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Upper Urinary Tract Urothelial Cancer
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====== Outcomes ====== *Largely dependent on clinicopathologic characteristics. *'''<span style="color:#ff00ff">Systematic review and meta-analysis comparing nephron-sparing approach to radical nephroureterectomy (2016)</span>''' ** Primary outcome: cancer-specific survival ** Results *** Included 22 studies published between 1999 and 2015 **** No RCTs comparing nephron-sparing approach and nephroureterectomy *** High risk of bias across all domains analysed, limiting interpretation of comparisons *** Segemental ureterectomy vs. RNU (10 studies): no significant difference in cancer-specific survival *** Endoscopic vs. RNU **** URS vs. RNU (5 studies): no significant difference in cancer-specific survival ***** Grade-based subgroup analyses found decreased cancer-specific survival in patients undergoing URS for high-grade disease **** Percutaneous resection vs. RNU (2 studies): conflicting findings ** Seisen, Thomas, et al."Oncologic outcomes of kidney-sparing surgery versus radical nephroureterectomy for upper tract urothelial carcinoma: a systematic review by the EAU non-muscle invasive bladder cancer guidelines panel." ''European urology'' 70.6 (2016): 1052-1068.
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