Comparison of prognosis between patients with renal cell carcinoma on hemodialysis and those with renal cell carcinoma in the general population

Verfasser / Beitragende:
[Yasunobu Hashimoto, Toshio Takagi, Tsunenori Kondo, Junpei Iizuka, Hirohito Kobayashi, Kenji Omae, Kazuhiko Yoshida, Kazunari Tanabe]
Ort, Verlag, Jahr:
2015
Enthalten in:
International Journal of Clinical Oncology, 20/5(2015-10-01), 1035-1041
Format:
Artikel (online)
ID: 605491658
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024 7 0 |a 10.1007/s10147-015-0812-9  |2 doi 
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245 0 0 |a Comparison of prognosis between patients with renal cell carcinoma on hemodialysis and those with renal cell carcinoma in the general population  |h [Elektronische Daten]  |c [Yasunobu Hashimoto, Toshio Takagi, Tsunenori Kondo, Junpei Iizuka, Hirohito Kobayashi, Kenji Omae, Kazuhiko Yoshida, Kazunari Tanabe] 
520 3 |a Objective: We compared the clinical features and prognosis of renal cell carcinoma (RCC) between patients on hemodialysis (RCC-HD) and those in the general population (RCC-general). Methods: We included a total of 1,794 patients who underwent surgery (RCC-HD, 408; RCC-general, 1,386) and analyzed the clinical characteristics and oncological outcomes using a stage-for-stage analysis between the two groups. Results: In the RCC-HD group, the mean duration of dialysis before surgery was 120months. Compared to the RCC-general group, the RCC-HD group tended to be younger (55 vs. 60years, p<0.0001) and more predominately male (84% vs. 70%, p<0.0001), and the tumor size was smaller in this group (39 vs. 49mm, p<0.0001). The pathological characteristics of the RCC-HD group included a higher frequency of papillary tumors (22% vs. 5%, p<0.0001) and stage I tumors (82% vs. 68%, p<0.0001). During the follow-up period, 39 of patients (10%) in the RCC-HD group and 193 patients (14%) in the RCC-general group died of cancer. The patients on hemodialysis had better cancer-specific survival (CSS) than their counterparts (p=0.0292) in the univariable analysis, but no significance was found in the multivariable analysis. In the stage-for-stage analysis, the 5-year CSS was similar between the two groups for each stage. Conclusions: CSS appeared to be better in the RCC-HD group than in the RCC-general group, which may be associated with the higher incidence of stage I disease in the RCC-HD group. The comparable CSS between the groups in the stage-for-stage analysis supports this finding. 
540 |a Japan Society of Clinical Oncology, 2015 
690 7 |a Kidney neoplasm  |2 nationallicence 
690 7 |a Prognosis  |2 nationallicence 
690 7 |a Nephrectomy  |2 nationallicence 
690 7 |a Hemodialysis  |2 nationallicence 
690 7 |a RCC : Renal cell carcinoma  |2 nationallicence 
690 7 |a ESRD : End-stage renal disease  |2 nationallicence 
690 7 |a HD : Hemodialysis  |2 nationallicence 
690 7 |a CSS : Cancer-specific survival  |2 nationallicence 
690 7 |a ACDK : Acquired cystic disease of kidney  |2 nationallicence 
700 1 |a Hashimoto  |D Yasunobu  |u Department of Urology, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, 162-8666, Tokyo, Japan  |4 aut 
700 1 |a Takagi  |D Toshio  |u Department of Urology, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, 162-8666, Tokyo, Japan  |4 aut 
700 1 |a Kondo  |D Tsunenori  |u Department of Urology, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, 162-8666, Tokyo, Japan  |4 aut 
700 1 |a Iizuka  |D Junpei  |u Department of Urology, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, 162-8666, Tokyo, Japan  |4 aut 
700 1 |a Kobayashi  |D Hirohito  |u Department of Urology, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, 162-8666, Tokyo, Japan  |4 aut 
700 1 |a Omae  |D Kenji  |u Department of Urology, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, 162-8666, Tokyo, Japan  |4 aut 
700 1 |a Yoshida  |D Kazuhiko  |u Department of Urology, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, 162-8666, Tokyo, Japan  |4 aut 
700 1 |a Tanabe  |D Kazunari  |u Department of Urology, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, 162-8666, Tokyo, Japan  |4 aut 
773 0 |t International Journal of Clinical Oncology  |d Springer Japan  |g 20/5(2015-10-01), 1035-1041  |x 1341-9625  |q 20:5<1035  |1 2015  |2 20  |o 10147 
856 4 0 |u https://doi.org/10.1007/s10147-015-0812-9  |q text/html  |z Onlinezugriff via DOI 
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900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s10147-015-0812-9  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Hashimoto  |D Yasunobu  |u Department of Urology, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, 162-8666, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Takagi  |D Toshio  |u Department of Urology, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, 162-8666, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kondo  |D Tsunenori  |u Department of Urology, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, 162-8666, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Iizuka  |D Junpei  |u Department of Urology, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, 162-8666, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kobayashi  |D Hirohito  |u Department of Urology, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, 162-8666, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Omae  |D Kenji  |u Department of Urology, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, 162-8666, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Yoshida  |D Kazuhiko  |u Department of Urology, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, 162-8666, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Tanabe  |D Kazunari  |u Department of Urology, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, 162-8666, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t International Journal of Clinical Oncology  |d Springer Japan  |g 20/5(2015-10-01), 1035-1041  |x 1341-9625  |q 20:5<1035  |1 2015  |2 20  |o 10147