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- W2049662737 abstract "the 8 scenarios, providing 6112 evaluable clinical scenarios. Tumor NS ranged from 4–10, and each unit increase in NS was associated with 53% increased likelihood of a surgeon offering a RN (OR 1.53, 95% CI: 1.49, 1.58). PN was the preferred treatment for approximately 86% of patients with low complexity (NS 7) tumors, regardless of surgical volume. However, the proposed treatment for patients with moderate and high complexity tumors demonstrated considerable heterogeneity. Controlling for patient characteristics, high volume surgeons were much more likely to offer PN both for moderate/high complexity tumors (OR 2.5; 95% CI 2.0, 3.0) and low complexity tumors (OR 2.2; 95% CI 1.4, 3.3) when compared to low volume surgeons. Though intermediate volume surgeons were more likely than low volume surgeons to offer PN for low complexity tumors they were not for moderate/high complexity tumors (OR 1.6; 95% CI 1.1, 2.3, and OR 1.2; 95% CI 0.94, 1.4, respectively). CONCLUSIONS: Increasing tumor complexity was associated with the increased use of radical nephrectomy, regardless of surgical volume. However, as the tumors become more complex, surgical volume plays an increasingly important role in predicting which surgeons offer PN, independent of patient characteristics." @default.
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- W2049662737 date "2011-04-01" @default.
- W2049662737 modified "2023-09-26" @default.
- W2049662737 title "66 HAS A MINIMALLY INVASIVE APPROACH BECOME MORE IMPORTANT THAN NEPHRON PRESERVATION IN THE MANAGEMENT OF THE CLINICALLY LOCALIZED RENAL MASS?" @default.
- W2049662737 doi "https://doi.org/10.1016/j.juro.2011.02.130" @default.
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