Comparison of diameter-axial-polar nephrometry and RENAL nephrometry score for treatment decision-making in patients with small renal mass

Verfasser / Beitragende:
[Yoshio Naya, Akihiro Kawauchi, Masakatu Oishi, Takashi Ueda, Atsuko Fujihara, Yasuyuki Naito, Terukazu Nakamura, Fumiya Hongo, Kazumi Kamoi, Koji Okihara, Tsuneharu Miki]
Ort, Verlag, Jahr:
2015
Enthalten in:
International Journal of Clinical Oncology, 20/2(2015-04-01), 358-361
Format:
Artikel (online)
ID: 605491860
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024 7 0 |a 10.1007/s10147-014-0714-2  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s10147-014-0714-2 
245 0 0 |a Comparison of diameter-axial-polar nephrometry and RENAL nephrometry score for treatment decision-making in patients with small renal mass  |h [Elektronische Daten]  |c [Yoshio Naya, Akihiro Kawauchi, Masakatu Oishi, Takashi Ueda, Atsuko Fujihara, Yasuyuki Naito, Terukazu Nakamura, Fumiya Hongo, Kazumi Kamoi, Koji Okihara, Tsuneharu Miki] 
520 3 |a Introduction: The aim of this study was to evaluate our institution's experience in performing laparoscopic radical nephrectomy (LRN) and partial nephrectomy (PN) in patients with small renal masses. Methods: 142 patients with cT1aN0M0 lesions were identified. 68 of these subjects were treated with LRN and 74 were treated with laparoscopic PN (LPN). The clinicopathological characteristics of the two groups of patients, including diameter-axial-polar (DAP) nephrometry and RENAL nephrometry score (RENAL-NS), operative results, and outcomes, were retrospectively analyzed. Results: A multivariate logistic regression analysis for the selection of PN as the treatment showed that tumor size, DAP nephrometry, RENAL-NS and imperative condition were all independent factors. The area under the curve receiver operating characteristics (ROC-AUC) of DAP and RENAL-NS for performing LPN were 0.897 and 0.825, respectively. Conclusions: Although LRN was performed in patients with a high nephrometry score in this study, open partial nephrectomy (OPN) should be considered for patients with a high nephrometry score in T1a renal cell carcinoma (RCC) because of better functional and similar oncological outcomes. Based on ROC analysis, when DAP is 6 or less, LPN should be considered and when DAP is 7 or more, OPN should be considered. 
540 |a Japan Society of Clinical Oncology, 2014 
690 7 |a DAP nephrometry  |2 nationallicence 
690 7 |a RENAL nephrometry score  |2 nationallicence 
690 7 |a Laparoscopic partial nephrectomy  |2 nationallicence 
690 7 |a Small renal cell carcinoma  |2 nationallicence 
690 7 |a CKD : Chronic kidney disease  |2 nationallicence 
690 7 |a DAP : Diameter-axial-polar nephrometry  |2 nationallicence 
690 7 |a eGFR : Estimated glomerular filtration rate  |2 nationallicence 
690 7 |a LPN : Laparoscopic partial nephrectomy  |2 nationallicence 
690 7 |a LRN : Laparoscopic radical nephrectomy  |2 nationallicence 
690 7 |a OPN : Open partial nephrectomy  |2 nationallicence 
690 7 |a OS : Overall survival  |2 nationallicence 
690 7 |a PN : Partial nephrectomy  |2 nationallicence 
690 7 |a RENAL-NS : RENAL nephrometry score  |2 nationallicence 
690 7 |a RFA : Radiofrequency ablation  |2 nationallicence 
700 1 |a Naya  |D Yoshio  |u The Department of Urology, Graduation School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan  |4 aut 
700 1 |a Kawauchi  |D Akihiro  |u The Department of Urology, Graduation School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan  |4 aut 
700 1 |a Oishi  |D Masakatu  |u The Department of Urology, Graduation School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan  |4 aut 
700 1 |a Ueda  |D Takashi  |u The Department of Urology, Graduation School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan  |4 aut 
700 1 |a Fujihara  |D Atsuko  |u The Department of Urology, Graduation School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan  |4 aut 
700 1 |a Naito  |D Yasuyuki  |u The Department of Urology, Graduation School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan  |4 aut 
700 1 |a Nakamura  |D Terukazu  |u The Department of Urology, Graduation School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan  |4 aut 
700 1 |a Hongo  |D Fumiya  |u The Department of Urology, Graduation School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan  |4 aut 
700 1 |a Kamoi  |D Kazumi  |u The Department of Urology, Graduation School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan  |4 aut 
700 1 |a Okihara  |D Koji  |u The Department of Urology, Graduation School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan  |4 aut 
700 1 |a Miki  |D Tsuneharu  |u The Department of Urology, Graduation School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan  |4 aut 
773 0 |t International Journal of Clinical Oncology  |d Springer Japan  |g 20/2(2015-04-01), 358-361  |x 1341-9625  |q 20:2<358  |1 2015  |2 20  |o 10147 
856 4 0 |u https://doi.org/10.1007/s10147-014-0714-2  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
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 
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950 |B NATIONALLICENCE  |P 700  |E 1-  |a Naya  |D Yoshio  |u The Department of Urology, Graduation School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kawauchi  |D Akihiro  |u The Department of Urology, Graduation School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Oishi  |D Masakatu  |u The Department of Urology, Graduation School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Ueda  |D Takashi  |u The Department of Urology, Graduation School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Fujihara  |D Atsuko  |u The Department of Urology, Graduation School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Naito  |D Yasuyuki  |u The Department of Urology, Graduation School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Nakamura  |D Terukazu  |u The Department of Urology, Graduation School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Hongo  |D Fumiya  |u The Department of Urology, Graduation School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kamoi  |D Kazumi  |u The Department of Urology, Graduation School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Okihara  |D Koji  |u The Department of Urology, Graduation School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Miki  |D Tsuneharu  |u The Department of Urology, Graduation School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t International Journal of Clinical Oncology  |d Springer Japan  |g 20/2(2015-04-01), 358-361  |x 1341-9625  |q 20:2<358  |1 2015  |2 20  |o 10147