Trends in epidemiology and treatment of upper urinary tract tumours in the Netherlands 1995–2005: an analysis of PALGA, the Dutch national histopathology registry

Study Type – Therapy (prospective cohort)
Level of Evidence 2b OBJECTIVE To evaluate changes in incidence, distribution of stage and grade as well as surgical treatment of upper urinary tract (UUT) tumours in the Netherlands from 1995 to 2005. PATIENTS AND METHODS The PALGA registry, a nationwide ne...

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Bibliographic Details
Published in:BJU international 2010-04, Vol.105 (7), p.922-927
Main Authors: Cauberg, Evelyne C.C., Salomons, Maartje A., Kümmerlin, Intan P.E.D., De Reijke, Theo M., Zwinderman, Aeilko H., De La Rosette, Jean J.M.C.H., Kate, Fiebo J.W., Laguna Pes, M. Pilar
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Biological and medical sciences
Epidemiologic Methods
epidemiology
Female
Humans
incidence
Male
Medical sciences
Middle Aged
Neoplasm Invasiveness
Nephrectomy - methods
Nephrectomy - trends
Nephrology. Urinary tract diseases
Netherlands - epidemiology
surgical treatment
upper urinary tract
Urologic Neoplasms - epidemiology
Urologic Neoplasms - pathology
Urologic Neoplasms - surgery
urothelial cancer
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Summary:Study Type – Therapy (prospective cohort)
Level of Evidence 2b OBJECTIVE To evaluate changes in incidence, distribution of stage and grade as well as surgical treatment of upper urinary tract (UUT) tumours in the Netherlands from 1995 to 2005. PATIENTS AND METHODS The PALGA registry, a nationwide network and registry of pathology encompassing all hospitals in the Netherlands, was used as primary data source. Pathology reports of all primary surgical procedures or biopsies without further surgical treatment within the next year, of cancer of the renal pelvis or ureter during the period 1995–2005, were included. The number of surgically treated UUT tumours per year, type of treatment and tumour characteristics were recorded. RESULTS The population consisted of 2321 (67%) men and 1145 (33%) women with a mean age of 68.6 years. The distribution according to side was similar (left 44.1%, right 41.5%), bilateral tumours were rare (0.6%) and most tumours were in the renal pelvis (51.3%). Both the incidence and the incidence rate per 100 000 person‐years increased during the study period (P 
ISSN:1464-4096
1464-410X
DOI:10.1111/j.1464-410X.2009.08889.x