, Sweden.;Karolinska Inst, Stockholm, Sweden.
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- Hellström, Mikael, 1950 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för radiologi,Institute of Clinical Sciences, Department of Radiology,Department of Radiology, Sahlgrenska Academy, Sahlgrenska University Hospital, Gothenburg University, Gothenburg, Sweden,Gothenburg Univ, Sahlgrenska Univ Hosp, Sahlgrenska Acad, Dept Radiol, Gothenburg, Sweden.
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- Hofmann, F. (author)
- Umeå universitet,Urologi och andrologi,Umeå Univ, Dept Urol, Luleå, Sweden.
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- Kjellman, A. (author)
- Karolinska Institutet
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- Kröger Dahlin, Britt-Inger (author)
- Umeå universitet,Urologi och andrologi,Umeå Univ, Dept Surg & Perioperat Sci, Urol & Androl, S-90185 Umeå, Sweden.
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- Lindblad, Per, 1953- (author)
- Örebro universitet,Institutionen för medicinska vetenskaper,School of Medical Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden,Örebro Univ, Fac Med & Hlth, Sch Med Sci, Örebro, Sweden.
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- Lindskog, Magnus (author)
- Karolinska Institutet,Uppsala universitet,Cancerfarmakologi och beräkningsmedicin
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- Lundstam, Sven, 1944 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för urologi,Institutionen för kliniska vetenskaper, Avdelningen för onkologi,Institute of Clinical Sciences, Department of Urology,Institute of Clinical Sciences, Department of Oncology,Departments of Urology and Oncology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden,Univ Gothenburg, Sahlgrenska Acad, Dept Urol, Gothenburg, Sweden.;Univ Gothenburg, Sahlgrenska Acad, Dept Oncol, Gothenburg, Sweden.
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- Ljungberg, Börje, Professor, 1949- (author)
- Umeå universitet,Urologi och andrologi,Umeå Univ, Dept Surg & Perioperat Sci, Urol & Androl, S-90185 Umeå, Sweden.
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(creator_code:org_t)
- 2022-08-18
- 2022
- English.
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In: Scandinavian Journal of Urology. - : Medical Journals Sweden AB. - 2168-1805 .- 2168-1813. ; 56:5-6, s. 383-390
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Abstract
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- Objective To examine the association between surgical waiting times (SWTs) and all-cause mortality (ACM) in non-metastatic patients with RCC, in relation to tumour stage. Patients and methods This nation-wide population-based cohort study included 9,918 M0 RCC patients registered in the National Swedish Kidney Cancer Register, between 2009 and 2021, followed-up for ACM until 9 December 2021, and having measured SWTs. The associations between primarily SWTs from date of radiological diagnosis to date of surgery (WRS) and secondarily SWTs from date of radiological diagnosis to date of treatment decision (WRT) and date of treatment decision to date of surgery (WTS), in relation to ACM, were analysed using Cox regression analysis, adjusted for clinical and demographic characteristics, stratified and unstratified according to T-stage. Results During a mean follow-up time of 5 years (49,873 person-years), 23% (n = 2291) of the patients died. The adjusted hazard ratio (AHR) for WRS (months) for all patients was 1.03 (95% confidence interval [CI] = 1.02-1.04; p < 0.001). When subdividing WRS on T-stage, the AHRs were 1.03 (95% CI = 1.01-1.04; p < 0.001) and 1.05 (95% CI = 1.02-1.08; p = 0.003) for stages T1 and T3, respectively, while non-significant for T2 (p = 0.079) and T4 (p = 0.807). Similar results were obtained for WRT and WTS. Conclusions Prolonged SWTs significantly increased the risk of early overall death among patients with RCC. The increased risk of early death from any cause show the importance of shortening SWTs in clinical work of patients with this malignant disease.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Urologi och njurmedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Urology and Nephrology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cancer and Oncology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
Keyword
- all-cause mortality
- renal cancer carcinoma
- kidney cancer
- nephrectomy
- nephron sparing surgery
- overall survival
- renal surgery
- surgical
- waiting time
- radiofrequency ablation
- cryoablation
- time-to-surgery
- T-stage
- cancer
- surveillance
- surgery
- masses
- prostatectomy
- cystectomy
- immediate
- survival
- impact
- delay
- Urology & Nephrology
- T-stage
Publication and Content Type
- ref (subject category)
- art (subject category)
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Rosenblad, Andre ...
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Sundqvist, Perni ...
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Harmenberg, U.
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Hellström, Mikae ...
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Hofmann, F.
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Kjellman, A.
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Kröger Dahlin, B ...
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Lindblad, Per, 1 ...
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Lindskog, Magnus
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Lundstam, Sven, ...
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Ljungberg, Börje ...
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Urology and Neph ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Cancer and Oncol ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Surgery
- Articles in the publication
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Scandinavian Jou ...
- By the university
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University of Gothenburg
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Örebro University
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Umeå University
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Uppsala University
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Karolinska Institutet