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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Fältnamn	Indikatorer	Metadata
000		05431naa a2200661 4500
001		oai:DiVA.org:umu-159078
003		SwePub
008		190520s2019 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
009		oai:lup.lub.lu.se:5ee01ea4-4138-4b01-9013-c9dd7f4a499d
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1590782 URI
024	7	a https://doi.org/10.1080/21681805.2019.15889192 DOI
024	7	a https://lup.lub.lu.se/record/5ee01ea4-4138-4b01-9013-c9dd7f4a499d2 URI
040		a (SwePub)umud (SwePub)lu
041		a engb eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a art2 swepub-publicationtype
100	1	a Dabestani, Saeedu Lund University,Lunds universitet,Urologi,Forskargrupper vid Lunds universitet,Urology,Lund University Research Groups,Skåne University Hospital4 aut0 (Swepub:lu)med-sdd
245	1 0	a Increased use of cross-sectional imaging for follow-up does not improve post-recurrence survival of surgically treated initially localized RCC :b results from a European multicenter database (RECUR)
264		c 2019-03-25
264	1	b Taylor & Francis Group,c 2019
338		a print2 rdacarrier
520		a 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.
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Urologi och njurmedicin0 (SwePub)302142 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Urology and Nephrology0 (SwePub)302142 hsv//eng
653		a Renal cell carcinoma
653		a follow-up
653		a imaging
653		a overall survival
653		a follow-up
653		a imaging
653		a overall survival
653		a Renal cell carcinoma
700	1	a Beisland, Christianu Haukeland University Hospital,University of Bergen4 aut
700	1	a Stewart, Grant D.u University of Cambridge4 aut
700	1	a Bensalah, Karimu University of Rennes I4 aut
700	1	a Gudmundsson, Eirikuru National University Hospital of Iceland4 aut
700	1	a Lam, Thomas B.u University of Aberdeen4 aut
700	1	a Gietzmann, Williamu University of Aberdeen4 aut
700	1	a Zakikhani, Paimaunu Aberdeen Royal Infirmary4 aut
700	1	a Marconi, Lorenzou University Hospital of Coimbra4 aut
700	1	a Fernandéz-Pello, Sergiou University Hospital Cabueñes4 aut
700	1	a Monagas, Serenellau San Agustin University Hospital4 aut
700	1	a Williams, Samuel P.u University of Edinburgh4 aut
700	1	a Powles, Thomasu Queen Mary University4 aut
700	1	a Van Werkhovenn, Eriku Netherlands Cancer Institute4 aut
700	1	a Meijer, Richardu University Medical Center Utrecht4 aut
700	1	a Volpe, Alessandrou University of Eastern Piedmont4 aut
700	1	a Staehler, Michaelu Ludwig-Maximilian University of Munich4 aut
700	1	a Ljungberg, Börje,d 1949-u Umeå University,Umeå universitet,Urologi och andrologi4 aut0 (Swepub:umu)bolj0001
700	1	a Bex, Axelu Netherlands Cancer Institute4 aut
710	2	a Urologib Forskargrupper vid Lunds universitet4 org
773	0	t Scandinavian journal of urologyd : Taylor & Francis Groupg 53:1, s. 14-20q 53:1<14-20x 2168-1805x 2168-1813
856	4	u https://www.repository.cam.ac.uk/bitstream/1810/290107/1/RECUR%20III%20imaging%20-%20Accepted%20copy.pdf
856	4	u http://dx.doi.org/10.1080/21681805.2019.1588919y FULLTEXT
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-159078
856	4 8	u https://doi.org/10.1080/21681805.2019.1588919
856	4 8	u https://lup.lub.lu.se/record/5ee01ea4-4138-4b01-9013-c9dd7f4a499d

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