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• W2106285909 abstract "No AccessJournal of UrologyAdult Urology1 Jan 2011Chronic Kidney Disease Before and After Partial Nephrectomy Melanie A. Clark, Sergey Shikanov, Jay D. Raman, Benjamin Smith, Matthew Kaag, Paul Russo, Jeffrey C. Wheat, J. Stuart Wolf, Surena F. Matin, William C. Huang, Arieh L. Shalhav, and Scott E. Eggener Melanie A. ClarkMelanie A. Clark Section of Urology, University of Chicago, Chicago, Illinois Nothing to disclose. More articles by this author , Sergey ShikanovSergey Shikanov Section of Urology, University of Chicago, Chicago, Illinois Nothing to disclose. More articles by this author , Jay D. RamanJay D. Raman Division of Urology, Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania Nothing to disclose. More articles by this author , Benjamin SmithBenjamin Smith Division of Urology, Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania Nothing to disclose. More articles by this author , Matthew KaagMatthew Kaag Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, New York Nothing to disclose. More articles by this author , Paul RussoPaul Russo Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, New York Financial interest and/or other relationship with Wilex AG. More articles by this author , Jeffrey C. WheatJeffrey C. Wheat Department of Urology, University of Michigan, Ann Arbor, Michigan Financial interest and/or other relationship with Johnson & Johnson. More articles by this author , J. Stuart WolfJ. Stuart Wolf Department of Urology, University of Michigan, Ann Arbor, Michigan Financial interest and/or other relationship with Terumo Corp. and Baxter Healthcare. More articles by this author , Surena F. MatinSurena F. Matin Department of Urology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas Financial interest and/or other relationship with Johnson & Johnson Wound Management. More articles by this author , William C. HuangWilliam C. Huang Department of Urology, New York University, New York, New York Nothing to disclose. More articles by this author , Arieh L. ShalhavArieh L. Shalhav Section of Urology, University of Chicago, Chicago, Illinois Nothing to disclose. More articles by this author , and Scott E. EggenerScott E. Eggener Section of Urology, University of Chicago, Chicago, Illinois Financial interest and/or other relationship with Visualase, Inc. More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2010.09.019AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We performed a multi-institutional retrospective cohort study to evaluate baseline renal function of patients who underwent partial nephrectomy for renal tumors, and determined rates of progression to higher stages of chronic kidney disease. Materials and Methods: The Modification of Diet in Renal Disease study equation was used to estimate glomerular filtration rate. Preoperative and postoperative serum creatinine values were obtained from patients who underwent partial nephrectomy at 6 institutions with a normal contralateral kidney, and had baseline chronic kidney disease stage I (estimated glomerular filtration rate greater than 90 ml/minute/1.73 m2), II (estimated glomerular filtration rate 60 to 89 ml/minute/1.73 m2) or III (estimated glomerular filtration rate 30 to 59 ml/minute/1.73 m2). The end point was change in chronic kidney disease stage at long-term followup (3 to 18 months). Multivariate logistic and Cox regression models tested the association of newly acquired chronic kidney disease stage III or greater with pertinent demographic, tumor and surgical factors. Results: For 1,228 patients with followup creatinine data at least 3 months after partial nephrectomy median baseline glomerular filtration rate was 74 ml/minute/1.73 m2. At baseline 19%, 59% and 22% of patients had chronic kidney disease stage I, II and III, respectively. At long-term followup for patients with baseline chronic kidney disease stage I or II median postoperative glomerular filtration rate was 67 ml/minute/1.73 m2 with 29% having progression to chronic kidney disease stage III or greater. Increasing age, female gender, increasing tumor size, clamping of the renal artery and vein, and lower preoperative estimated glomerular filtration rate were independently associated with newly acquired chronic kidney disease stage III or greater. The presence of comorbid conditions such as coronary artery disease, diabetes mellitus or hypertension did not independently predict an increased risk of higher chronic kidney disease stage. Conclusions: Chronic kidney disease stage III or greater will develop postoperatively in approximately a third of patients with an estimated glomerular filtration rate greater than 60 ml/minute/1.73 m2, and this progression is associated with definable demographic, tumor and surgical factors. 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Google Scholar © 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byZabor E, Furberg H, Lee B, Campbell S, Lane B, Thompson R, Antonio E, Noyes S, Zaid H, Jaimes E and Russo P (2017) Long-Term Renal Function Recovery following Radical Nephrectomy for Kidney Cancer: Results from a Multicenter Confirmatory StudyJournal of Urology, VOL. 199, NO. 4, (921-926), Online publication date: 1-Apr-2018.Laguna M (2015) Re: Partial Nephrectomy for the Treatment of Renal Cell Carcinoma (RCC) and the Risk of End-Stage Renal Disease (ESRD)Journal of Urology, VOL. 194, NO. 5, (1226-1228), Online publication date: 1-Nov-2015.Cozzi D, Ceccanti S, Frediani S, Schiavetti A and Cozzi F (2012) Chronic Kidney Disease in Children With Unilateral Renal TumorJournal of Urology, VOL. 187, NO. 5, (1800-1805), Online publication date: 1-May-2012.Ohno Y, Nakashima J, Ohori M, Hashimoto T, Iseki R, Hatano T and Tachibana M (2011) Impact of Tumor Size on Renal Function and Prediction of Renal Insufficiency After Radical Nephrectomy in Patients With Renal Cell CarcinomaJournal of Urology, VOL. 186, NO. 4, (1242-1246), Online publication date: 1-Oct-2011. Volume 185Issue 1January 2011Page: 43-48 Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.Keywordskidney failurenephrectomychronickidney function testscarcinomarenal cellMetricsAuthor Information Melanie A. Clark Section of Urology, University of Chicago, Chicago, Illinois Nothing to disclose. More articles by this author Sergey Shikanov Section of Urology, University of Chicago, Chicago, Illinois Nothing to disclose. More articles by this author Jay D. Raman Division of Urology, Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania Nothing to disclose. More articles by this author Benjamin Smith Division of Urology, Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania Nothing to disclose. More articles by this author Matthew Kaag Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, New York Nothing to disclose. More articles by this author Paul Russo Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, New York Financial interest and/or other relationship with Wilex AG. More articles by this author Jeffrey C. Wheat Department of Urology, University of Michigan, Ann Arbor, Michigan Financial interest and/or other relationship with Johnson & Johnson. More articles by this author J. Stuart Wolf Department of Urology, University of Michigan, Ann Arbor, Michigan Financial interest and/or other relationship with Terumo Corp. and Baxter Healthcare. More articles by this author Surena F. Matin Department of Urology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas Financial interest and/or other relationship with Johnson & Johnson Wound Management. More articles by this author William C. Huang Department of Urology, New York University, New York, New York Nothing to disclose. More articles by this author Arieh L. Shalhav Section of Urology, University of Chicago, Chicago, Illinois Nothing to disclose. More articles by this author Scott E. Eggener Section of Urology, University of Chicago, Chicago, Illinois Financial interest and/or other relationship with Visualase, Inc. More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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