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Researchers examine procedure utilization trends in patients with clinically localized renal masses
Date:5/16/2011

WASHINGTON, D.C. (May 15, 2011)New techniques in science and technology allow the medical community to continually improve patient care and experience, but as these new procedures are introduced, physicians must closely consider the relative risks and benefits for each patient. Laparoscopic surgery offers the short-term benefits of smaller incisions, shorter hospital stays, and less pain during recovery, but are there negative consequences in the long run for some patients? Certain groups of patients, like those with localized renal masses, may be more appropriately treated through surgical techniques that focus on preserving as much functional kidney as possibleespecially since emerging data suggests that a loss of kidney function can lead to higher long-term risks of morbidity and mortality.

A new study to be presented by researchers from Fox Chase Cancer Center on Saturday, May 14, 2011, at the AUA 2011 Annual Meeting, examines whether the rapid adoption of minimally invasive techniques on the national level has had a negative impact on utilization rates of partial nephrectomy for patients with clinically localized renal masses.

"The AUA guidelines for localized renal masses recommend that kidney preservation is paramount when treating localized masses, but the rise of the number of partial nephrectomiesprocedures that remove only part of a person's kidneyover time is lower than expected," says Marc Smaldone, M.D., urologic oncology fellow and lead author on the study. "As patient care evolves over time, we would expect to see the number of kidney preserving procedures increasing. Unfortunately, our results demonstrate that radical nephrectomy rates have remained consistent, which may be due to the preferential adoption of laparoscopic nephrectomy over partial nephrectomy in community practice."

When treating a patient with a localized renal mass, doctors have many surgical options. In radical procedures, surgeons remove
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Contact: Diana Quattrone
Diana.Quattrone@fccc.edu
215-728-7784
Fox Chase Cancer Center
Source:Eurekalert

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