Introduction: To comp are long term glomerular filtration rate (GFR) outcomes of partial nephrectomy and radiofrequency ablation performed for renal malignancy. Materials and methods: Renal function of 347 patients undergoing radiofrequency ablation (n = 142) or partial nephrectomy (n = 205) for renal malignancy between 1994 and 2011 were compared from a retrospective database at a single tertiary care center. Minimum 1 year of follow up was required, resulting in a mean follow up of 48.2 (SD +/- 28.2) months. Renal function was estimated using the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation. The primary study outcome was progression of Chronic Kidney Disease (CKD) stage, calculated using the Kaplan-Meier life table method. Multivariate analysis was also conducted to determine the level of association between GFR decline and treatment modality. Results: The 5 year freedom from CKD stage progression for radiofrequency ablation and partial nephrectomy was 85.4% (95% CI 76.8%-91.1%) versus 82.1% (95% CI 73.7%-88.1%) (p = 0.06). A longer follow up interval was associated with greater GFR decline, although hypertension, diabetes, age, and tumor size were not. Conclusion: Radiofrequency ablation provides similar long term renal function preservation benefit as partial nephrectomy.
机构:
Univ Chicago, Med Ctr, Dept Surg, Urol Sect, Chicago, IL 60637 USA
Univ Wisconsin, Sch Med & Publ Hlth, Dept Urol, Madison, WI 53705 USA
William S Middleton Mem Vet Adm Med Ctr, Dept Surg, Madison, WI USAUniv Chicago, Med Ctr, Dept Surg, Urol Sect, Chicago, IL 60637 USA
Richards, Kyle A.
Negron, Edris
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Univ Chicago, Med Ctr, Dept Surg, Urol Sect, Chicago, IL 60637 USAUniv Chicago, Med Ctr, Dept Surg, Urol Sect, Chicago, IL 60637 USA
Negron, Edris
Cohn, Joshua A.
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Univ Chicago, Med Ctr, Dept Surg, Urol Sect, Chicago, IL 60637 USAUniv Chicago, Med Ctr, Dept Surg, Urol Sect, Chicago, IL 60637 USA
Cohn, Joshua A.
Steinberg, Zoe
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Univ Chicago, Med Ctr, Dept Surg, Urol Sect, Chicago, IL 60637 USAUniv Chicago, Med Ctr, Dept Surg, Urol Sect, Chicago, IL 60637 USA
Steinberg, Zoe
Eggener, Scott E.
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Univ Chicago, Med Ctr, Dept Surg, Urol Sect, Chicago, IL 60637 USAUniv Chicago, Med Ctr, Dept Surg, Urol Sect, Chicago, IL 60637 USA
Eggener, Scott E.
Shalhav, Arieh L.
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Univ Chicago, Med Ctr, Dept Surg, Urol Sect, Chicago, IL 60637 USAUniv Chicago, Med Ctr, Dept Surg, Urol Sect, Chicago, IL 60637 USA
机构:
Tel Aviv Univ, Sackler Sch Med, Tel Aviv Sourasky Med Ctr, Dept Urol, Tel Aviv, Israel
Mem Sloan Kettering Canc Ctr, Urol Serv, Dept Surg, 1275 York Ave, New York, NY 10021 USATel Aviv Univ, Sackler Sch Med, Tel Aviv Sourasky Med Ctr, Dept Urol, Tel Aviv, Israel
Mano, Roy
Hakimi, A. Ari
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Mem Sloan Kettering Canc Ctr, Urol Serv, Dept Surg, 1275 York Ave, New York, NY 10021 USATel Aviv Univ, Sackler Sch Med, Tel Aviv Sourasky Med Ctr, Dept Urol, Tel Aviv, Israel
机构:
St James Univ Hosp, Dept Urol, Leeds, W Yorkshire, EnglandUniv Leeds, Fac Med & Hlth, Sch Med, Leeds, W Yorkshire, England
Cartledge, Jon
Gregory, Walter
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h-index: 0
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Univ Leeds, Leeds Inst Clin Trials Res, Leeds, W Yorkshire, EnglandUniv Leeds, Fac Med & Hlth, Sch Med, Leeds, W Yorkshire, England
Gregory, Walter
Kimuli, Michael
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h-index: 0
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St James Univ Hosp, Dept Urol, Leeds, W Yorkshire, EnglandUniv Leeds, Fac Med & Hlth, Sch Med, Leeds, W Yorkshire, England
Kimuli, Michael
Vasudev, Naveen S.
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h-index: 0
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St James Univ Hosp, Dept Med Oncol, Leeds, W Yorkshire, EnglandUniv Leeds, Fac Med & Hlth, Sch Med, Leeds, W Yorkshire, England
Vasudev, Naveen S.
Ralph, Christy
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St James Univ Hosp, Dept Med Oncol, Leeds, W Yorkshire, EnglandUniv Leeds, Fac Med & Hlth, Sch Med, Leeds, W Yorkshire, England
Ralph, Christy
Jagdev, Satinder
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h-index: 0
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St James Univ Hosp, Dept Med Oncol, Leeds, W Yorkshire, EnglandUniv Leeds, Fac Med & Hlth, Sch Med, Leeds, W Yorkshire, England
Jagdev, Satinder
Bhattarai, Selina
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h-index: 0
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St James Univ Hosp, Dept Pathol, Leeds, W Yorkshire, EnglandUniv Leeds, Fac Med & Hlth, Sch Med, Leeds, W Yorkshire, England
Bhattarai, Selina
Smith, Jonathan
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h-index: 0
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St James Univ Hosp, Inst Oncol, Leeds Teaching Hosp Trust, Dept Diagnost & Intervent Radiol, Leeds LS9 7TF, W Yorkshire, EnglandUniv Leeds, Fac Med & Hlth, Sch Med, Leeds, W Yorkshire, England
Smith, Jonathan
Lenton, James
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St James Univ Hosp, Inst Oncol, Leeds Teaching Hosp Trust, Dept Diagnost & Intervent Radiol, Leeds LS9 7TF, W Yorkshire, EnglandUniv Leeds, Fac Med & Hlth, Sch Med, Leeds, W Yorkshire, England
Lenton, James
Wah, Tze Min
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h-index: 0
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St James Univ Hosp, Inst Oncol, Leeds Teaching Hosp Trust, Dept Diagnost & Intervent Radiol, Leeds LS9 7TF, W Yorkshire, EnglandUniv Leeds, Fac Med & Hlth, Sch Med, Leeds, W Yorkshire, England
机构:
Univ Chicago, Med Ctr, Dept Surg, Urol Sect, Chicago, IL 60637 USA
Univ Wisconsin, Sch Med & Publ Hlth, Dept Urol, Madison, WI 53705 USA
William S Middleton Mem Vet Adm Med Ctr, Dept Surg, Madison, WI USAUniv Chicago, Med Ctr, Dept Surg, Urol Sect, Chicago, IL 60637 USA
Richards, Kyle A.
Negron, Edris
论文数: 0引用数: 0
h-index: 0
机构:
Univ Chicago, Med Ctr, Dept Surg, Urol Sect, Chicago, IL 60637 USAUniv Chicago, Med Ctr, Dept Surg, Urol Sect, Chicago, IL 60637 USA
Negron, Edris
Cohn, Joshua A.
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h-index: 0
机构:
Univ Chicago, Med Ctr, Dept Surg, Urol Sect, Chicago, IL 60637 USAUniv Chicago, Med Ctr, Dept Surg, Urol Sect, Chicago, IL 60637 USA
Cohn, Joshua A.
Steinberg, Zoe
论文数: 0引用数: 0
h-index: 0
机构:
Univ Chicago, Med Ctr, Dept Surg, Urol Sect, Chicago, IL 60637 USAUniv Chicago, Med Ctr, Dept Surg, Urol Sect, Chicago, IL 60637 USA
Steinberg, Zoe
Eggener, Scott E.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Chicago, Med Ctr, Dept Surg, Urol Sect, Chicago, IL 60637 USAUniv Chicago, Med Ctr, Dept Surg, Urol Sect, Chicago, IL 60637 USA
Eggener, Scott E.
Shalhav, Arieh L.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Chicago, Med Ctr, Dept Surg, Urol Sect, Chicago, IL 60637 USAUniv Chicago, Med Ctr, Dept Surg, Urol Sect, Chicago, IL 60637 USA
机构:
Tel Aviv Univ, Sackler Sch Med, Tel Aviv Sourasky Med Ctr, Dept Urol, Tel Aviv, Israel
Mem Sloan Kettering Canc Ctr, Urol Serv, Dept Surg, 1275 York Ave, New York, NY 10021 USATel Aviv Univ, Sackler Sch Med, Tel Aviv Sourasky Med Ctr, Dept Urol, Tel Aviv, Israel
Mano, Roy
Hakimi, A. Ari
论文数: 0引用数: 0
h-index: 0
机构:
Mem Sloan Kettering Canc Ctr, Urol Serv, Dept Surg, 1275 York Ave, New York, NY 10021 USATel Aviv Univ, Sackler Sch Med, Tel Aviv Sourasky Med Ctr, Dept Urol, Tel Aviv, Israel
机构:
St James Univ Hosp, Dept Urol, Leeds, W Yorkshire, EnglandUniv Leeds, Fac Med & Hlth, Sch Med, Leeds, W Yorkshire, England
Cartledge, Jon
Gregory, Walter
论文数: 0引用数: 0
h-index: 0
机构:
Univ Leeds, Leeds Inst Clin Trials Res, Leeds, W Yorkshire, EnglandUniv Leeds, Fac Med & Hlth, Sch Med, Leeds, W Yorkshire, England
Gregory, Walter
Kimuli, Michael
论文数: 0引用数: 0
h-index: 0
机构:
St James Univ Hosp, Dept Urol, Leeds, W Yorkshire, EnglandUniv Leeds, Fac Med & Hlth, Sch Med, Leeds, W Yorkshire, England
Kimuli, Michael
Vasudev, Naveen S.
论文数: 0引用数: 0
h-index: 0
机构:
St James Univ Hosp, Dept Med Oncol, Leeds, W Yorkshire, EnglandUniv Leeds, Fac Med & Hlth, Sch Med, Leeds, W Yorkshire, England
Vasudev, Naveen S.
Ralph, Christy
论文数: 0引用数: 0
h-index: 0
机构:
St James Univ Hosp, Dept Med Oncol, Leeds, W Yorkshire, EnglandUniv Leeds, Fac Med & Hlth, Sch Med, Leeds, W Yorkshire, England
Ralph, Christy
Jagdev, Satinder
论文数: 0引用数: 0
h-index: 0
机构:
St James Univ Hosp, Dept Med Oncol, Leeds, W Yorkshire, EnglandUniv Leeds, Fac Med & Hlth, Sch Med, Leeds, W Yorkshire, England
Jagdev, Satinder
Bhattarai, Selina
论文数: 0引用数: 0
h-index: 0
机构:
St James Univ Hosp, Dept Pathol, Leeds, W Yorkshire, EnglandUniv Leeds, Fac Med & Hlth, Sch Med, Leeds, W Yorkshire, England
Bhattarai, Selina
Smith, Jonathan
论文数: 0引用数: 0
h-index: 0
机构:
St James Univ Hosp, Inst Oncol, Leeds Teaching Hosp Trust, Dept Diagnost & Intervent Radiol, Leeds LS9 7TF, W Yorkshire, EnglandUniv Leeds, Fac Med & Hlth, Sch Med, Leeds, W Yorkshire, England
Smith, Jonathan
Lenton, James
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h-index: 0
机构:
St James Univ Hosp, Inst Oncol, Leeds Teaching Hosp Trust, Dept Diagnost & Intervent Radiol, Leeds LS9 7TF, W Yorkshire, EnglandUniv Leeds, Fac Med & Hlth, Sch Med, Leeds, W Yorkshire, England
Lenton, James
Wah, Tze Min
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h-index: 0
机构:
St James Univ Hosp, Inst Oncol, Leeds Teaching Hosp Trust, Dept Diagnost & Intervent Radiol, Leeds LS9 7TF, W Yorkshire, EnglandUniv Leeds, Fac Med & Hlth, Sch Med, Leeds, W Yorkshire, England