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Korean J Urol Oncol > Volume 13(3); 2015 > Article
The Korean Journal of Urological Oncology 2015;13(3): 128-133.
신장암에 대한 부분 신절제술 활용 경향 분석: URO-PDS를 이용한 다기관 연구
신승제1, 김형준2, 고광진1, 성현환1, 전황균1, 정병창1, 서성일1, 이현무1, 최한용1, 전성수1
1성균관대학교 의과대학 삼성서울병원 비뇨기과학교실, 2건양대학교 의과대학 건양대학교병원 비뇨기과학교실
Utilization Trend of Partial Nephrectomy for the Treatment of Renal Cell Carcinoma in Korea: An Multicenter study using URO-PDS
Seung Jea Shin 1, Hyung Joon Kim 2, Kwang Jin Ko 1, Hyun Hwan Sung 1, Hwang Gyun Jeon 1, Byong Chang Jeong 1, Seong Il Seo 1, Hyun Moo Lee 1, Han Yong Choi 1, Seong Soo Jeon 1
1Department of Urology, Sungkyunkwan University College of Medicine, Seoul, 2Department of Urology, Konyang Univesity College of Medicine, Daejeon, Korea
Published online: December 30, 2015.
ABSTRACT
Purpose:
Partial nephrectomy has a similar oncologic outcome to radical nephrectomy while reducing cardiac and metabolic morbidity. However, previous studies reported that partial nephrectomy had been underutilized. The purpose of this study is to analyze trends in the use of partial nephrectomy in Korea and evaluate which individual factors and hospital factor influenced the operative approach.
Materials and Methods:
Using URO-PDS database, 11560 patients underwent nephrectomy for renal cell carcinoma between 2006 and 2010 were identified. International Classification of Disease(ICD-9) diagnosis codes were applied to target subject of interest. Logistic regression was applied to identify determinants of partial nephrectomy.
Results:
Over the study period, the proportion of partial nephrectomies has steadily increased from 9.4% in 2006 to 30.4% in 2010(p<0.001). Deviation of utilization in partial nephrectomy has been observed based on the area(p<0.001) and type of surgery(p<0.001). Individual of younger age, as well as male, were more likely to be treated with partial nephrectomy(p<0.001 for each). Furthermore, Patient treated at hospitals with higher nephrectomy volume were more prone to be treated with partial nephrectomy(p<0.001 for each).
Conclusions:
Partial nephrectomies have been increasingly performed over the study period but are still underutilized. (Korean J Urol Oncol 2015;13:128-133)
Key Words: URO-PDS; Partial nephrectomy; Trend
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