Perioperative management of upper tract urothelial carcinoma in the Nordic countries

Kimie  Ødorf; Erik Skaaheim Haug; Fredrik Liedberg; Riikka Järvinen; Sigurdur Gudjonsson; Peter J Boström; Tomas Jerlström; Gigja Gudbrandsdottir; Jørgen Bjerggaard Jensen; Gitte Wrist Lam

doi:10.1186/s12894-024-01515-7

Perioperative management of upper tract urothelial carcinoma in the Nordic countries

Kimie Ødorf^*, Erik Skaaheim Haug, Fredrik Liedberg, Riikka Järvinen, Sigurdur Gudjonsson, Peter J Boström, Tomas Jerlström, Gigja Gudbrandsdottir, Jørgen Bjerggaard Jensen, Gitte Wrist Lam

^*Corresponding author af dette arbejde

Afdeling for Urinvejssygdomme HGH

Abstract

BACKGROUND: Upper tract urothelial carcinoma (UTUC) is a rare malignancy, with typically only few new cases annually per urological department. Adherence to European association of urology (EAU) guidelines on UTUC in the Nordic countries is unknown. The objective of this survey was to examine the implementation of EAU guidelines, the perioperative management and organization of the treatment of UTUC in the Nordic countries.

METHODS: The electronic survey was distributed to 93 hospitals in the Nordic countries performing radical nephroureterectomy (NU). The survey consisted of 57 main questions and data was collected between December 1st, 2021 and April 23rd, 2022.

RESULTS: Overall response rate was 47/93 (67%) with a completion rate of 98%. Five out of the 6 examined subjects on diagnostic practice are applied by ≥ 72% of the participating centers. NU as treatment for high-risk UTUC is performed by 37/47 (79%), and 91% include a bladder cuff excision.

CONCLUSIONS: Adherence to EAU guidelines is high on diagnostic practice in the Nordic countries, whereas disease management is less coherent.

Originalsprog	Engelsk
Artikelnummer	132
Tidsskrift	BMC Urology
Vol/bind	24
Udgave nummer	1
Sider (fra-til)	132
Antal sider	1
ISSN	1471-2490
DOI	https://doi.org/10.1186/s12894-024-01515-7
Status	Udgivet - 25 jun. 2024

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10.1186/s12894-024-01515-7Licens: CC BY

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title = "Perioperative management of upper tract urothelial carcinoma in the Nordic countries",

abstract = "BACKGROUND: Upper tract urothelial carcinoma (UTUC) is a rare malignancy, with typically only few new cases annually per urological department. Adherence to European association of urology (EAU) guidelines on UTUC in the Nordic countries is unknown. The objective of this survey was to examine the implementation of EAU guidelines, the perioperative management and organization of the treatment of UTUC in the Nordic countries.METHODS: The electronic survey was distributed to 93 hospitals in the Nordic countries performing radical nephroureterectomy (NU). The survey consisted of 57 main questions and data was collected between December 1st, 2021 and April 23rd, 2022.RESULTS: Overall response rate was 47/93 (67%) with a completion rate of 98%. Five out of the 6 examined subjects on diagnostic practice are applied by ≥ 72% of the participating centers. NU as treatment for high-risk UTUC is performed by 37/47 (79%), and 91% include a bladder cuff excision.CONCLUSIONS: Adherence to EAU guidelines is high on diagnostic practice in the Nordic countries, whereas disease management is less coherent.",

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author = "Kimie {\O}dorf and Haug, {Erik Skaaheim} and Fredrik Liedberg and Riikka J{\"a}rvinen and Sigurdur Gudjonsson and Bostr{\"o}m, {Peter J} and Tomas Jerlstr{\"o}m and Gigja Gudbrandsdottir and Jensen, {J{\o}rgen Bjerggaard} and Lam, {Gitte Wrist}",

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T1 - Perioperative management of upper tract urothelial carcinoma in the Nordic countries

AU - Ødorf, Kimie

AU - Haug, Erik Skaaheim

AU - Liedberg, Fredrik

AU - Järvinen, Riikka

AU - Gudjonsson, Sigurdur

AU - Boström, Peter J

AU - Jerlström, Tomas

AU - Gudbrandsdottir, Gigja

AU - Jensen, Jørgen Bjerggaard

AU - Lam, Gitte Wrist

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Y1 - 2024/6/25

N2 - BACKGROUND: Upper tract urothelial carcinoma (UTUC) is a rare malignancy, with typically only few new cases annually per urological department. Adherence to European association of urology (EAU) guidelines on UTUC in the Nordic countries is unknown. The objective of this survey was to examine the implementation of EAU guidelines, the perioperative management and organization of the treatment of UTUC in the Nordic countries.METHODS: The electronic survey was distributed to 93 hospitals in the Nordic countries performing radical nephroureterectomy (NU). The survey consisted of 57 main questions and data was collected between December 1st, 2021 and April 23rd, 2022.RESULTS: Overall response rate was 47/93 (67%) with a completion rate of 98%. Five out of the 6 examined subjects on diagnostic practice are applied by ≥ 72% of the participating centers. NU as treatment for high-risk UTUC is performed by 37/47 (79%), and 91% include a bladder cuff excision.CONCLUSIONS: Adherence to EAU guidelines is high on diagnostic practice in the Nordic countries, whereas disease management is less coherent.

AB - BACKGROUND: Upper tract urothelial carcinoma (UTUC) is a rare malignancy, with typically only few new cases annually per urological department. Adherence to European association of urology (EAU) guidelines on UTUC in the Nordic countries is unknown. The objective of this survey was to examine the implementation of EAU guidelines, the perioperative management and organization of the treatment of UTUC in the Nordic countries.METHODS: The electronic survey was distributed to 93 hospitals in the Nordic countries performing radical nephroureterectomy (NU). The survey consisted of 57 main questions and data was collected between December 1st, 2021 and April 23rd, 2022.RESULTS: Overall response rate was 47/93 (67%) with a completion rate of 98%. Five out of the 6 examined subjects on diagnostic practice are applied by ≥ 72% of the participating centers. NU as treatment for high-risk UTUC is performed by 37/47 (79%), and 91% include a bladder cuff excision.CONCLUSIONS: Adherence to EAU guidelines is high on diagnostic practice in the Nordic countries, whereas disease management is less coherent.

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KW - Ureteral Neoplasms/surgery

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KW - Guideline Adherence/statistics & numerical data

KW - Perioperative Care/methods

KW - Nephroureterectomy

KW - Practice Guidelines as Topic

KW - Practice Patterns, Physicians'/statistics & numerical data

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JO - BMC Urology

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ER -

Perioperative management of upper tract urothelial carcinoma in the Nordic countries

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