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Retrospective Multicenter Analysis of Prognostic Risk Factors for One Year Recurrence in Patient With Renal Cell Carcinoma After Partial or Radical Nephrectomy: Results of Korean Renal Cancer Study Group (KRoCS) Database

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dc.contributor.authorChoi, Changil-
dc.contributor.authorKang, Minyong-
dc.contributor.authorSeo, Seong Il-
dc.contributor.authorSuh, Jungyo-
dc.contributor.authorSong, Cheryn-
dc.contributor.authorChung, Jinsoo-
dc.contributor.authorKim, Sung Han-
dc.contributor.authorPark, Jae Young-
dc.contributor.authorHwang, Eu Chang-
dc.contributor.authorJeong, Chang Wook-
dc.contributor.authorKwak, Cheol-
dc.contributor.authorKim, Jung Kwon-
dc.contributor.authorHong, Sung-Hoo-
dc.date.accessioned2024-02-06T07:30:12Z-
dc.date.available2024-02-06T07:30:12Z-
dc.date.issued2024-01-
dc.identifier.issn1011-8934-
dc.identifier.issn1598-6357-
dc.identifier.urihttps://scholarworks.korea.ac.kr/kumedicine/handle/2021.sw.kumedicine/65404-
dc.description.abstractBACKGROUND: We sought to identify prognostic risk factors for one year recurrence in patient with renal cell carcinoma (RCC) after partial or radical nephrectomy. METHODS: We performed a retrospective study of 1,269 patients with RCC after partial or radical nephrectomy and diagnosed recurrence using Korean Renal Cancer Study Group (KRoCS) database between January 1991 and March 2017. Recurrence-free survival (RFS), and overall survival (OS) were calculated using the Kaplan-Meier method and multivariate Cox regression analysis were performed to evaluate independent prognostic factors for recurrence. RESULTS: The median patient age was 56 years and median follow-up period was 67 months. Multivariable analysis demonstrated BMI greater than or equal to 23 and less than 30 (vs. BMI less than 23, hazard ratio [HR]: 0.707, P = 0.020) reduced recurrence one year postoperatively. Eastern Cooperative Oncology Group performance status (ECOG PS) greater than or equal to 1 (vs. ECOG PS 0, HR: 1.548, P = 0.007), high pathological T stage (pT2 vs. pT1, HR: 2.622, P < 0.001; pT3 vs. pT1, HR: 4.256, P < 0.001; pT4 vs. pT1, HR: 4.558, P < 0.001), and tumor necrosis (vs. no tumor necrosis, HR: 2.822, P < 0.001) were independent predictive factors for early recurrence within one year in patients with RCC. Statistically significant differences on RFS and OS were found among pathological T stages (pT2 vs. pT1; pT3 vs. pT1; pT4 vs. pT1, all P < 0.001). CONCLUSION: This large multicenter study demonstrated ECOG PS greater than or equal to 1, high pathological T stage, tumor necrosis and BMI less than 23 were significant prognostic risk factors of early recurrence within one year in patients with RCC who underwent nephrectomy. © 2024 The Korean Academy of Medical Sciences.-
dc.language영어-
dc.language.isoENG-
dc.publisher대한의학회-
dc.titleRetrospective Multicenter Analysis of Prognostic Risk Factors for One Year Recurrence in Patient With Renal Cell Carcinoma After Partial or Radical Nephrectomy: Results of Korean Renal Cancer Study Group (KRoCS) Database-
dc.typeArticle-
dc.publisher.location대한민국-
dc.identifier.doi10.3346/jkms.2024.39.e11-
dc.identifier.scopusid2-s2.0-85183275018-
dc.identifier.wosid001165994500007-
dc.identifier.bibliographicCitationJournal of Korean Medical Science, v.39, no.3, pp e11-
dc.citation.titleJournal of Korean Medical Science-
dc.citation.volume39-
dc.citation.number3-
dc.citation.startPagee11-
dc.type.docTypeArticle-
dc.identifier.kciidART003046031-
dc.description.isOpenAccessY-
dc.description.journalRegisteredClassscie-
dc.description.journalRegisteredClassscopus-
dc.description.journalRegisteredClasskci-
dc.relation.journalResearchAreaGeneral & Internal Medicine-
dc.relation.journalWebOfScienceCategoryMedicine, General & Internal-
dc.subject.keywordPlusBODY-MASS INDEX-
dc.subject.keywordPlusSURVIVAL-
dc.subject.keywordPlusPREDICT-
dc.subject.keywordPlusTRIAL-
dc.subject.keywordPlusMODEL-
dc.subject.keywordAuthorEarly Metastasis-
dc.subject.keywordAuthorPrognosis-
dc.subject.keywordAuthorRecurrence-
dc.subject.keywordAuthorRenal Cell Carcinoma-
dc.subject.keywordAuthorRisk Factor-
dc.subject.keywordAuthorSurvival-
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Ansan Hospital (Department of Urology, Ansan Hospital)
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