Thermal ablation vs surgery for localized kidney cancer: A surveillance, epidemiology, and end results (SEER) database analysis

Toni K. Choueiri, Fabio A B Schutz, Nathanael D. Hevelone, Paul L. Nguyen, Stuart R. Lipsitz, Stephen Williams, Stuart G. Silverman, Jim C. Hu

Research output: Contribution to journalArticle

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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 languageEnglish (US)
Pages (from-to)93-98
Number of pages6
JournalUrology
Volume78
Issue number1
DOIs
StatePublished - Jul 2011
Externally publishedYes

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Kidney Neoplasms
Epidemiology
Hot Temperature
Databases
Nephrectomy
Renal Cell Carcinoma
Logistic Models
Cryosurgery
Neoplasms

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 journalArticle

Choueiri, TK, Schutz, FAB, Hevelone, ND, Nguyen, PL, Lipsitz, SR, Williams, S, Silverman, SG & Hu, JC 2011, 'Thermal ablation vs surgery for localized kidney cancer: A surveillance, epidemiology, and end results (SEER) database analysis', Urology, vol. 78, no. 1, pp. 93-98. https://doi.org/10.1016/j.urology.2011.01.068
Choueiri, Toni K. ; Schutz, Fabio A B ; Hevelone, Nathanael D. ; Nguyen, Paul L. ; Lipsitz, Stuart R. ; Williams, Stephen ; Silverman, Stuart G. ; Hu, Jim C. / Thermal ablation vs surgery for localized kidney cancer : A surveillance, epidemiology, and end results (SEER) database analysis. In: Urology. 2011 ; Vol. 78, No. 1. pp. 93-98.
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