Flexible fibre optic vs digital ureteroscopy and enhanced vs unenhanced imaging for diagnosis and treatment of upper tract urothelial carcinoma (UTUC): Results from the Clinical Research Office of the Endourology Society (CROES)-UTUC registry

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dc.authorid0000-0003-0906-4417
dc.authorid0000-0002-6308-1763
dc.contributor.authorSoria, Francesco
dc.contributor.authordel Pilar Laguna Pes, Maria
dc.contributor.authorRoupret, Morgan
dc.contributor.authorGarcia-Marchinena, Patricio
dc.contributor.authorSebastian Gonzalez, Mariano
dc.contributor.authorHabuchi, Tomonori
dc.contributor.authorErkan, Erkan
dc.contributor.authorNg, Anthony
dc.contributor.authorGontero, Paolo
dc.contributor.authorde la Rosette, Jean J. M. C. H.
dc.date.accessioned2021-12-22T12:51:23Z
dc.date.available2021-12-22T12:51:23Z
dc.date.issued2021
dc.departmentİstanbul Medipol Üniversitesi, Uluslararası Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Üroloji Ana Bilim Dalı
dc.description.abstractObjectives To compare the oncological outcomes of patients with upper tract urothelial carcinoma (UTUC) undergoing kidney-sparing surgery (KSS) with fibre-optic (FO) vs digital (D) ureteroscopy (URS). To evaluate the oncological impact of image-enhancement technologies such as narrow-band imaging (NBI) and Image1-S in patients with UTUC. Patients and Methods The Clinical Research Office of the Endourology Society (CROES)-UTUC registry is an international, multicentre, cohort study prospectively collecting data on patients with UTUC. Patients undergoing flexible FO- or D-URS for diagnostic or diagnostic and treatment purposes were included. Differences between groups in terms of overall survival (OS) and disease-free survival (DFS) were evaluated. Results The CROES registry included 2380 patients from 101 centres and 37 countries, of whom 401 patients underwent URS (FO-URS 186 and D-URS 215). FO-URS were performed more frequently for diagnostic purposes, while D-URS was peformed when a combined diagnostic and treatment strategy was planned. Intra- and postoperative complications did not differ between the groups. The 5-year OS and DFS rates were 91.5% and 66.4%, respectively. The mean OS was 42 months for patients receiving FO-URS and 39 months for those undergoing D-URS (P = 0.9); the mean DFS was 28 months in the FO-URS group and 21 months in the D-URS group (P < 0.001). In patients who received URS with treatment purposes, there were no differences in OS (P = 0.9) and DFS (P = 0.7). NBI and Image1-S technologies did not improve OS or DFS over D-URS. Conclusions D-URS did not provide any oncological advantage over FO-URS. Similarly, no differences in terms of OS and DFS were found when image-enhancement technologies were compared to D-URS. These findings underline the importance of surgeon skills and experience, and reinforce the need for the centralisation of UTUC care.
dc.identifier.citationSoria, F., del Pilar Laguna Pes, M., Roupret, M., Garcia-Marchinena, P., Sebastian Gonzalez, M., Habuchi, T. ... de la Rosette, J. J. M. C. H. (2021). Flexible fibre optic vs digital ureteroscopy and enhanced vs unenhanced imaging for diagnosis and treatment of upper tract urothelial carcinoma (UTUC): Results from the Clinical Research Office of the Endourology Society (CROES)-UTUC registry. BJU International, 128(6), 734-743. https://doi.org/10.1111/bju.15494
dc.identifier.doi10.1111/bju.15494
dc.identifier.endpage743
dc.identifier.issn1464-4096
dc.identifier.issn1464-410X
dc.identifier.issue6
dc.identifier.scopusqualityQ1
dc.identifier.startpage734
dc.identifier.urihttps://doi.org/10.1111/bju.15494
dc.identifier.urihttps://hdl.handle.net/20.500.12511/8712
dc.identifier.volume128
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherWiley
dc.relation.ispartofBJU Internationalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subject#Utuc
dc.subjectDigital Ureteroscopy
dc.subjectFibre-Optic Ureteroscopy
dc.subjectImage1-S
dc.subjectNarrow-Band Imaging
dc.subjectUpper Tract Urothelial Carcinoma
dc.titleFlexible fibre optic vs digital ureteroscopy and enhanced vs unenhanced imaging for diagnosis and treatment of upper tract urothelial carcinoma (UTUC): Results from the Clinical Research Office of the Endourology Society (CROES)-UTUC registry
dc.typeArticle

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