[The choice of the treatment method in kidney cancer in middle-aged and elderly patients].
Long-term results of the treatment outcomes in 108 nephrectomized and 107 conservatively treated patients of presenile and senile age provided the data for the mathematical model which the authors developed for renal carcinoma survival under surgical and conservative management in the above patients. The model allows optimal case-by-case approach. The trial showed high prognostic capacity of the method. Retrospective evaluation of the treatment choice validity in 215 patients ascertained that the choice was correct only in 29.8% of the patients. For 24 patients who died early after surgery, only 20.8% of cases appeared to have the prognosis of surgery preferable. The prognostic potential of the method was tested on the control group of 60 patients. The prognosis was correct in 80% of cases. The authors hold that the proposed novel approach to therapeutic policy in renal carcinoma in pre- and senile patients may prevent unnecessary hospitalizations, decrease hospital stay duration, save medical and material resources, reduce postoperative lethality, improve treatment results.
Lopatkin
N A
NA
Igel'nik
A M
AM
Popovkin
N N
NN
Orlova
E V
EV
D000368:Aged; D000369:Aged, 80 and over; D002292:Carcinoma, Renal Cell / Q000175:diagnosis / Q000401:mortality / Q000628:therapy*; D005500:Follow-Up Studies; D006801:Humans; D007680:Kidney Neoplasms / Q000175:diagnosis / Q000401:mortality / Q000628:therapy*; D008875:Middle Aged; D008954:Models, Biological; D009392:Nephrectomy; D011379:Prognosis; D012189:Retrospective Studies
Vybor metoda lecheniia bol'nykh rakom pochki pozhilogo i starcheskogo vozrasta.