Abstract
Objective: To evaluate contemporary national practice pattern trends in the use of thermal ablation (radiofrequency ablation and cryoablation) in the management of stage I renal cell carcinoma (RCC), and the factors that lead to using thermal ablation (TA) vs partial (PN) or radical nephrectomy (RN) in the United States. Methods: Within the Surveillance, Epidemiology and End Results (SEER) database, we identified subjects with T1-N0M0 RCC treated with either PN, RN, or TA between 2004 and 2007. Proportions, trends, and multivariable logistic regression models tested the predictors of the use of TA. Results: In total, 15,145 patients underwent a procedure for an RCC that was organ-confined and ≤7 cm. Of these, 578 underwent TA, 4402 underwent PN, and 10,165 underwent RN. On unadjusted analyses, patients who received TA were more likely to be older, single, have smaller tumor size, be diagnosed in more recent years, and have more unspecified histologic subtype and tumor grade. In multivariable adjusted analyses, single status (P =.02), male gender (P =.01), increasing age (P
| Original language | English (US) |
|---|---|
| Pages (from-to) | 93-98 |
| Number of pages | 6 |
| Journal | Urology |
| Volume | 78 |
| Issue number | 1 |
| DOIs | |
| State | Published - Jul 2011 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Urology
Cite this
Thermal ablation vs surgery for localized kidney cancer : A surveillance, epidemiology, and end results (SEER) database analysis. / Choueiri, Toni K.; Schutz, Fabio A B; Hevelone, Nathanael D.; Nguyen, Paul L.; Lipsitz, Stuart R.; Williams, Stephen; Silverman, Stuart G.; Hu, Jim C.
In: Urology, Vol. 78, No. 1, 07.2011, p. 93-98.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Thermal ablation vs surgery for localized kidney cancer
T2 - A surveillance, epidemiology, and end results (SEER) database analysis
AU - Choueiri, Toni K.
AU - Schutz, Fabio A B
AU - Hevelone, Nathanael D.
AU - Nguyen, Paul L.
AU - Lipsitz, Stuart R.
AU - Williams, Stephen
AU - Silverman, Stuart G.
AU - Hu, Jim C.
PY - 2011/7
Y1 - 2011/7
N2 - Objective: To evaluate contemporary national practice pattern trends in the use of thermal ablation (radiofrequency ablation and cryoablation) in the management of stage I renal cell carcinoma (RCC), and the factors that lead to using thermal ablation (TA) vs partial (PN) or radical nephrectomy (RN) in the United States. Methods: Within the Surveillance, Epidemiology and End Results (SEER) database, we identified subjects with T1-N0M0 RCC treated with either PN, RN, or TA between 2004 and 2007. Proportions, trends, and multivariable logistic regression models tested the predictors of the use of TA. Results: In total, 15,145 patients underwent a procedure for an RCC that was organ-confined and ≤7 cm. Of these, 578 underwent TA, 4402 underwent PN, and 10,165 underwent RN. On unadjusted analyses, patients who received TA were more likely to be older, single, have smaller tumor size, be diagnosed in more recent years, and have more unspecified histologic subtype and tumor grade. In multivariable adjusted analyses, single status (P =.02), male gender (P =.01), increasing age (P
AB - Objective: To evaluate contemporary national practice pattern trends in the use of thermal ablation (radiofrequency ablation and cryoablation) in the management of stage I renal cell carcinoma (RCC), and the factors that lead to using thermal ablation (TA) vs partial (PN) or radical nephrectomy (RN) in the United States. Methods: Within the Surveillance, Epidemiology and End Results (SEER) database, we identified subjects with T1-N0M0 RCC treated with either PN, RN, or TA between 2004 and 2007. Proportions, trends, and multivariable logistic regression models tested the predictors of the use of TA. Results: In total, 15,145 patients underwent a procedure for an RCC that was organ-confined and ≤7 cm. Of these, 578 underwent TA, 4402 underwent PN, and 10,165 underwent RN. On unadjusted analyses, patients who received TA were more likely to be older, single, have smaller tumor size, be diagnosed in more recent years, and have more unspecified histologic subtype and tumor grade. In multivariable adjusted analyses, single status (P =.02), male gender (P =.01), increasing age (P
UR - http://www.scopus.com/inward/record.url?scp=79959717021&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=79959717021&partnerID=8YFLogxK
U2 - 10.1016/j.urology.2011.01.068
DO - 10.1016/j.urology.2011.01.068
M3 - Article
VL - 78
SP - 93
EP - 98
JO - Urology
JF - Urology
SN - 0090-4295
IS - 1
ER -