4.6 Article

The Prognostic Impact of Comorbidities on Renal Cancer, 1995 to 2006: A Danish Population Based Study

Journal

JOURNAL OF UROLOGY
Volume 182, Issue 1, Pages 35-40

Publisher

ELSEVIER SCIENCE INC
DOI: 10.1016/j.juro.2009.02.136

Keywords

kidney; kidney neoplasms; mortality; comorbidity; Denmark

Ask authors/readers for more resources

Purpose: Comorbid disease in patients with renal cancer may affect renal cancer prognosis. We estimated the risk of 1 and 5-year mortality in patients with renal cancer in northern Denmark by comorbidity status. Materials and Methods: We performed a cohort study tracking mortality in all patients with an incident diagnosis of renal cancer between 1995 and 2006 in a population of 1.6 million residents in northern Denmark. Using hospital discharge data before cancer diagnosis we calculated Charlson comorbidity index scores (0, 1-2 or 3+) in patients with renal cancer as well as absolute survival and relative mortality estimates according to comorbidity level. Results: We identified 2,315 patients with renal cancer, of whom 950 (41%) had comorbidity. The prevalence of comorbidity tended to increase during the study period with the rate in patients with a score of 3+ increasing from 9% to 13%. The 5-year relative mortality rate was lower in patients with a positive Charlson index score with mortality almost twice as high in those with a score of 3+ and 1.2-fold higher in those with a score of 1-2 compared to mortality in those with no comorbidity. Generally similar patterns were observed for 1-year relative mortality. Conclusions: Comorbidity is common in patients with renal cancer and it is a negative prognostic factor.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.6
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Andrology

Perceived stress and semen quality

Katrine H. Lund, Anne Sofie D. Laursen, Therese K. Gronborg, Gunnar Toft, Bjarke H. Jacobsen, Tanran R. Wang, Amelia K. Wesselink, Elizabeth E. Hatch, Greg J. Sommer, Michael L. Eisenberg, Kenneth J. Rothman, Henrik T. Sorensen, Lauren A. Wise, Ellen M. Mikkelsen

Summary: This study aimed to examine the association between perceived stress and semen quality. The analysis of data from 644 men revealed that perceived stress was not materially associated with semen volume, sperm concentration, or total sperm count.

ANDROLOGY (2023)

Article Cardiac & Cardiovascular Systems

Low-Density Lipoprotein Cholesterol Is Predominantly Associated With Atherosclerotic Cardiovascular Disease Events in Patients With Evidence of Coronary Atherosclerosis: The Western Denmark Heart Registry

Martin Bodtker Mortensen, Omar Dzaye, Hans Erik Botker, Jesper Moller Jensen, Michael Maeng, Jacob Fog Bentzon, Helle Kanstrup, Henrik Toft Sorensen, Jonathon Leipsic, Ron Blankstein, Khurram Nasir, Michael J. Blaha, Bjarne Linde Norgaard

Summary: Low-density lipoprotein cholesterol (LDL-C) is associated with atherosclerotic cardiovascular disease (ASCVD), but its association with ASCVD risk is modified by the presence of coronary artery calcification (CAC). This study found that LDL-C is only associated with ASCVD events in patients with CAC, and not in those without CAC. This information is valuable for individualized risk assessment among middle-aged people with or without coronary atherosclerosis.

CIRCULATION (2023)

Article Public, Environmental & Occupational Health

Twenty-four-Year Trends in Incidence and Mortality of Nephrotic Syndrome: A Population-Based Cohort Study

Soren Viborg Vestergaard, Henrik Birn, Simon Kok Jensen, Henrik Toft Sorensen, Dorothea Nitsch, Christian Fynbo Christiansen

Summary: This study aimed to investigate the incidence, histopathology, and mortality of adult nephrotic syndrome over a 24-year period. The study found a slight increase in the incidence of adult nephrotic syndrome and a significant decrease in mortality. These findings may reflect changes in epidemiology or awareness and coding of nephrotic syndrome.

EPIDEMIOLOGY (2023)

Article Psychiatry

Risk of psychopathology following traumatic events among immigrants and native-born persons in Denmark

Meghan L. Smith, Vijaya Seegulam, Peter Szentkuti, Erzsebet Horvath-Puho, Sandro Galea, Timothy L. Lash, Anthony J. Rosellini, Paula P. Schnurr, Henrik Toft Sorensen, Jaimie L. Gradus

Summary: This study examined the differences in posttraumatic psychopathology between immigrants and native-born persons in Denmark. The findings suggest that immigrants are at a higher risk of developing posttraumatic stress disorder (PTSD) following non-interpersonal trauma, possibly due to adverse experiences during migration.

SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY (2023)

Article Education & Educational Research

The Danish-American Research Exchange (DARE): a cross-sectional study of a binational research education program

Kala M. Mehta, Karin Lottrup Petersen, Steve Goodman, Henrik Toft Sorensen, Martin Bogsted, Jeppe Dorup Olesen, Sylvia Burks, Richard E. Shaw, Jens Dahlgaard Hove, Jakob Ousager, Carlos Milla, Vibeke Andersen, Niels Ejskjaer, Vibeke Brix-Christensen, Shomit Ghose, Andreas Kjaer, Peter V. Chin-Hong

Summary: The Danish-American Research Exchange (DARE) program provides Danish medical students with the opportunity to collaborate and conduct biomedical research with US medical institutions. This program enhances students' research skills and interdisciplinary thinking, and encourages exploration of low-cost healthcare interventions. Analysis of the research outcomes and intentions of DARE alumni suggests that this medical student-initiated research model has positive effects on promoting binational collaboration in medicine.

BMC MEDICAL EDUCATION (2023)

Article Gastroenterology & Hepatology

Root-cause Analysis of 762 Danish Post-colonoscopy Colorectal Cancer Patients

Frederikke Schonfeldt Troelsen, Henrik Toft Sorensen, Lars Pedersen, Lone Dragnes Brix, Louise Bang Grode, Evelien Dekker, Rune Erichsen

Summary: This study investigated the plausible explanations for post-colonoscopy colorectal cancer (PCCRC) in a Danish Region using the World Endoscopy Organization algorithm, finding that most PCCRCs originate from possible missed lesions and incompletely resected lesions. These findings underscore the importance of quality assurance of colonoscopy procedures and polypectomy techniques.

CLINICAL GASTROENTEROLOGY AND HEPATOLOGY (2023)

Article Gastroenterology & Hepatology

Increasing Risk of Lymphoma Over Time in Crohn's Disease but Not in Ulcerative Colitis: A Scandinavian Cohort Study

Ola Olen, Karin E. Smedby, Rune Erichsen, Lars Pedersen, Jonas Halfvarson, Asa Hallqvist-Everhov, Johan SWIBREG Study Grp, Johan Askling, Anders Ekbom, Michael C. Sachs, Henrik Toft Sorensen, Jonas F. Ludvigsson

Summary: Earlier studies on lymphoma risk in patients with inflammatory bowel disease (IBD) have provided varying estimates, but have been limited by detection biases, misclassification, and small sample sizes. Our binational cohort study found that the risk of lymphoma has increased in Crohn's disease (CD) patients over the past 20 years, but not in ulcerative colitis (UC) patients. The increase in risk was mainly driven by T-cell lymphomas and aggressive B-cell lymphomas.

CLINICAL GASTROENTEROLOGY AND HEPATOLOGY (2023)

Article Endocrinology & Metabolism

Comorbidity and risk of infection among patients with hip fracture: a Danish population-based cohort study

N. R. Gadgaard, C. Varnum, R. G. H. H. Nelissen, C. Vandenbroucke-Grauls, H. T. Sorensen, A. B. Pedersen

Summary: The impact of comorbidity on infection risk among hip fracture patients is not clear, but a high incidence of infection was found. Comorbidity was identified as an important risk factor for infection up to 1 year after surgery. The results indicate a need for increased investment and support for patients with high comorbidity in pre- and postoperative programs.

OSTEOPOROSIS INTERNATIONAL (2023)

Article Cardiac & Cardiovascular Systems

High- vs. low-dose diclofenac and cardiovascular risks: a target trial emulation

Morten Schmidt, Lars Arendt-Nielsen, Ellen-Margrethe Hauge, Henrik Toft Sorensen, Lars Pedersen

Summary: This study investigated the dose dependency of diclofenac's cardiovascular risks by using Danish health registries and a target trial emulation design. The results showed that both high-dose and low-dose diclofenac users had a similar increased risk of cardiovascular events compared to non-users. This finding challenges the assumption that low-dose diclofenac is risk-neutral.

EUROPEAN HEART JOURNAL-CARDIOVASCULAR PHARMACOTHERAPY (2023)

Article Psychology, Clinical

Atomoxetine in Early Pregnancy and the Prevalence of Major Congenital Malformations: A Multinational Study

Gabriella Broms, Sonia Hernandez-Diaz, Krista F. Huybrechts, Brian T. Bateman, Eskild Bendix Kristiansen, Kristjana Einarsdottir, Anders Engeland, Kari Furu, Mika Gissler, Par Karlsson, Kari Klungsoyr, Anna-Maria Lahesmaa-Korpinen, Helen Mogun, Mette Norgaard, Johan Reutfors, Henrik Toft Sorensen, Helga Zoega, Helle Kieler

Summary: This study examined the safety of atomoxetine, an alternative treatment for attention-deficit/hyperactivity disorder (ADHD), during pregnancy. The results showed that there was no increased risk of major congenital malformations overall, as well as no statistically significant increased risk of cardiac and limb malformations.

JOURNAL OF CLINICAL PSYCHIATRY (2023)

Article Hematology

Redefining clinical venous thromboembolism phenotypes: a novel approach using latent class analysis

Maria A. de Winter, Alicia Uijl, Harry R. Buller, Marc Carrier, Alexander T. Cohen, John-Bjarne Hansen, Karin H. A. H. Kaasjager, Ajay K. Kakkar, Saskia Middeldorp, Gary E. Raskob, Henrik Toft Sorensen, Philip S. Wells, Mathilde Nijkeuter, Jannick A. N. Dorresteijn

Summary: By categorizing VTE patients without cancer, 5 distinct clinical subtypes were identified, which were associated with anticoagulant treatment and clinical outcomes. This suggests that the heterogeneity of VTE cases extends beyond the distinction between provoked and unprovoked VTE.

JOURNAL OF THROMBOSIS AND HAEMOSTASIS (2023)

Correction Public, Environmental & Occupational Health

Sex differences in childhood cancer risk among children with major birth defects: a Nordic population-based nested case-control study (vol 52, pg 450, 2023)

Dagrun Slettebo Daltveit, Kari Klungsoyr, Anders Engeland, Anders Ekbom, Mika Gissler, Ingrid Glimelius, Tom Grotmol, Laura Madanat-Harjuoja, Anne Gulbech Ording, Henrik Toft Sorensen, Rebecca Troisi, Tone Bjorge

INTERNATIONAL JOURNAL OF EPIDEMIOLOGY (2023)

Article Pediatrics

Fifteen-year temporal changes in rates of acute kidney injury among children in Denmark

Sidse Hoyer, Uffe Heide-Jorgensen, Simon Kok Jensen, Mette Norgaard, Cara Slagle, Stuart Goldstein, Christian Fynbo Christiansen

Summary: This study aimed to examine the annual rate of acute kidney injury (AKI) and associated changes in patient characteristics among Danish children. The study found that the rate of AKI among Danish children remained stable from 2007 to 2021, with little variation in patient characteristics over time.

PEDIATRIC NEPHROLOGY (2023)

Article Oncology

Associations between pregnancy-related factors and birth characteristics with risk of rare uterine cancer subtypes: a Nordic population-based case-control study

Jazmine Abril, Britton Trabert, Rebecca Troisi, Tom Grotmol, Anders Ekbom, Anders Engeland, Mika Gissler, Ingrid Glimelius, Laura Madanat-Harjuoja, Anne Gulbech Ording, Henrik Toft Sorensen, Steinar Tretli, Tone Bjorge

Summary: This study examines the risk factors for uterine sarcoma and compares them with MMMTs and type I endometrial carcinomas. The results show that risk factors vary substantially between uterine sarcoma and MMMTs.

CANCER CAUSES & CONTROL (2023)

Article Oncology

Proton pump inhibitors and the risk of acute kidney injury in cancer patients receiving immune checkpoint inhibitors: A Danish population-based cohort study

Philip Vestergaard Munch, Mette Norgaard, Uffe Heide-Jorgensen, Simon Kok Jensen, Henrik Birn, Christian Fynbo Christiansen

Summary: This study found that the use of proton pump inhibitors (PPIs) is associated with an increased risk of acute kidney injury (AKI) in cancer patients receiving immune checkpoint inhibitors (ICIs). However, this association becomes less significant when accounting for confounding factors.

INTERNATIONAL JOURNAL OF CANCER (2023)

No Data Available