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Obstructive sleep apnea and Fuhrman grade in patients with clear cell renal cell carcinoma treated surgically.

Abstract：

PURPOSE:To assess the association between obstructive sleep apnea (OSA) and Fuhrman grade in patients with clear cell renal cell carcinoma (ccRCC). As secondary endpoints, we studied its association with tumor size, metastasis-free survival (MFS) and cancer-specific survival (CSS). METHODS:We reviewed the databases of two tertiary care centers, identifying 2579 patients who underwent partial or radical nephrectomy for ccRCC between 1991 and 2014. Descriptive statistics were used to compare pathologic variables between patients with and without OSA. Linear and logistic regression models were used to assess the association of OSA with Fuhrman grade and tumor size. A Cox proportional hazards model was used to determine OSA association with MFS and CSS. A pathway analysis was performed on a cohort with available gene expression data. RESULTS:In total, 172 patients (7 %) had self-reported OSA at diagnosis. More patients with OSA had high Fuhrman grade compared to those without OSA [51 vs. 38 %; 13 % risk difference; 95 % confidence interval (CI), 5-20 %; p = 0.003]. On multivariable analysis, the association remained significant (OR 1.41; 95 % CI 1.00-1.99; p = 0.048). OSA was not associated with tumor size (p > 0.5), MFS (p = 0.5) or CSS (p = 0.4). A trend toward vascular endothelial growth factor pathway enrichment was seen in OSA patients (p = 0.08). CONCLUSIONS:OSA is associated with high Fuhrman grade in patients undergoing surgery for ccRCC. Pending validation of this novel finding in further prospective studies, it could help shape future research to better understand etiological mechanisms associated.

journal_name

World J Urol

journal_title

World journal of urology

authors

Vilaseca A,Nguyen DP,Vertosick EA,Corradi RB,Musquera M,Pérez M,Fossati N,Sjoberg DD,Farré R,Almendros I,Montserrat JM,Benfante NE,Hakimi AA,Skanderup AJ,Russo P,Alcaraz A,Touijer KA

doi

10.1007/s00345-016-1830-6

subject

Has Abstract

pub_date

2017-01-01 00:00:00

pages

51-56

issue

1

eissn

0724-4983

issn

1433-8726

pii

10.1007/s00345-016-1830-6

journal_volume

35

pub_type

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