OBJECTIVES AND AIMS: To compare guideline recommendations with daily practice patterns in a German patient cohort with renal cell carcinoma. PATIENTS AND METHODS: 81 patients with T1 oder T2 renal cell carcinoma (RCC) were included in this prospective single-center study. All patients were operated in a single institution either by open radical nephrectomy (ORN) or nephron sparing surgery (NSS). Patients and doctors were evaluated using a written questionnaire with a follow-up of 12 months. Follow-up intervals, follow-up modalities (e. g. imaging modalities, laboratory controls of blood and urine) and the call on psycho-oncological support were evaluated. RESULTS: The majority of patients (72%) were followed up by their urologists. Follow-up examinations included abdominal ultrasound, urine and blood diagnostics, conventional chest x-rays, computed tomography (CT) of abdomen, chest or head or abdominal Magnetic Resonance Imaging (MRI). There were no significant differences between patients operated by ORN or NSS. In total, 12.5% of patients were asking for psycho-oncological support. CONCLUSIONS: In general, patients were followed up according to existing guideline recommendations. Only a small proportion of patients asked for psycho-oncological treatment.
OBJECTIVES AND AIMS: To compare guideline recommendations with daily practice patterns in a German patient cohort with renal cell carcinoma. PATIENTS AND METHODS: 81 patients with T1 oder T2 renal cell carcinoma (RCC) were included in this prospective single-center study. All patients were operated in a single institution either by open radical nephrectomy (ORN) or nephron sparing surgery (NSS). Patients and doctors were evaluated using a written questionnaire with a follow-up of 12 months. Follow-up intervals, follow-up modalities (e. g. imaging modalities, laboratory controls of blood and urine) and the call on psycho-oncological support were evaluated. RESULTS: The majority of patients (72%) were followed up by their urologists. Follow-up examinations included abdominal ultrasound, urine and blood diagnostics, conventional chest x-rays, computed tomography (CT) of abdomen, chest or head or abdominal Magnetic Resonance Imaging (MRI). There were no significant differences between patients operated by ORN or NSS. In total, 12.5% of patients were asking for psycho-oncological support. CONCLUSIONS: In general, patients were followed up according to existing guideline recommendations. Only a small proportion of patients asked for psycho-oncological treatment.
Authors: Amnon Zisman; Allan J Pantuck; Jeffery Wieder; Debby H Chao; Fredrick Dorey; Jonathan W Said; Jean B deKernion; Robert A Figlin; Arie S Belldegrun Journal: J Clin Oncol Date: 2002-12-01 Impact factor: 44.544
Authors: Christian Gratzke; Michael Seitz; Florian Bayrle; Boris Schlenker; Patrick J Bastian; Niko Haseke; Markus Bader; Derya Tilki; Alexander Roosen; Alexander Karl; Oliver Reich; Wael Y Khoder; Stephen Wyler; Christian G Stief; Michael Staehler; Alexander Bachmann Journal: BJU Int Date: 2009-02-23 Impact factor: 5.588
Authors: Bradley C Leibovich; Michael L Blute; John C Cheville; Christine M Lohse; Igor Frank; Eugene D Kwon; Amy L Weaver; Alexander S Parker; Horst Zincke Journal: Cancer Date: 2003-04-01 Impact factor: 6.860