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Nephrometry scores and perioperative outcomes following robotic partial nephrectomy.
Corradi, Renato B; Vertosick, Emily A; Nguyen, Daniel P; Vilaseca, Antoni; Sjoberg, Daniel D; Benfante, Nicole; Nogueira, Lucas N; Spaliviero, Massimiliano; Touijer, Karim A; Russo, Paul; Coleman, Jonathan A.
Afiliação
  • Corradi RB; Department of Surgery, Urology Service, Memorial Sloan Kettering Cancer Center, New York, USA.
  • Vertosick EA; Department of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, USA.
  • Nguyen DP; Department of Surgery, Urology Service, Memorial Sloan Kettering Cancer Center, New York, USA.
  • Vilaseca A; Department of Surgery, Urology Service, Memorial Sloan Kettering Cancer Center, New York, USA.
  • Sjoberg DD; Department of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, USA.
  • Benfante N; Department of Surgery, Urology Service, Memorial Sloan Kettering Cancer Center, New York, USA.
  • Nogueira LN; Departamento de Cirurgia, Serviço de Urologia, Hospital das Clínicas da UFMG, Belo Horizonte, MG, Brasil.
  • Spaliviero M; Department of Surgery, Urology Service, Memorial Sloan Kettering Cancer Center, New York, USA.
  • Touijer KA; Department of Surgery, Urology Service, Memorial Sloan Kettering Cancer Center, New York, USA.
  • Russo P; Department of Surgery, Urology Service, Memorial Sloan Kettering Cancer Center, New York, USA.
  • Coleman JA; Department of Surgery, Urology Service, Memorial Sloan Kettering Cancer Center, New York, USA.
Int Braz J Urol ; 43(6): 1075-1083, 2017.
Article em En | MEDLINE | ID: mdl-28727381
OBJECTIVES: Based on imaging features, nephrometry scoring systems have been conceived to create a standardized and reproducible way to characterize renal tumor anatomy. However, less is known about which of these individual measures are important with regard to clinically relevant perioperative outcomes such as ischemia time (IT), estimated blood loss (EBL), length of hospital stay (LOS), and change in estimated glomerular filtration rate (eGFR) after robotic partial nephrectomy (PN). We aimed to assess the utility of the RENAL and PADUA scores, their subscales, and C-index for predicting these outcomes. MATERIALS AND METHODS: We analyzed imaging studies from 283 patients who underwent robotic PN between 2008 and 2014 to assign nephrometry scores (NS): PADUA, RENAL and C-index. Univariate linear regression was used to assess whether the NS or any of their subscales were associated with EBL or IT. Multivariable linear regression and linear regression models were created to assess LOS and eGFR. RESULTS: The three NS were significantly associated with EBL, IT, LOS, and eGFR at 12 months after surgery. All subscales with the exception of anterior/posterior were significantly associated with EBL and IT. Collecting system, renal rim location, renal sinus, exophytic/endophytic, and nearness to collecting system were significant predictors for LOS. Only renal rim location, renal sinus invasion and polar location were significantly associated with eGFR at 12 months. CONCLUSIONS: Tumor size and depth are important characteristics for predicting robotic PN outcomes and thus could be used individually as a simplified way to report tumors features for research and patient counseling purposes.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Procedimentos Cirúrgicos Robóticos / Taxa de Filtração Glomerular / Neoplasias Renais / Nefrectomia Tipo de estudo: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Female / Humans / Male / Middle aged Idioma: En Revista: Int Braz J Urol Assunto da revista: UROLOGIA Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Brasil
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Procedimentos Cirúrgicos Robóticos / Taxa de Filtração Glomerular / Neoplasias Renais / Nefrectomia Tipo de estudo: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Female / Humans / Male / Middle aged Idioma: En Revista: Int Braz J Urol Assunto da revista: UROLOGIA Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Brasil