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Published in: World Journal of Urology 6/2020

01-06-2020 | Coronary Heart Disease | Original Article

Evaluation of the prognostic role of co-morbidities on disease outcome in renal cell carcinoma patients

Authors: Johannes Heide, Silvia Ribback, Tobias Klatte, Shahrokh Shariat, Martin Burchardt, Frank Dombrowski, Arie S. Belldegrun, Alexandra Drakaki, Allan J. Pantuck, Nils Kroeger

Published in: World Journal of Urology | Issue 6/2020

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Abstract

Background

Co-morbidities may induce local and systemic tumor progression of renal cell carcinoma (RCC); however, the prognostic impact of co-morbidities has not yet been well characterized.

Patients and methods

RCC patients (n = 2206) surgically treated at three academic institutions in the US and Europe were included in the analysis. Presence of diabetes mellitus, hypertension, chronic kidney disease, chronic obstructive pulmonary disease, coronary heart disease, and hypothyroidism were investigated for their association with clinicopathological features and cancer-specific survival.

Results

Hypertension was associated with less advanced T stages (p = 0.025), a lower risk of lymph-node (p = 0.026) and distant metastases (p = 0.001), and improved cancer specific survival in univariable analysis (HR 0.81 95% CI 0.69–0.96, p = 0.013). However, hypertension was not an independent prognostic factor after adjustment for TNM stages, grading, and ECOG performance status (HR 0.95, 95% CI 0.80–1.12; p = 0.530). A correlation between the use of concomitant anti-hypertensive medications and improved survival outcome was not identified. All other investigated co-morbidities did not show significant associations with clinicopathological features or cancer-specific survival.

Conclusion

Although the investigated co-morbidities are capable or inducing pathophysiological changes that are predisposing factors for tumor progression, none is an independent prognostic factor in patients with RCC.
Appendix
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Metadata
Title
Evaluation of the prognostic role of co-morbidities on disease outcome in renal cell carcinoma patients
Authors
Johannes Heide
Silvia Ribback
Tobias Klatte
Shahrokh Shariat
Martin Burchardt
Frank Dombrowski
Arie S. Belldegrun
Alexandra Drakaki
Allan J. Pantuck
Nils Kroeger
Publication date
01-06-2020
Publisher
Springer Berlin Heidelberg
Published in
World Journal of Urology / Issue 6/2020
Print ISSN: 0724-4983
Electronic ISSN: 1433-8726
DOI
https://doi.org/10.1007/s00345-019-02930-4

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