Cited 2 times in
Predictive factors for the development of renal insufficiency following partial nephrectomy and subsequent renal function recovery: A multicenter retrospective study
DC Field | Value | Language |
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dc.contributor.author | 구교철 | - |
dc.contributor.author | 나군호 | - |
dc.contributor.author | 이광석 | - |
dc.contributor.author | 정병하 | - |
dc.date.accessioned | 2019-07-23T06:59:17Z | - |
dc.date.available | 2019-07-23T06:59:17Z | - |
dc.date.issued | 2019 | - |
dc.identifier.issn | 0025-7974 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/170410 | - |
dc.description.abstract | Patients who undergopartialnephrectomy(PN) may exhibitrenalfunctioninsufficiency, and a subset of these patients achievesrenalfunctionrecovery. We evaluated the predictors ofrenalinsufficiencyandsubsequentrenalfunctionrecoveryfollowingPN. Data on 393 patients who underwent PN for solidrenaltumors between March 2001 and November 2013, obtained from 6 institutions, were retrospectively reviewed.Renalinsufficiencywas defined as new onset of chronic kidney disease stage ≥3 postoperatively on the second of 2 consecutive tests.Renalfunctionrecoverywas defined as an estimated glomerular filtration rate ≥60 ml/minute/1.73 mfollowingrenalinsufficiency. Tumor complexity was stratified according to theRENALclassification system. The median (interquartile range) age, tumor size, and follow-up period were 53 (45-63) years, 2.6 (1.9-3.8) cm, and 36 (12-48) months, respectively. Tumors were of low complexity in 258/393 (65.6%) of cases.Renalinsufficiencydeveloped in 54/393 (13.5%) patients, in which age ≥60 years and preoperative creatinine ≥1.1 mg/ml were independent predictors. Tumor complexity, clamp type, and operative method were not significant prognosticfactors. Among patients with newly developedrenalinsufficiency, 18/54 (33.3%) patients exhibitedrenalfunctionrecoverywithin a median period of 18 months, of which preoperative creatinine <1.1 mg/ml was an independent predictor. Age ≥60 years and preoperative creatinine ≥1.1 mg/ml were riskfactorsforrenalinsufficiencyfollowingPN. Patients withrenalinsufficiencywhose preoperative creatinine was <1.1 mg/ml were likely to haverenalfunctionrecovery. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | English | - |
dc.publisher | Lippincott Williams & Wilkins | - |
dc.relation.isPartOf | MEDICINE | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Age Factors | - |
dc.subject.MESH | Creatinine/blood | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Kidney/physiopathology | - |
dc.subject.MESH | Kidney/surgery | - |
dc.subject.MESH | Kidney Neoplasms/blood | - |
dc.subject.MESH | Kidney Neoplasms/physiopathology | - |
dc.subject.MESH | Kidney Neoplasms/surgery | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Nephrectomy/adverse effects | - |
dc.subject.MESH | Nephrectomy/methods | - |
dc.subject.MESH | Postoperative Complications/etiology | - |
dc.subject.MESH | Postoperative Complications/physiopathology | - |
dc.subject.MESH | Preoperative Period | - |
dc.subject.MESH | Recovery of Function | - |
dc.subject.MESH | Renal Insufficiency/etiology | - |
dc.subject.MESH | Renal Insufficiency/physiopathology | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Risk Factors | - |
dc.title | Predictive factors for the development of renal insufficiency following partial nephrectomy and subsequent renal function recovery: A multicenter retrospective study | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Urology (비뇨의학교실) | - |
dc.contributor.googleauthor | Kwang Lee | - |
dc.contributor.googleauthor | Dae Kim | - |
dc.contributor.googleauthor | Kwang Kim | - |
dc.contributor.googleauthor | Woo Bang | - |
dc.contributor.googleauthor | Hyung Kim | - |
dc.contributor.googleauthor | Sung Park | - |
dc.contributor.googleauthor | Koon Rha | - |
dc.contributor.googleauthor | Byung Chung | - |
dc.contributor.googleauthor | Jin Cho | - |
dc.contributor.googleauthor | Kyo Koo | - |
dc.identifier.doi | 10.1097/MD.0000000000015516 | - |
dc.contributor.localId | A00188 | - |
dc.contributor.localId | A01227 | - |
dc.contributor.localId | A02668 | - |
dc.contributor.localId | A03607 | - |
dc.relation.journalcode | J02214 | - |
dc.identifier.eissn | 1536-5964 | - |
dc.identifier.pmid | 31045843 | - |
dc.contributor.alternativeName | Koo, Kyo Chul | - |
dc.contributor.affiliatedAuthor | 구교철 | - |
dc.contributor.affiliatedAuthor | 나군호 | - |
dc.contributor.affiliatedAuthor | 이광석 | - |
dc.contributor.affiliatedAuthor | 정병하 | - |
dc.citation.volume | 98 | - |
dc.citation.number | 18 | - |
dc.citation.startPage | e15516 | - |
dc.identifier.bibliographicCitation | MEDICINE, Vol.98(18) : e15516, 2019 | - |
dc.identifier.rimsid | 62021 | - |
dc.type.rims | ART | - |
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