Guideline adherence for the surgical treatment of T1 renal tumours correlates with hospital volume: an analysis from the British Association of Urological Surgeons Nephrectomy Audit.
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Aben, Katja KH
British Association of Urological Surgeons,
Blackwell Publishing Inc.
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Tran, M. G., Aben, K. K., Werkhoven, E., Neves, J. B., Fowler, S., Sullivan, M., Stewart, G., et al. (2020). Guideline adherence for the surgical treatment of T1 renal tumours correlates with hospital volume: an analysis from the British Association of Urological Surgeons Nephrectomy Audit.. BJU international, 125 (1), 73-81. https://doi.org/10.1111/bju.14862
Since 2010, the European Association of Urology (EAU) Renal Cancer Guidelines have recommended partial nephrectomy (PN) for patients with T1 tumours, and radical nephrectomy (RN) for tumours not amenable to PN or other local treatment options [1, 2]. Oncological outcome of PN in terms of cancer specific and overall survival is proven to be comparable to RN, but whether decreased mortality from any cause can be attributed to PN is still unresolved [2-4]. Nonetheless, PN is the preferred surgical treatment option when feasible, to minimize deterioration in renal function . Thus, the proportion of T1 tumours treated with PN compared to RN in a given hospital can be considered a surrogate indicator of recommendation adherence.
British Association of Urological Surgeons, Humans, Kidney Neoplasms, Postoperative Complications, Neoplasm Staging, Nephrectomy, Retrospective Studies, Urology, Societies, Medical, Guideline Adherence, Medical Audit, Female, Male, Hospitals, High-Volume, Hospitals, Low-Volume, United Kingdom, Correlation of Data
External DOI: https://doi.org/10.1111/bju.14862
This record's URL: https://www.repository.cam.ac.uk/handle/1810/294301
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