Status of pretreatment evaluation, treatment and follow-up regimens for renal cell carcinoma in the Nordic countries

2.50
Hdl Handle:
http://hdl.handle.net/2336/5469
Title:
Status of pretreatment evaluation, treatment and follow-up regimens for renal cell carcinoma in the Nordic countries
Authors:
Mommsen, Søren; Ljungberg, Börje; Einarsson, Gudmundur Vikar; Johnsen, John; Kallio, Jukka; Nurmi, Martti; Rosenlund, Alf Frimann
Citation:
Scand J Urol Nephrol 2003, 37(5):401-7
Issue Date:
1-Nov-2003
Abstract:
OBJECTIVE: One prerequisite for performing multicentre studies is that the clinical handling of the patients must be uniform. We therefore evaluated possible differences in pretreatment evaluation, surgical treatment and follow-up regimes between the Nordic countries and between the different departments that performed nephrectomy due to renal cell carcinoma. MATERIAL AND METHODS: A questionnaire comprising 21 different questions was sent to all hospitals in the five Nordic countries performing nephrectomy. The questionnaires were returned by 195/226 (86%) departments. RESULTS: In total, 24% of the departments performed fewer than five tumour nephrectomies per year. The main differences were as follows. I.v. pyelography was never used in Finland in clinics with urologists while preoperative CT scans were performed by most departments and in most countries. Cytology/biopsy examinations were never used in urological clinics in Finland and Iceland in contrast to 31% of urological clinics in Denmark. In Finland, 69% of the departments performed nephrectomy in patients with multiple distant metastases, compared to only 15% in the other Nordic countries. Follow-up after nephrectomy was done in 38% of Danish departments and in 96% of departments in the other Nordic countries. CONCLUSION: There were evident differences between the urological/surgical departments in the five Nordic countries, especially concerning radiological evaluation, treatment of patients with metastases and postoperative follow-up.
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Full metadata record

DC FieldValue Language
dc.contributor.authorMommsen, Søren-
dc.contributor.authorLjungberg, Börje-
dc.contributor.authorEinarsson, Gudmundur Vikar-
dc.contributor.authorJohnsen, John-
dc.contributor.authorKallio, Jukka-
dc.contributor.authorNurmi, Martti-
dc.contributor.authorRosenlund, Alf Frimann-
dc.date.accessioned2006-10-20T13:16:45Z-
dc.date.available2006-10-20T13:16:45Z-
dc.date.issued2003-11-01-
dc.identifier.citationScand J Urol Nephrol 2003, 37(5):401-7en
dc.identifier.issn0036-5599-
dc.identifier.pmid14594689-
dc.identifier.doi10.1080/00365590310006336-
dc.identifier.otherURO12-
dc.identifier.urihttp://hdl.handle.net/2336/5469-
dc.description.abstractOBJECTIVE: One prerequisite for performing multicentre studies is that the clinical handling of the patients must be uniform. We therefore evaluated possible differences in pretreatment evaluation, surgical treatment and follow-up regimes between the Nordic countries and between the different departments that performed nephrectomy due to renal cell carcinoma. MATERIAL AND METHODS: A questionnaire comprising 21 different questions was sent to all hospitals in the five Nordic countries performing nephrectomy. The questionnaires were returned by 195/226 (86%) departments. RESULTS: In total, 24% of the departments performed fewer than five tumour nephrectomies per year. The main differences were as follows. I.v. pyelography was never used in Finland in clinics with urologists while preoperative CT scans were performed by most departments and in most countries. Cytology/biopsy examinations were never used in urological clinics in Finland and Iceland in contrast to 31% of urological clinics in Denmark. In Finland, 69% of the departments performed nephrectomy in patients with multiple distant metastases, compared to only 15% in the other Nordic countries. Follow-up after nephrectomy was done in 38% of Danish departments and in 96% of departments in the other Nordic countries. CONCLUSION: There were evident differences between the urological/surgical departments in the five Nordic countries, especially concerning radiological evaluation, treatment of patients with metastases and postoperative follow-up.en
dc.language.isoenen
dc.publisherTaylor & Francisen
dc.relation.urlhttp://search.ebscohost.com/login.aspx?direct=true&db=aph&AN=11292417&site=ehost-liveen
dc.subject.meshCarcinoma, Renal Cellen
dc.subject.meshComparative Studyen
dc.subject.meshIcelanden
dc.subject.meshFinnlanden
dc.subject.meshHumansen
dc.subject.meshKidney Neoplasmsen
dc.subject.meshNephrectomyen
dc.subject.meshPostoperative Careen
dc.subject.meshSurgery Department, Hospitalen
dc.subject.meshUrology Department, Hospitalen
dc.subject.meshQuestionnairesen
dc.titleStatus of pretreatment evaluation, treatment and follow-up regimens for renal cell carcinoma in the Nordic countriesen
dc.typeArticleen
dc.identifier.journalScandinavian journal of urology and nephrologyen
dc.format.digYES-

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