Perioperative management of upper tract urothelial carcinoma in the Nordic countries.


Journal

BMC urology
ISSN: 1471-2490
Titre abrégé: BMC Urol
Pays: England
ID NLM: 100968571

Informations de publication

Date de publication:
25 Jun 2024
Historique:
received: 04 10 2023
accepted: 10 06 2024
medline: 25 6 2024
pubmed: 25 6 2024
entrez: 24 6 2024
Statut: epublish

Résumé

Upper tract urothelial carcinoma (UTUC) is a rare malignancy, with typically only few new cases annually per urological department. Adherence to European association of urology (EAU) guidelines on UTUC in the Nordic countries is unknown. The objective of this survey was to examine the implementation of EAU guidelines, the perioperative management and organization of the treatment of UTUC in the Nordic countries. The electronic survey was distributed to 93 hospitals in the Nordic countries performing radical nephroureterectomy (NU). The survey consisted of 57 main questions and data was collected between December 1st, 2021 and April 23rd, 2022. Overall response rate was 47/93 (67%) with a completion rate of 98%. Five out of the 6 examined subjects on diagnostic practice are applied by ≥ 72% of the participating centers. NU as treatment for high-risk UTUC is performed by 37/47 (79%), and 91% include a bladder cuff excision. Adherence to EAU guidelines is high on diagnostic practice in the Nordic countries, whereas disease management is less coherent.

Sections du résumé

BACKGROUND BACKGROUND
Upper tract urothelial carcinoma (UTUC) is a rare malignancy, with typically only few new cases annually per urological department. Adherence to European association of urology (EAU) guidelines on UTUC in the Nordic countries is unknown. The objective of this survey was to examine the implementation of EAU guidelines, the perioperative management and organization of the treatment of UTUC in the Nordic countries.
METHODS METHODS
The electronic survey was distributed to 93 hospitals in the Nordic countries performing radical nephroureterectomy (NU). The survey consisted of 57 main questions and data was collected between December 1st, 2021 and April 23rd, 2022.
RESULTS RESULTS
Overall response rate was 47/93 (67%) with a completion rate of 98%. Five out of the 6 examined subjects on diagnostic practice are applied by ≥ 72% of the participating centers. NU as treatment for high-risk UTUC is performed by 37/47 (79%), and 91% include a bladder cuff excision.
CONCLUSIONS CONCLUSIONS
Adherence to EAU guidelines is high on diagnostic practice in the Nordic countries, whereas disease management is less coherent.

Identifiants

pubmed: 38914985
doi: 10.1186/s12894-024-01515-7
pii: 10.1186/s12894-024-01515-7
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

132

Informations de copyright

© 2024. The Author(s).

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Auteurs

Kimie Oedorf (K)

Department of Urology, Herlev and Gentofte Hospital, Copenhagen, Denmark. kimieoedorf@hotmail.com.

Erik Skaaheim Haug (ES)

Department of Urology, Vestfold Hospital Trust, Toensberg, Oslo, Norway.

Fredrik Liedberg (F)

Department of Urology, Skaanes Universitetssjukhus, Malmö, Sweden.

Riikka Järvinen (R)

Department of Urology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.

Sigurdur Gudjonsson (S)

Faculty of Medicine, Department of Urology, University of Iceland, Landspitali University Hospital, Reykjavik, Iceland.

Peter J Boström (PJ)

Department of Urology, Turku University Hospital, University of Turku, Turku, Finland.

Tomas Jerlström (T)

Department of Urology, School of Medical Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.

Gigja Gudbrandsdottir (G)

Department of urology, Haukeland University Hospital, Bergen, Norway.

Jørgen Bjerggaard Jensen (JB)

Department of Urology, Aarhus University Hospital, Aarhus, Denmark.

Gitte Wrist Lam (GW)

Department of Urology, Herlev and Gentofte Hospital, Copenhagen, Denmark.

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