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A comparison of long term renal functional outcomes following partial nephrectomy and radiofrequency ablation
DC Field | Value | Language |
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dc.contributor.author | 한웅규 | - |
dc.date.accessioned | 2014-12-18T09:27:47Z | - |
dc.date.available | 2014-12-18T09:27:47Z | - |
dc.date.issued | 2013 | - |
dc.identifier.issn | 1195-9479 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/88215 | - |
dc.description.abstract | INTRODUCTION: To compare 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. | - |
dc.description.statementOfResponsibility | open | - |
dc.relation.isPartOf | CANADIAN JOURNAL OF UROLOGY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | CatheterAblation/methods* | - |
dc.subject.MESH | Disease Progression | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Follow-Up Studies | - |
dc.subject.MESH | Glomerular Filtration Rate/physiology | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Incidence | - |
dc.subject.MESH | Kaplan-Meier Estimate | - |
dc.subject.MESH | Kidney/physiopathology* | - |
dc.subject.MESH | Kidney/surgery* | - |
dc.subject.MESH | Kidney Neoplasms/mortality | - |
dc.subject.MESH | Kidney Neoplasms/surgery* | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Multivariate Analysis | - |
dc.subject.MESH | Nephrectomy/methods* | - |
dc.subject.MESH | RenalInsufficiency, Chronic/epidemiology | - |
dc.subject.MESH | RenalInsufficiency, Chronic/physiopathology | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Treatment Outcome | - |
dc.title | A comparison of long term renal functional outcomes following partial nephrectomy and radiofrequency ablation | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Urology (비뇨기과학) | - |
dc.contributor.googleauthor | Faddegon Stephen | - |
dc.contributor.googleauthor | Ju Tom | - |
dc.contributor.googleauthor | Olweny O. Ephrem | - |
dc.contributor.googleauthor | Liu Zhuowei | - |
dc.contributor.googleauthor | Han K. Woong | - |
dc.contributor.googleauthor | Yin Gang | - |
dc.contributor.googleauthor | Tan K. Yung | - |
dc.contributor.googleauthor | Gahan Jeffrey | - |
dc.contributor.googleauthor | Bedir Selahattin | - |
dc.contributor.googleauthor | Ma Yun-Bo | - |
dc.contributor.googleauthor | Park K. Samuel | - |
dc.contributor.googleauthor | Raj V. Ganesh | - |
dc.contributor.googleauthor | Cadeddu A. Jeffrey | - |
dc.identifier.doi | 23783048 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A04308 | - |
dc.relation.journalcode | J00433 | - |
dc.identifier.pmid | 23783048 | - |
dc.identifier.url | http://www.canjurol.com/abstract.php?ArticleID=&version=1.0&PMID=23783048 | - |
dc.subject.keyword | Adult | - |
dc.subject.keyword | Aged | - |
dc.subject.keyword | CatheterAblation/methods* | - |
dc.subject.keyword | Disease Progression | - |
dc.subject.keyword | Female | - |
dc.subject.keyword | Follow-Up Studies | - |
dc.subject.keyword | Glomerular Filtration Rate/physiology | - |
dc.subject.keyword | Humans | - |
dc.subject.keyword | Incidence | - |
dc.subject.keyword | Kaplan-Meier Estimate | - |
dc.subject.keyword | Kidney/physiopathology* | - |
dc.subject.keyword | Kidney/surgery* | - |
dc.subject.keyword | Kidney Neoplasms/mortality | - |
dc.subject.keyword | Kidney Neoplasms/surgery* | - |
dc.subject.keyword | Male | - |
dc.subject.keyword | Middle Aged | - |
dc.subject.keyword | Multivariate Analysis | - |
dc.subject.keyword | Nephrectomy/methods* | - |
dc.subject.keyword | RenalInsufficiency, Chronic/epidemiology | - |
dc.subject.keyword | RenalInsufficiency, Chronic/physiopathology | - |
dc.subject.keyword | Retrospective Studies | - |
dc.subject.keyword | Treatment Outcome | - |
dc.contributor.alternativeName | Han, Woong Kyu | - |
dc.contributor.affiliatedAuthor | Han, Woong Kyu | - |
dc.rights.accessRights | not free | - |
dc.citation.volume | 20 | - |
dc.citation.number | 3 | - |
dc.citation.startPage | 6785 | - |
dc.citation.endPage | 6789 | - |
dc.identifier.bibliographicCitation | CANADIAN JOURNAL OF UROLOGY, Vol.20(3) : 6785-6789, 2013 | - |
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