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Nephrectomy: changing indications, 1960-1990

A K Kubba1, G W Hollins, R F Deane

  • 1Department of Urology, Western Infirmary, Glasgow, UK.

British Journal of Urology
|September 1, 1994
PubMed
Summary

The overall number of nephrectomies remained constant from 1960-1990, despite shifts in indications. Nephrectomies for tumors increased, while those for infections like tuberculosis and chronic pyelonephritis decreased.

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Area of Science:

  • Urology
  • Nephrology
  • Surgical Oncology

Background:

  • Nephrectomy indications have evolved due to advancements in medical diagnostics and therapeutics.
  • Understanding historical trends in nephrectomy is crucial for contemporary surgical planning and resource allocation.

Purpose of the Study:

  • To analyze the changing indications for nephrectomy between 1960 and 1990.
  • To identify trends in nephrectomy rates for various renal pathologies over a 31-year period.

Main Methods:

  • A retrospective review of 1470 nephrectomies (excluding transplant cases) performed between 1960 and 1990.
  • Classification of indications based on aetiology using pathology report data.

Main Results:

  • Overall nephrectomy rates remained stable, but indications shifted significantly.
  • A decrease in partial nephrectomies contrasted with an increase in nephrectomies for renal tumors (adenocarcinomas and transitional cell carcinomas).
  • Nephrectomies for chronic pyelonephritis and tuberculosis declined, with the latter shift becoming more apparent in the 1980s.

Conclusions:

  • Despite evolving diagnostic and management strategies for renal diseases, the total volume of nephrectomies has not changed.
  • The shift towards oncological indications highlights changes in disease prevalence and treatment priorities over three decades.

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