European Journal of Medical Research (Jun 2010)

Comparison of guideline recommendations with daily practice in patients with renal cell carcinoma

  • Schlenker B,
  • Seitz M,
  • Bader MJ,
  • Ganzer R,
  • Tilki D,
  • Bayrle F,
  • Reich O,
  • Staehler M,
  • Bachmann A,
  • Stief CG,
  • Gratzke C

DOI
https://doi.org/10.1186/2047-783X-15-6-253
Journal volume & issue
Vol. 15, no. 6
p. 253

Abstract

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Abstract Objectives and Aims To compare guideline recommendations with daily practice patterns in a German patient cohort with renal cell carcinoma. Patients and methods 81 patients with T1 oder T2 renal cell carcinoma (RCC) were included in this prospective single-center study. All patients were operated in a single institution either by open radical nephrectomy (ORN) or nephron sparing surgery (NSS). Patients and doctors were evaluated using a written questionnaire with a follow-up of 12 months. Follow-up intervals, follow-up modalities (e. g. imaging modalities, laboratory controls of blood and urine) and the call on psycho-oncological support were evaluated. Results The majority of patients (72%) were followed up by their urologists. Follow-up examinations included abdominal ultrasound, urine and blood diagnostics, conventional chest x-rays, computed tomography (CT) of abdomen, chest or head or abdominal Magnetic Resonance Imaging (MRI). There were no significant differences between patients operated by ORN or NSS. In total, 12.5% of patients were asking for psycho-oncological support. Conclusions In general, patients were followed up according to existing guideline recommendations. Only a small proportion of patients asked for psycho-oncological treatment.

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