Open Access Research

Comparison of guideline recommendations with daily practice in patients with renal cell carcinoma

B Schlenker1*, M Seitz1, MJ Bader1, R Ganzer2, D Tilki1, F Bayrle1, O Reich1, M Staehler1, A Bachmann3, CG Stief1 and C Gratzke1

Author Affiliations

1 Department of Urology, University Hospital Grosshadern, Ludwig-Maximilians- University Munich, Germany

2 Department of Urology, Krankenhaus St. Josef, University of Regensburg, Germany

3 Department of Urology, Basel University Hospital, Switzerland

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European Journal of Medical Research 2010, 15:253-257  doi:10.1186/2047-783X-15-6-253

Published: 28 June 2010

Abstract

Objectives and Aims

To compare guideline recommendations with daily practice patterns in a German patient cohort with renal cell carcinoma.

Patients and methods

81 patients with T1 oder T2 renal cell carcinoma (RCC) were included in this prospective single-center study. All patients were operated in a single institution either by open radical nephrectomy (ORN) or nephron sparing surgery (NSS). Patients and doctors were evaluated using a written questionnaire with a follow-up of 12 months. Follow-up intervals, follow-up modalities (e. g. imaging modalities, laboratory controls of blood and urine) and the call on psycho-oncological support were evaluated.

Results

The majority of patients (72%) were followed up by their urologists. Follow-up examinations included abdominal ultrasound, urine and blood diagnostics, conventional chest x-rays, computed tomography (CT) of abdomen, chest or head or abdominal Magnetic Resonance Imaging (MRI). There were no significant differences between patients operated by ORN or NSS. In total, 12.5% of patients were asking for psycho-oncological support.

Conclusions

In general, patients were followed up according to existing guideline recommendations. Only a small proportion of patients asked for psycho-oncological treatment.

Keywords:
renal cell carcinoma; oncological follow-up; open radical nephrectomy; nephron-sparing surgery