Screening for renal cell carcinoma using ultrasonography: a feasibility study

Filipas, D.; Spix, Claudia; Schulz-Lampel, D.; Michaelis, Jörg; Hohenfellner, R.; Roth, Susan Orel; Thüroff, Joachim W.

doi:10.1016/j.urolonc.2003.11.010

Cited by 3 publications

(12 citation statements)

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“…Sixteen studies were included in the final meta‐analysis for renal masses (413 551 individuals) ( Fig . and Table ). The median quality score for studies in the screening and mixed groups was 4 (range 3–6) of 8, whereas studies in the non‐screening group only achieved a median score of 1·5 (range 1–3) of 7 ( Table S3 , supporting information).…”

Section: Resultsmentioning

confidence: 96%

“…All studies were observational, consisting of one study arm alone (no non‐screening comparator), and none used a random sampling method. Only one study commented on the participation rate of individuals invited to attend screening. None of the studies reported 95 per cent confidence intervals for point estimates of prevalence, despite the fact that this was an item on the quality assessment checklist (although this is readily calculable, given knowledge of the sample size).…”

Section: Resultsmentioning

confidence: 99%

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Meta-analysis of the prevalence of renal cancer detected by abdominal ultrasonography

Rossi

Hsu

Blick

et al. 2017

British Journal of Surgery

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Background:The potential for an ultrasound-based screening programme for renal cell carcinoma (RCC) to improve survival through early detection has been the subject of much debate. The prevalence of ultrasound-detected asymptomatic RCC is an important first step to establishing whether a screening programme may be feasible.Methods: A systematic search of MEDLINE and Embase was performed up to March 2016 to identify studies reporting the prevalence of renal masses and RCC. Two populations of patients were chosen: asymptomatic individuals undergoing screening ultrasonography and patients undergoing ultrasonography for abdominal symptoms not related to RCC. A random-effects meta-analysis was performed. Study quality was evaluated using a validated eight-point checklist.

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Section: Resultsmentioning

confidence: 96%

Section: Resultsmentioning

confidence: 99%

Meta-analysis of the prevalence of renal cancer detected by abdominal ultrasonography

Rossi

Hsu

Blick

et al. 2017

British Journal of Surgery

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“…All this is expensive and we find the value quoted in the study [1] of US $6.00 per investigation completely unrealistic. To consider all factors involved (equipment cost, room cost, staff costs, imaging capture and storage, ultrasound accessories) the cost per examination is likely to be much higher.…”

mentioning

confidence: 78%

“…We read with interest this article [1] about the application of ultrasonography in the screening for RCC. This work based on a 2‐year follow‐up of screened patients produced impressive results for detecting early RCC with consequent advantages to the patient.…”

mentioning

confidence: 99%

“…To consider all factors involved (equipment cost, room cost, staff costs, imaging capture and storage, ultrasound accessories) the cost per examination is likely to be much higher. In the UK the National Health Service operates a ‘provider‐to‐provider’ cost for each procedure, and currently this is £65.50 (US $105) per renal ultrasonography examination, still far below the cost quoted for the USA [1]. However, even had we been given our ultrasound machines and operators for free, we could not provide quality scans for $6.00!…”

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confidence: 99%

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Screening for renal cell carcinoma using ultrasonography: a feasibility study

Zhan¹,

Sidhu²,

Muir³

2003

BJU International

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Point-of-Care Ultrasound in General Practice: A Systematic Review

et al. 2019

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PURPOSE Ultrasound examinations are currently being implemented in general practice. This study aimed to systematically review the literature on the training in and use of point-of-care ultrasound (POCUS) by general practitioners. METHODSWe followed the Cochrane guidelines for conduct and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for reporting. We searched the databases MEDLINE (via PubMed), EMBASE, CINAHL, Web of Science, and Cochrane Central Register of Controlled Trials using the key words ultrasonography and general practice in combination and using thesaurus terms. Two reviewers independently screened articles for inclusion, extracted data, and assessed the quality of included studies using an established checklist. RESULTSWe included in our review a total of 51 full-text articles. POCUS was applied for a variety of purposes, with the majority of scans focused on abdominal and obstetric indications. The length of training programs varied from 2 to 320 hours. Competence in some types of focused ultrasound scans could be attained with only few hours of training. Focused POCUS scans were reported to have a higher diagnostic accuracy and be associated with less harm than more comprehensive scans or screening scans. The included studies were of a low quality, however, mainly because of issues with design and reporting.CONCLUSIONS POCUS has the potential to be an important tool for the general practitioner and may possibly reduce health care costs. Future research should aim to assess the quality of ultrasound scans in broader groups of general practitioners, further explore how these clinicians should be trained, and evaluate the clinical course of patients who undergo scanning by general practitioners.Annals Journal Club selection; see inside back cover or http://www.Ann FamMed.org/AJC/.To read or post commentaries in response to this article, see it online at http://www.AnnFamMed.org/content/17/1/61.

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Screening for renal cell carcinoma using ultrasonography: a feasibility study

Cited by 3 publications

References 0 publications

Meta-analysis of the prevalence of renal cancer detected by abdominal ultrasonography

Meta-analysis of the prevalence of renal cancer detected by abdominal ultrasonography

Screening for renal cell carcinoma using ultrasonography: a feasibility study

Point-of-Care Ultrasound in General Practice: A Systematic Review

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