Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/17812
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dc.contributor.authorAhn, Thomas-
dc.contributor.authorEllis, Robert J-
dc.contributor.authorWhite, Victoria M-
dc.contributor.authorBolton, Damien M-
dc.contributor.authorCoory, Michael D-
dc.contributor.authorDavis, Ian D-
dc.contributor.authorFrancis, Ross S-
dc.contributor.authorGiles, Graham G-
dc.contributor.authorGobe, Glenda C-
dc.contributor.authorHawley, Carmel M-
dc.contributor.authorJohnson, David W-
dc.contributor.authorMarco, David J T-
dc.contributor.authorMcStea, Megan-
dc.contributor.authorNeale, Rachel E-
dc.contributor.authorPascoe, Elaine M-
dc.contributor.authorWood, Simon T-
dc.contributor.authorJordan, Susan J-
dc.date2018-05-22-
dc.date.accessioned2018-05-28T06:14:03Z-
dc.date.available2018-05-28T06:14:03Z-
dc.date.issued2018-06-
dc.identifier.citationJournal of surgical oncology 2018; 117(7): 1597-1610-
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/17812-
dc.description.abstractNew-onset chronic kidney disease (CKD) following surgical management of kidney tumors is common. This study evaluated risk factors for new-onset CKD after nephrectomy for T1a renal cell carcinoma (RCC) in an Australian population-based cohort. There were 551 RCC patients from the Australian states of Queensland and Victoria included in this study. The primary outcome was new-onset CKD (eGFR <60 mL/min per 1.73 m2 ) and the secondary outcome was new-onset moderate-severe CKD (<45 mL/min per 1.73 m2 ). Multivariable logistic regression was used to evaluate associations between patient, tumor and health-service characteristics and these outcomes. Forty percent (219/551) of patients developed new-onset CKD, and 12% (68/551) experienced new-onset moderate-severe CKD. Risk factors for new-onset CKD were age, lower preoperative eGFR, tumor size >20 mm, radical nephrectomy, lower hospital caseloads (<20 cases/year), and rural place of residence. The associations between rural place of residence and low center volume were a consequence of higher radical nephrectomy rates. Risk factors for CKD after nephrectomy generally relate to worse baseline health, or likelihood of undergoing radical nephrectomy. Surgeons in rural centres and hospitals with low caseloads may benefit from formalized integration with specialist centers for continued professional development and case-conferencing, to assist in management decisions.-
dc.language.isoeng-
dc.subjectchronic kidney disease-
dc.subjectestimated glomerular filtration rate-
dc.subjectnephrectomy-
dc.subjectrenal cell carcinoma-
dc.titlePredictors of new-onset chronic kidney disease in patients managed surgically for T1a renal cell carcinoma: An Australian population-based analysis.-
dc.typeJournal Article-
dc.identifier.journaltitleJournal of surgical oncology-
dc.identifier.affiliationPrincess Alexandra Hospital, Brisbane, Australia-
dc.identifier.affiliationTranslational Research Institute, Brisbane, Australiaen
dc.identifier.affiliationQIMR Berghofer Medical Research Institute, Brisbane, Australia-
dc.identifier.affiliationUniversity of Queensland, Brisbane, Australia-
dc.identifier.affiliationCancer Council Victoria, Melbourne, Australia-
dc.identifier.affiliationDeakin University, Geelong, Australia-
dc.identifier.affiliationAustin Health, Heidelberg, Victoria, Australia-
dc.identifier.affiliationUniversity of Melbourne, Melbourne, Australia-
dc.identifier.affiliationMonash University, Melbourne, Australia-
dc.identifier.affiliationEastern Health, Melbourne, Australia-
dc.identifier.doi10.1002/jso.25037-
dc.identifier.orcid0000-0002-2808-9970-
dc.identifier.orcid0000-0002-9755-9913-
dc.identifier.orcid0000-0003-1653-5803-
dc.identifier.orcid0000-0002-5145-6783-
dc.identifier.pubmedid29790163-
dc.type.austinJournal Article-
local.name.researcherBolton, Damien M
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.languageiso639-1en-
item.openairetypeJournal Article-
crisitem.author.deptUrology-
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