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Study Type – Therapy (decision analysis)Level of Evidence 1b
OBJECTIVE• To determine the optimal treatment for incidentally detected small renal masses between radical nephrectomy, partial nephrectomy, ablative therapy (AT) and active surveillance (AS) using a decision‐analytic Markov model.
SUBJECTS AND METHODS• The reference case was an otherwise healthy 60‐year‐old patient.• Health utilities...
Recent evidence suggests that partial nephrectomy may be associated with improved survival compared to radical nephrectomy for renal cell carcinoma but partial nephrectomy may be underused. We examined whether the introduction of laparoscopic radical nephrectomy contributed to low partial nephrectomy use with time.We identified all patients treated surgically for renal cell carcinoma in Ontario, Canada...
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