Follow-up guidelines after radical or partial nephrectomy for localized and locally advanced renal cell carcinoma

Kassouf, Wassim; Siemens, Robert; Morash, Christopher; Lacombe, Louis; Jewett, Michael A.S.; Goldenberg, Larry; Chin, Joseph L.; Chetner, Michael; Wood, Christopher G.; Tanguay, Simon; Aprikian, Armen

doi:10.5489/cuaj.1028

Cited by 52 publications

(37 citation statements)

References 30 publications

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“…10 The Canadian Urological Association (CUA) has published follow-up guidelines with suggested imaging, physical examination, and blood work for patients' post-nephrectomy based on tumour stage to assess possible recurrence. 11 However, it does not address potential long-term complications.…”

Section: Discussionmentioning

confidence: 99%

Kidney cancer survivorship survey of urologists and survivors: The gap in perceptions of care, but agreement on needs

Moretto

Jewett

Basiuk

et al. 2014

CUAJ

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Introduction: There is lack of evidence-based literature addressing comprehensive long-term care for kidney cancer (KC) survivors. Additionally, it is unclear if the concerns of KC patients/caregivers are being adequately addressed. Therefore, Kidney Cancer Canada, a patient-led support organization for Canadians with KC, commissioned this first recorded survivorship survey specific to KC patients/caregivers. Methods: We conducted a cross-sectional online survey of Canadian patients/caregivers diagnosed with localized KC, and a separate parallel survey of Canadian urologists. The primary objectives were to assess patient/caregivers' and urologists' perceptions of information provided, as well as the physical/psychological/ emotional impact of KC treatment. Results: Urologists recalled providing information about surgical complications (90%) and their management (63%), while patients/ caregiver recalled much less (33% and 35% ). Of the urologists, 93% recalled providing information on cancer recurrence, but only 42% of patients/caregivers remembered receiving this information. Concerns identified by patients/caregivers and urologists were similar: fear of recurrence, concerns about cancer, fatigue, and anxiety. Importantly, all agreed that survivorship information was paramount. Education of both patients/caregivers and physicians and the development of guidelines were factors identified to ensure optimal KC survivorship. Study limitations include potential biases in recall and selection of participants. Conclusion: There was some discordance between urologists' and patients/caregivers' rates of recall of information provided. Patients/ caregivers would have desired more information about their cancer, long-term follow-up, and potential complications. A survivorship care plan (SCP) tailored to KC may be an effective measure to address these needs. The impact of this SCP on survivor outcomes should be rigorously assessed.

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Section: Discussionmentioning

confidence: 99%

Kidney cancer survivorship survey of urologists and survivors: The gap in perceptions of care, but agreement on needs

Moretto

Jewett

Basiuk

et al. 2014

CUAJ

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“…Ces percées, ainsi que d'autres, ont transformé les soins et stimulé la recherche. Plusieurs lignes directrices au Canada traitent des différents aspects des soins chez les patients porteurs d'un hypernéphrome 2,3,5,6 .…”

Section: E533unclassified

Prise en charge du cancer du rein de stade avancé : Mise à jour 2013 des lignes directrices consensuelles du Forum canadien sur le cancer du rein

North¹

2013

CUAJ

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“…The CUA currently recommends a stage-based follow-up protocol after partial or radical nephrectomy. 9 Series such as these that cement the impact of more granular histopathologic elements may come to be endorsed in future guidelines, as are currently employed in the predictive models of Memorial SloanKettering, UCLA and the Mayo Clinic highlighted here. At the very least, these elements should be in mind during our post-nephrectomy patient encounters as offering some guidance and counsel.…”

mentioning

confidence: 99%

Solidifying prognosis after surgery for renal cell carcinoma

Leveridge

2014

CUAJ

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Follow-up guidelines after radical or partial nephrectomy for localized and locally advanced renal cell carcinoma

Cited by 52 publications

References 30 publications

Kidney cancer survivorship survey of urologists and survivors: The gap in perceptions of care, but agreement on needs

Kidney cancer survivorship survey of urologists and survivors: The gap in perceptions of care, but agreement on needs

Prise en charge du cancer du rein de stade avancé : Mise à jour 2013 des lignes directrices consensuelles du Forum canadien sur le cancer du rein

Solidifying prognosis after surgery for renal cell carcinoma

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