Contemporary treatment of renal tumors: a questionnaire survey in the Nordic countries (the NORENCA-I study)

The five Nordic countries comprise 25 million people, and have similar treatment traditions and healthcare systems. To take advantage of these similarities, a collaborative group (Nordic Renal Cancer Group, NORENCA) was founded in 2015.

A questionnaire of 17 questions on renal tumor management and surgical education was designed and sent to 91 institutions performing renal tumor surgery in 2015. The response rate was 68% (62 hospitals), including 28 academic, 25 central and nine district hospitals. Hospital volume was defined as low (LVH: < 20 operations), intermediate (IVH: 20-49 operations), high (HVH: 50-99) and very high (VHVH: ≥ 100). Descriptive statistics were performed.

Fifteen centers were LVH, 16 IVH, 21 HVH and 10 VHVH. Of all 3828 kidney tumor treatments, 55% were radical nephrectomies (RNs), 37% partial nephrectomies (PNs) and 8% thermoablations. For RN and PN, the percentages of open, laparoscopic and robotic approaches were 47%, 40%, 13% and 47%, 20%, 33%, respectively. The mean complication rate (Clavien-Dindo 3-5) was 4.9%, and 30 day mortality (TDM) was 0.5%. The median length of hospital stay was 4 days. Training with a simulator, black box or animal laboratory was possible in 48%, 74% and 21% of institutions, respectively.

Despite some differences between countries, the data suggest an overall general common Nordic treatment attitude for renal tumors. Furthermore, the data demonstrate high adherence to international standards, with a high proportion of PN and acceptable rates for major complications and TDM.

Scandinavian journal of urology. 2017 Jun 23 [Epub ahead of print]

Harry Nisen, Petrus Järvinen, Magnus Fovaeus, Eirikur Guðmundsson, Bjarne Kromann-Andersen, Börje Ljungberg, Lars Lund, Frode Nilsen, Pernilla Sundqvist, Christian Beisland

a Department of Urology , Helsinki University Hospital , Helsinki , Finland., b Department of Urology , Sahlgrenska University Hospital , Gothenburg , Sweden., c Department of Urology , Landspitali University Hospital , Reykjavik , Iceland., d Department of Urology , Herlev University Hospital , Copenhagen , Denmark., e Department of Surgical and Perioperative Sciences, Urology and Andrology , Umeå University , Umeå , Sweden., f Department of Urology , Odense University Hospital , Odense , Denmark., h Department of Urology , Akershus University Hospital , Lörenskog , Norway., i Department of Urology, Faculty of Medicine and Health , Örebro University , Örebro , Sweden., j Department of Urology , Haukeland University Hospital , Bergen , Norway.

E-Newsletters

Newsletter subscription

Free Daily and Weekly newsletters offered by content of interest

The fields of GU Oncology and Urology are rapidly advancing. Sign up today for articles, videos, conference highlights and abstracts from peer-review publications by disease and condition delivered to your inbox and read on the go.

Subscribe