Urology
Volume 54, Issue 6 , Pages 994-998 , December 1999

Comparison of direct hospital costs and length of stay for radical nephrectomy versus nephron-sparing surgery in the management of localized renal cell carcinoma

  • Robert G Uzzo

      Affiliations

    • Department of Urology, Cleveland Clinic Foundation, Cleveland, Ohio, USA
    • Corresponding Author InformationReprint requests: Robert G. Uzzo, M.D., Department of Urol-ogy, Cleveland Clinic Foundation, A100, 9500 Euclid Avenue, Cleveland, OH 44195
  • ,
  • John T Wei

      Affiliations

    • Department of Urology, Cleveland Clinic Foundation, Cleveland, Ohio, USA
  • ,
  • Khaled Hafez

      Affiliations

    • Department of Urology, Cleveland Clinic Foundation, Cleveland, Ohio, USA
  • ,
  • Robert Kay

      Affiliations

    • Department of Urology, Cleveland Clinic Foundation, Cleveland, Ohio, USA
  • ,
  • Andrew C Novick

      Affiliations

    • Department of Urology, Cleveland Clinic Foundation, Cleveland, Ohio, USA

Received 9 April 1999 ,Revised 30 June 1999 ,Accepted 30 June 1999.

References 

  1. Robson CJ, Churchill BM, Anderson W. The results of radical nephrectomy for renal cell carcinoma. J Urol. 1969;140:487–490
  2. Licht MR, Novick AC. Nephron sparing surgery for renal cell carcinoma. J Urol. 1993;149:1–7
  3. Novick AC. Renal-sparing surgery for renal cell carcinoma. Urol Clin North Am. 1993;20:277–282
  4. Lerner SE, Hawkins CA, Blute ML, et al.  Disease outcome in patients with low stage renal cell carcinoma treated with nephron sparing or radical surgery. J Urol. 1996;155:1868–1873
  5. Steinbach F, Stockle M, Muller SC, et al.  Conservative surgery of renal cell tumors in 140 patients (21 years of experience). J Urol. 1992;148:24–29
  6. Moll V, Becht E, Ziegler M. Kidney preserving surgery in renal cell tumors (indications, techniques and results in 152 patients). J Urol. 1993;150:319–323
  7. Hermanek P, Schrott KM. Evaluation of the new tumor, nodes and metastases classification of renal cell carcinoma. J Urol. 1990;144:238–241
  8. Guinan P, Sobin LH, Algaba F, et al.  TNM staging of renal cell carcinoma. Cancer. 1997;80:992–993
  9. Neymark N, Torfs K. Economics of urinary tract cancer (state of the art). Eur Urol. 1997;31:72–81
  10. Einstein DM, Herts BR, Weaver R, et al.  Evaluation of renal masses detected by excretory urography (cost-effectiveness of sonography versus CT). AJR Am J Roentgenol. 1995;164:371–375
  11. Meaney TF, Vacka LJ, Gallagher JH. Contribution of computed tomography to relative costs in the operative management of patients with renal cell carcinoma. J Comput Assist Tomogr. 1980;4:185–186
  12. Lindner A, Goldman DG, deKernion JB. Cost effective analysis of pre-nephrectomy radioisotope scans in renal cell carcinoma. Urology. 1983;22:127–129
  13. Campbell RJ, Broaddus SB, Leadbetter GW. Staging of renal cell carcinoma (cost-effectiveness of routine preoperative bone scans). Urology. 1985;25:326–329
  14. McDougall E, Clayman RV, Elashry OM. Laparoscopic radical nephrectomy for renal tumor (the Washington University experience). J Urol. 1996;155:1180–1185
  15. Winfield HN, Donovan JF, Troxel SA, et al.  Laparoscopic urologic surgery (the financial realities). Surg Oncol Clin North Am. 1995;4:307–314
  16. Gilewski T, Vogelzang NJ. Cost-effectiveness and reimbursement issues in renal cell carcinoma. Semin Oncol. 1989;16:20–26
  17. Duque JLF, Loughlin KR, O’Leary MP, et al.  Partial nephrectomy (alternative treatment for selected patients with renal cell carcinoma). Urology. 1998;52:584–590
  18. Licht MR, Klein E. Early hospital discharge after radical retropubic prostatectomy (impact on cost and complication rate). Urology. 1994;44:700–704
  19. Litwin MS, Kahn KL, Reccius N. Why do sicker patients cost more? A charge based analysis of patients undergoing prostatectomy. J Urol. 1993;149:84–88
  20. Campbell SC, Novick AC, Streem SB, et al.  Complications of nephron sparing surgery for renal tumors. J Urol. 1994;151:1177–1180
  21. Hafez KS, Novick AC, Campbell SC. Patterns of tumor recurrence and guidelines for follow-up after nephron sparing surgery for sporadic renal cell carcinoma. J Urol. 1997;157:2067–2070

PII: S0090-4295(99)00348-9

Urology
Volume 54, Issue 6 , Pages 994-998 , December 1999