Words of wisdom. Re: Partial nephrectomy versus radical nephrectomy in patients with small renal tumors--is there a difference in mortality and cardiovascular outcomes?

摘要

Huang and coworkers examined whether radical nephrect-omy (RN) is associated with an increase in cardiovascular events and mortality compared with partial nephrectomy (PN). The study sample was obtained from Surveillance, Epidemiology, and End Results (SEER), a consortium of population-based cancer registries that includes approximately 26% of the US population. The primary end points of the analysis were cardiovascular events, cardiovascular deaths, and all-cause mortality after renal surgery. The study cohort included nearly 3000 patients with definitive surgery for a renal tumor of <4 cm diagnosed between 1995 and 2002.