Complications Associated With Partial Nephrectomy for Renal Cancer

NCT05168761 | Completed

• 1 other identifier: 2040/1205
• Study Type: observational
• Target: 7,664
• Locations: 0 countries
• Sites: N/A

Brief Summary

This paper evaluates the initial complications and the complications two years postoperatively necessitating re-hospitalisation for three surgical procedures for renal tumour partial nephrectomy .

Conditions

Renal Cancer; Partial Nephrectomy

Keywords

nephron sparing; robot; PMSI; laparoscopy; open surgery; nephron sparing surgery

Outcome Measures

Primary Outcomes (1)

• post operative complication

  Complications were documented for the initial hospitalisation and any subsequent re-hospitalisation

  2 years

Secondary Outcomes (1)

• length of initial hospitalisation

  2 years

Study Arms (3)

laparoscopic partial nephrectomy

The investigators included all hospitalisations for LPN using CCAM(Classification Commune des actes médicaux) code (JAFC005) after removing the 83 hospitals using RAPN in 2017. LPN complications were from hospitals using exclusively LPN.

Procedure: partial nephrectomy

open partial nephrectomy

OPN has its own CCAM codes; they group laparotomy (JAFA019 / JAFA030) and lumbotomy (JAFA008 / JAFA024)

Procedure: partial nephrectomy

robot assisted partial nephrectomy

At the time of this study, RAPN did not have a specific coding. The investigators had contacted the hospitals with Vinci robotic surgical procedures in 2013 and the investigators included here PN from hospitalisations from the 25 centres using exclusively RAPN for more than five years. Thus, in this study, RAPN was performed by experts in robotic surgery.

Procedure: partial nephrectomy

Interventions

partial nephrectomy PROCEDURE

laparoscopic partial nephrectomy; open partial nephrectomy; robot assisted partial nephrectomy

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

In total, there were 11,698 hospitalisations between the 1st January 2016 and the 31st December 2017 with one of the PN codes from the Classification Commune des Actes Médicaux (CCAM) (Annex 1). The investigators used a supplementary filter for the diagnosis of renal cancer, C64, from the International Classification of Diseases 10th edition (ICD-10). The Department of Medical Informatics, Nancy CHRU controlled coding discrepancies, leaving 9119 hospitalisations for study

You may qualify if:

• hospitalisations between the 1st January 2016 and the 31st December 2017 with one of the partial nephrectomy codes

You may not qualify if:

• partial nephrectomy for non-cancerous pathology
• no technical information

Sponsors & Collaborators

• Central Hospital, Nancy, France: lead

Related Publications (17)

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  BACKGROUND

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MeSH Terms

Conditions

Kidney Neoplasms

Condition Hierarchy (Ancestors)

Urologic Neoplasms; Urogenital Neoplasms; Neoplasms by Site; Neoplasms; Female Urogenital Diseases; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Kidney Diseases; Urologic Diseases; Male Urogenital Diseases

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: December 9, 2021
• First Posted: December 23, 2021
• Study Start: January 1, 2016
• Primary Completion: January 1, 2018
• Study Completion: December 31, 2019
• Last Updated: January 13, 2022

Record last verified: 2021-12

Data Sharing

• IPD Sharing: Will not share