Do the different types of renal surgery impact the quality of life in the postoperative period?

Azawi, Nessn; Tesfalem, Helen; Dahl, Claus; Lund, Lars

doi:10.1007/s11255-014-0893-9

Cited by 11 publications

(20 citation statements)

References 10 publications

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“…Nevertheless, our findings suggest that PN is superior, to some extent, to RN with regard to QoL following treatment of tumors stage T1 [ 14 , 16 ]. Similar results were found in studies that included patients with more advanced tumors, by Poulakis et al [ 23 ] and Azawi et al [ 8 ]. Even though Poulakis et al did not find major differences in QoL between RN and PN overall, the authors found a significant difference in several QoL domains between RN and elective PN [ 23 ].…”

Section: Discussionsupporting

confidence: 89%

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Quality of life and complications after nephron-sparing treatment of renal cell carcinoma stage T1—a systematic review

et al. 2022

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Background Despite the fact that nephron-sparing treatment is considered preferable from a surgical perspective patients’ quality of life (QoL) following different types of nephron-sparing treatments remains unclear. Purpose To investigate the quality of life and complications after nephron-sparing treatment of renal cell carcinomas of stage T1. Materials and methods A systematic search of six databases was carried out. We included studies that reported the quality of life and complications in patients aged 18 years or older following nephron-sparing treatment of renal cell carcinoma stage T1. The quality assessment was performed using the Critical Appraisal Skills Programme (CASP) checklist for cohort studies and the CASP Randomized Controlled Trial Checklist. Data were analyzed using a narrative approach. Results Eight studies were included, six of which investigated QoL after partial nephrectomy and two after ablation therapies. Seven studies reported complications. Three studies reported higher QoL scores after partial nephrectomy compared to radical nephrectomy. Two studies showed that QoL increased or returned to baseline levels up to 12 months following partial nephrectomy. One study reported a gradual increase in QoL after radiofrequency ablation, and one study reported that all patients recovered to baseline QoL following cryoablation. Across studies, we found a complication rate up to 20% after partial nephrectomy and up to 12.5% after ablation therapy. Conclusions The results of this systematic review suggest that nephron-sparing treatment appears to be superior or comparable to other treatment alternatives with regard to QoL outcomes. Additionally, based on the studies included in this review, partial nephrectomy appears to have a higher complication rate compared with ablation therapies. Systematic review registration PROSPERO CRD42020155594

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Section: Discussionsupporting

confidence: 89%

“…Thus, oncological outcomes, as well as potential differences between QoL and complication rate after different NSS procedures, are important considerations. In addition, surgical complications present a risk of prolonging recovery [ 7 ] and decreasing QoL after NSS [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Quality of life and complications after nephron-sparing treatment of renal cell carcinoma stage T1—a systematic review

et al. 2022

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“…To minimize this risk, patients were given sufficient time to think about their answers and if they were not willing to give a response by phone, they received the questionnaire by mail and were offered a follow-up telephone consultation. Our response rate, using this approach, was 75.5% which is in accordance with other survey studies and resulted in a reliable selection to perform our analyses [38][39][40][41]. Second, the GFI is a self-reported questionnaire.…”

Section: Discussionsupporting

confidence: 72%

Transitions in frailty state after kidney transplantation

Quint

Schopmeyer

Moers

et al. 2020

Langenbecks Arch Surg

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Purpose Frailty is the body's failure to return to homeostasis after every day or acute stressful events, causing adverse outcomes. To study its dynamics in kidney transplant recipients (KTR), we determined whether the degree of frailty and its domains are affected by kidney transplantation (KT). Methods Between 2015 and 2017, 176 KTR were included. Frailty scores were measured using the Groningen Frailty Indicator (GFI), assessed preoperatively and during follow-up. Transitions in frailty state and changes in the individual domains were determined. Results Mean age (±SD) was 51.8 (± 14.1) years, and 63.1% of KTR were male. Thirty patients were considered frail (GFI ≥ 4) at baseline. After a mean follow-up of 22.8 ± 8.3 months, 34 non-frail patients (19.3%) became frail, 125 patients (71.0%) remained the same, and 17 frail patients (9.7%) became non-frail (GFI < 4). In the domain psychosocial functioning, 28.4% of the patients had an increase in GFI score after follow-up. Patients who scored a point in the domain cognition at baseline had a greater chance of becoming frail (OR 4.38, 95% CI 0.59-32.24). Conclusion In conclusion, almost one-fifth of non-frail KTR transitioned to a frail state after their transplantation. These results could be used to predict the impact of KT on frailty course and help with implementing prehabilitation for patients at risk.

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“…To date, only four studies have attempted QoL comparisons in patients undergoing PN vs RN [21][22][23][24]. Results generally found that patients undergoing PN scored higher on physical functioning than patients undergoing RN.…”

Section: Discussionmentioning

confidence: 99%

Comparative effectiveness of management options for patients with small renal masses: a prospective cohort study

et al. 2018

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Do the different types of renal surgery impact the quality of life in the postoperative period?

Abstract: Total nephrectomy was a negative predictor of overall global health status. There is a demand for a reasonable follow-up program with an individual control interval according to the risk of recurrence and the possibility of treatment as well as the patient's discretion.

Cited by 11 publications

References 10 publications

Quality of life and complications after nephron-sparing treatment of renal cell carcinoma stage T1—a systematic review

Quality of life and complications after nephron-sparing treatment of renal cell carcinoma stage T1—a systematic review

Transitions in frailty state after kidney transplantation

Comparative effectiveness of management options for patients with small renal masses: a prospective cohort study

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