1. Impact of preoperative proteinuria on renal functional outcomes after open partial nephrectomy in patients with a solitary kidney
- Author
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Hidekazu Tachibana, Tsunenori Kondo, Toshio Takagi, Masayoshi Okumi, and Kazunari Tanabe
- Subjects
Kidney neoplasms ,Nephrectomy ,Proteinuria ,Kidney function tests ,Solitary kidney ,Diseases of the genitourinary system. Urology ,RC870-923 - Abstract
Purpose: To assess the impact of proteinuria on postoperative renal function after open partial nephrectomy (OPN) in patients with a solitary kidney and analyze predictive factors for developing chronic kidney disease (CKD) stage IV or higher. Materials and Methods: Patients with a solitary kidney who underwent OPN at Tokyo Women's Medical University Hospital between 1986 and 2016 were the subjects of this study. The patients were divided into 2 groups according to the presence of preoperative proteinuria. The development rate of stage IV CKD or higher was analyzed by the Kaplan-Meier method to compare the postoperative renal function of the 2 groups. Multivariate regression analysis was used to demonstrate predictive factors for postoperative CKD progression. Results: A total of 96 patients, including 73 without proteinuria and 23 with proteinuria, were included in this study. Patients with proteinuria were more likely to be men (95.6% vs. 64.3%, p
- Published
- 2017
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