Contemporary Use of Partial Nephrectomy: Are Older Patients With Impaired Kidney Function Being Left Behind?

ABSTRACT:

Objective

To assess whether patient factors, such as age and preoperative kidney function, were associated with receipt of partial nephrectomy in a national integrated healthcare system.

Materials and methods

We identified patients treated with a radical or partial nephrectomy from 2002 to 2014 in the Veterans Health Administration. We examined associations among patient age, sex, race or ethnicity, multimorbidity, baseline kidney function, tumor characteristics, and receipt of partial nephrectomy. We estimated the odds of receiving a partial nephrectomy and assessed interactions between covariates and the year of surgery to explore whether patient factors associated with partial nephrectomy changed over time.

Results

In our cohort of 14,186 patients, 4508 (31.2%) rec

SUBMITTER: Leppert JT 

PROVIDER: S-EPMC5340152 | biostudies-literature | 2017 Feb

REPOSITORIES: biostudies-literature