{"id":4889,"date":"2018-06-01T09:42:10","date_gmt":"2018-06-01T08:42:10","guid":{"rendered":"http:\/\/www.library.sath.nhs.uk\/research\/?p=4889"},"modified":"2019-04-23T12:32:18","modified_gmt":"2019-04-23T11:32:18","slug":"current-trends-in-cytoreductive-nephrectomy-in-the-era-of-targeted-molecular-therapy-2017","status":"publish","type":"post","link":"https:\/\/www.library.sath.nhs.uk\/research\/2018\/06\/01\/current-trends-in-cytoreductive-nephrectomy-in-the-era-of-targeted-molecular-therapy-2017\/","title":{"rendered":"Current trends in cytoreductive nephrectomy in the era of targeted molecular therapy (2017)"},"content":{"rendered":"<p><strong>Type of publication:<\/strong><br \/>\nConference abstract<\/p>\n<p><strong>Author(s):<\/strong><br \/>\n*Phan Y.; *Segaran S.; *Bell J.; *Nakada S.Y.; *Rane A.<\/p>\n<p><strong>Citation:<\/strong><br \/>\nJournal of Endourology; Sep 2017; vol. 31, S2<\/p>\n<p><strong>Abstract:<\/strong><br \/>\nIntroduction &amp; Objective: Several factors are considered when determining if a patient is a candidate for<br \/>\ncytoreductive nephrectomy (CN). Our aim was to study geographic trends and factors associated with the\u00a0decision to consider CN. Materials and Methods: An investigator designed survey was created to assess the\u00a0rate of CN being performed around the world and the factors considered when determining patient eligibility.\u00a0This was distributed to attendees at the World Congress of Endourology 2016 in Cape Town in order to capture\u00a0an international cohort of urologists. The survey included questions about physician demographics, the timing\u00a0of CN, what patient factors were considered prior performing CN, and if they followed any guidelines when\u00a0deciding on CN. Results: 158 urologists responded to our survey (Asia = 46, Europe = 35, Africa = 34, North\u00a0America = 29, South America = 13 and Australia = 1). 78 (49.4%) urologists indicated that they follow guidelines\u00a0for recommending CN. 107 (67.7%) of respondents stated they perform CN. 64 urologists perform CN prior to\u00a0systemic therapy while 20 urologists perform CN after systemic treatment, and 22 urologists perform CN\u00a0before or after systemic treatment. Performance status was the most considered factor while calcium level was\u00a0the least considered factor when determining eligibility for CN. Conclusions: This cohort of urologists most commonly consider performance status, age and extent of metastatic disease when determining candidacy for\u00a0CN; while the grade of the tumour and the calcium level were the least considered. We eagerly await the results\u00a0of CARMENA and SURTIME trials.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Type of publication: Conference abstract Author(s): *Phan Y.; *Segaran S.; *Bell J.; *Nakada S.Y.; *Rane A. Citation: Journal of Endourology; Sep 2017; vol. 31, S2 Abstract: Introduction &amp; Objective: Several factors are considered when determining if a patient is a<span class=\"ellipsis\">&hellip;<\/span><\/p>\n<div class=\"read-more\"><a href=\"https:\/\/www.library.sath.nhs.uk\/research\/2018\/06\/01\/current-trends-in-cytoreductive-nephrectomy-in-the-era-of-targeted-molecular-therapy-2017\/\">Read more <span class=\"screen-reader-text\">Current trends in cytoreductive nephrectomy in the era of targeted molecular therapy (2017)<\/span><span class=\"meta-nav\"> &#8250;<\/span><\/a><\/div>\n<p><!-- end of .read-more --><\/p>\n","protected":false},"author":12,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"content-type":"","footnotes":""},"categories":[200],"tags":[677,778],"class_list":["post-4889","post","type-post","status-publish","format-standard","hentry","category-staff-publication","tag-677","tag-nephrectomy"],"_links":{"self":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/4889","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/comments?post=4889"}],"version-history":[{"count":2,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/4889\/revisions"}],"predecessor-version":[{"id":5328,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/4889\/revisions\/5328"}],"wp:attachment":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/media?parent=4889"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/categories?post=4889"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/tags?post=4889"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}