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Postoperative Surveillance for Renal Cell Carcinoma.

Abstract Postoperative surveillance is an integral part of renal cell carcinoma (RCC) care. However, evidence supporting the practice is lacking. RCC guidelines offer disparate recommendations leading to variation in care. Recently, the effectiveness of guidelines has been questioned and a debate has ignited over whether current protocols merit optimization. Guidelines show limitations in RCC risk assessment, protocol stratification, and definition of duration of follow-up. Alternative strategies have addressed some of these limitations, but further analysis is warranted. Until challenges with assessing a survival benefit are negotiated, efforts should be made to optimize and standardize guidelines and learn of more tangible benefits to surveillance.
PMID
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Authors

Mayor MeshTerms

Aftercare

Nephrectomy

Keywords

Guidelines

Kidney cancer

Nephrectomy

Postoperative

Recurrence

Renal cell carcinoma

Surveillance

Journal Title the urologic clinics of north america
Publication Year Start




PMID- 28411922
OWN - NLM
STAT- MEDLINE
DA  - 20170416
DCOM- 20170427
LR  - 20170427
IS  - 1558-318X (Electronic)
IS  - 0094-0143 (Linking)
VI  - 44
IP  - 2
DP  - 2017 May
TI  - Postoperative Surveillance for Renal Cell Carcinoma.
PG  - 313-323
LID - S0094-0143(16)30143-4 [pii]
LID - 10.1016/j.ucl.2016.12.016 [doi]
AB  - Postoperative surveillance is an integral part of renal cell carcinoma (RCC)
      care. However, evidence supporting the practice is lacking. RCC guidelines offer 
      disparate recommendations leading to variation in care. Recently, the
      effectiveness of guidelines has been questioned and a debate has ignited over
      whether current protocols merit optimization. Guidelines show limitations in RCC 
      risk assessment, protocol stratification, and definition of duration of
      follow-up. Alternative strategies have addressed some of these limitations, but
      further analysis is warranted. Until challenges with assessing a survival benefit
      are negotiated, efforts should be made to optimize and standardize guidelines and
      learn of more tangible benefits to surveillance.
CI  - Copyright (c) 2017 Elsevier Inc. All rights reserved.
FAU - Merrill, Suzanne B
AU  - Merrill SB
AD  - Division of Urology, Penn State Milton S. Hershey Medical Center, MCH055, PO Box 
      850, Hershey, PA 17033-0850, USA. Electronic address:
      [email protected]
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20170314
PL  - United States
TA  - Urol Clin North Am
JT  - The Urologic clinics of North America
JID - 0423221
SB  - AIM
SB  - IM
MH  - *Aftercare
MH  - Carcinoma, Renal Cell/*surgery
MH  - Humans
MH  - Kidney Neoplasms/*surgery
MH  - *Nephrectomy
MH  - Practice Guidelines as Topic
OTO - NOTNLM
OT  - Guidelines
OT  - Kidney cancer
OT  - Nephrectomy
OT  - Postoperative
OT  - Recurrence
OT  - Renal cell carcinoma
OT  - Surveillance
EDAT- 2017/04/17 06:00
MHDA- 2017/04/28 06:00
CRDT- 2017/04/17 06:00
AID - S0094-0143(16)30143-4 [pii]
AID - 10.1016/j.ucl.2016.12.016 [doi]
PST - ppublish
SO  - Urol Clin North Am. 2017 May;44(2):313-323. doi: 10.1016/j.ucl.2016.12.016. Epub 
      2017 Mar 14.

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