TY - JOUR
T1 - Treatment management of small renal masses in the 21st century
T2 - A paradigm shift
AU - Sun, Maxine
AU - Abdollah, Firas
AU - Bianchi, Marco
AU - Trinh, Quoc Dien
AU - Jeldres, Claudio
AU - Thuret, Rodolphe
AU - Tian, Zhe
AU - Shariat, Shahrokh F.
AU - Montorsi, Francesco
AU - Perrotte, Paul
AU - Karakiewicz, Pierre I.
PY - 2012/7
Y1 - 2012/7
N2 - Background. Partial (PN) or radical nephrectomy (RN) represents the standard of care for patients with small renal masses. Active surveillance (AS) also may be considered. We examined the rates of PN, RN, and AS within a contemporary population-based cohort. Methods. Using the surveillance, epidemiology and end results database, we identified 26,468 patients diagnosed with T1aN0M0 renal cell carcinoma, between years 1988 and 2008. Determinants of PN and AS were assessed using logistic regression analyses within surgically managed patients and within the entire cohort, respectively. Results. Overall, 8,966 (34%), 14,705 (56%), and 2,797 (11%) patients underwent PN, RN, and AS, respectively. The rate of PN increased (4.7% in 1988 to 40.4% in 2008, P
AB - Background. Partial (PN) or radical nephrectomy (RN) represents the standard of care for patients with small renal masses. Active surveillance (AS) also may be considered. We examined the rates of PN, RN, and AS within a contemporary population-based cohort. Methods. Using the surveillance, epidemiology and end results database, we identified 26,468 patients diagnosed with T1aN0M0 renal cell carcinoma, between years 1988 and 2008. Determinants of PN and AS were assessed using logistic regression analyses within surgically managed patients and within the entire cohort, respectively. Results. Overall, 8,966 (34%), 14,705 (56%), and 2,797 (11%) patients underwent PN, RN, and AS, respectively. The rate of PN increased (4.7% in 1988 to 40.4% in 2008, P
UR - http://www.scopus.com/inward/record.url?scp=84865138396&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84865138396&partnerID=8YFLogxK
U2 - 10.1245/s10434-012-2247-0
DO - 10.1245/s10434-012-2247-0
M3 - Article
C2 - 22322956
AN - SCOPUS:84865138396
VL - 19
SP - 2380
EP - 2387
JO - Annals of Surgical Oncology
JF - Annals of Surgical Oncology
SN - 1068-9265
IS - 7
ER -