Adherence to guideline recommendations for management of clinical T1 renal cancers in the Netherlands: a population-based study.

ABSTRACT:

Purpose

For decades, small renal cancers are treated by radical nephrectomy (RN). Current guidelines recommend partial nephrectomy (PN) to preserve renal function and minimize cardiovascular comorbidity. As adherence to guidelines is largely unknown and international comparison to evaluate quality of health care is lacking, an pre-specified guideline evaluation of quality indicators concerning management of cT1 renal cancers was performed.

Methods

We performed a cohort study including patients with cT1 renal cancer between 2010 and 2014, identified through the Netherlands Cancer Registry. Time trends and variation in treatment were described. Factors associated with PN in cT1a and laparoscopic RN in cT1b were evaluated with logistic regression analyses.

Results

An inc

SUBMITTER: Aben KK 

PROVIDER: S-EPMC4958124 | biostudies-literature | 2016 Aug

REPOSITORIES: biostudies-literature