National nephrectomy registries: Reviewing the need for population-based data.

National nephrectomy registries: Reviewing the need for population-based data. Korean J Urol. 2015 Sep;56(9):607-13 Authors: Pearson J, Williamson T, Ischia J, Bolton DM, Frydenberg M, Lawrentschuk N Abstract Nephrectomy is the cornerstone therapy for renal cell carcinoma (RCC) and continued refinement of the procedure through research may enhance patient outcomes. A national nephrectomy registry may provide the key information needed to assess the procedure at a national level. The aim of this study was to review nephrectomy data available at a population-based level in Australia and to benchmark these data against data from the rest of the world as an examination of the national nephrectomy registry model. A PubMed search identified records pertaining to RCC nephrectomy in Australia. A similar search identified records relating to established nephrectomy registries internationally and other surgical registries of clinical importance. These records were reviewed to address the stated aims of this article. Population-based data within Australia for nephrectomy were lacking. Key issues identified were the difficulty in benchmarking outcomes and no ongoing monitoring of trends. The care centralization debate, which questions whether small-volume centers provide comparable outcomes to high-volume centers, is ongoing. Patterns of adherence and the effectiveness of existing protocols are uncertain. A review of established international re...
Source: Korean Journal of Urology - Category: Urology & Nephrology Tags: Korean J Urol Source Type: research