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Personalizing preoperative risk stratification and refining patient selection for cytoreductive nephrectomy in metastatic renal cell carcinoma
Author(s) -
Psutka Sarah P.
Publication year - 2020
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/cncr.32993
Subject(s) - medicine , risk stratification , nephrectomy , renal cell carcinoma , context (archaeology) , intensive care medicine , selection (genetic algorithm) , renal function , oncology , kidney , artificial intelligence , computer science , paleontology , biology
The decision to proceed with cytoreductive nephrectomy should be undertaken after a careful assessment of competing threats and in the context of thoughtful shared decision making that accounts for patient priorities. Future prospective work should build on insights gained by retrospective analyses to determine how multidimensional characterization of patients’ function and vulnerabilities can further inform patient selection for cytoreductive nephrectomy by using validated, objective assessments.