The role of renal mass biopsy in the management of small renal masses – patterns of use and surgeon opinion
| العنوان: | The role of renal mass biopsy in the management of small renal masses – patterns of use and surgeon opinion |
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| المؤلفون: | Damien M Bolton, David J. T. Marco, Simon Wood, Ian D. Davis, Andre Joshi, Melinda M. Protani, Victoria White, Michael Coory, Susan J. Jordan, Graham G. Giles, Rachel E. Neale |
| المصدر: | Journal of Clinical Urology. 13:356-363 |
| بيانات النشر: | SAGE Publications, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Patterns of care, medicine.medical_specialty, medicine.diagnostic_test, business.industry, Urology, Cancer, Diagnostic accuracy, medicine.disease, Renal cell carcinoma, Biopsy, Renal mass, Medicine, Surgery, Basal cell, Radiology, business |
| الوصف: | Aims: Renal mass biopsy (RMB) is advocated to improve management of small renal masses, however there is concern about its clinical utility. This study aimed to elicit opinions about the role of RMB in small renal mass management from surgeons managing renal cell carcinomas (RCC), and examine the frequency of pre-treatment biopsy in those with RCC. Methods: All surgeons in two Australian states (Queensland: n = 59 and Victoria: n = 108) who performed nephrectomies for RCC in 2012/2013 were sent questionnaires to ascertain views about RMB. Response rates were 54% for Queensland surgeons and 38% for Victorian surgeons. We used medical records data from RCC patients to determine RMB frequency. Results: Most Queensland (81%) and Victorian (59%) surgeons indicated they rarely requested RMB; however 34% of Victorians reported often requesting RMB, compared with no Queensland surgeons. This was consistent with medical records data: 17.6% of Victorian patients with T1a tumours received RMB versus 6.7% of Queensland patients ( p Conclusions: Most surgeons report infrequent use of RMB for small renal masses, however we observed practice variation. The principal reasons for infrequent use were concerns about sampling reliability and histopathological interpretation, which may be valid in regions with less access to interventional radiologists and uropathologists. Further evidence is required to define patient groups for whom biopsy results will alter management. Level of evidence: Not applicable for this multicentre audit. |
| تدمد: | 2051-4166 2051-4158 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::c694196c6b50f93acea2c540e1772eaf https://doi.org/10.1177/2051415819894181 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi...........c694196c6b50f93acea2c540e1772eaf |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20514166 20514158 |
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