Comparison of Renal Function after Radical Surgery for Upper Tract Urothelial Carcinoma versus Renal Cell Carcinoma: Propensity Score Matching
- Authors
- Tae, Bum Sik; Ku, Ja Hyeon; Kwak, Cheol; Kim, Hyeon Hoe; Jeong, Chang Wook
- Issue Date
- 2018
- Publisher
- KARGER
- Keywords
- Urothelial carcinoma; Renal cell carcinoma; Renal function; Radical nephrectomy
- Citation
- UROLOGIA INTERNATIONALIS, v.101, no.4, pp.400 - 408
- Indexed
- SCIE
SCOPUS
- Journal Title
- UROLOGIA INTERNATIONALIS
- Volume
- 101
- Number
- 4
- Start Page
- 400
- End Page
- 408
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/80855
- DOI
- 10.1159/000493763
- ISSN
- 0042-1138
- Abstract
- Objectives: To compare renal function after radical nephrectomy for renal cell carcinoma (RCC) and for upper tract urothelial carcinoma (UTUC). Method: Data from 1,236 patients with RCC or UTUC treated surgically from 2000 to 2013 were enrolled. The estimated glomerular filtration rate (eGFR) was calculated preoperatively and postoperatively at 12, 24, 36, 48, and 60 months. A multivariate logistic regression was used to determine independent factors for a decrease in eGFR to < 60 mL/min/1.73 m(2) and end-stage renal disease. Result: After propensity score matching, a total of 554 patients were included. During follow-up for 5 years, there was statistically significant difference in eGFR between 2 groups. And there was a statistically significant difference in the number of patients developing impaired renal function between the 2 groups (UTUC 73.3 vs. RCC 66.1%, p = 0.039). Multivariate analysis showed that old age (OR 3.957, p < 0.001), UTUC (OR 1.838, p = 0.006), BMI (OR 2.463, p = 0.001) and a baseline eGFR (OR 0.976, p = 0.001) were independent risk factors for postoperative impaired renal function. Conclusion: Patients with UTUC had worse baseline eGFR, old age, comorbidities than RCC patients. Even after adjusting by PS matching, UTUC patients had lower postoperative eGFR and higher rates of CKD development than RCC patients. (C) 2018 S. Karger AG, Basel
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