Abstract:
AIM:This study analyzed the effect of metastasectomy on overall mortality (OM) and perioperative outcomes in patients with metastatic renal cell carcinoma (mRCC) treated exclusively with targeted therapy. MATERIALS AND METHODS:Using the Surveillance, Epidemiology, and End Results (SEER) database (2006-2015), Kaplan-Meier analyses and multivariable Cox regression models tested for OM. Using the National Inpatient Sample (NIS) database (2006-2015), complication rates and in-hospital mortality were evaluated. RESULTS:Within the SEER database, 437 (12.2%) out of 3,654 patients underwent metastasectomy. Metastasectomy was associated with lower OM risk (median survival 11 vs. 9 months, hazard ratio=0.83; p=0.002). Within the NIS database, 351 such patients were identified. Complications and in-hospital mortality were 55.0% and 4.6%, respectively. CONCLUSION:Metastasectomy in patients with mRCC treated exclusively with targeted therapy is associated with lower OM risk, however, based on short duration of expected survival. Complications and in-hospital mortality rates are not negligible.
journal_name
Anticancer Resjournal_title
Anticancer researchauthors
Palumbo C,Pecoraro A,Knipper S,Rosiello G,Tian Z,Shariat SF,Simeone C,Briganti A,Saad F,Berruti A,Antonelli A,Karakiewicz PIdoi
10.21873/anticanres.13604subject
Has Abstractpub_date
2019-08-01 00:00:00pages
4357-4361issue
8eissn
0250-7005issn
1791-7530pii
39/8/4357journal_volume
39pub_type
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journal_title:Anticancer research
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