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EAU 指南:肾细胞癌——2010 年更新版。

EAU guidelines on renal cell carcinoma: the 2010 update.

机构信息

Department of Surgical and Perioperative Sciences, Urology and Andrology, Umeå University, Umeå, Sweden.

出版信息

Eur Urol. 2010 Sep;58(3):398-406. doi: 10.1016/j.eururo.2010.06.032. Epub 2010 Jul 12.

Abstract

CONTEXT AND OBJECTIVES

The European Association of Urology Guideline Group for renal cell carcinoma (RCC) has prepared these guidelines to help clinicians assess the current evidence-based management of RCC and to incorporate the present recommendations into daily clinical practice.

EVIDENCE ACQUISITION

The recommendations provided in the current updated guidelines are based on a thorough review of available RCC guidelines and review articles combined with a systematic literature search using Medline and the Cochrane Central Register of Controlled Trials.

EVIDENCE SYNTHESIS

A number of recent prospective randomised studies concerning RCC are now available with a high level of evidence, whereas earlier publications were based on retrospective analyses, including some larger multicentre validation studies, meta-analyses, and well-designed controlled studies.

CONCLUSIONS

These guidelines contain information for the treatment of an individual patient according to a current standardised general approach. Updated recommendations concerning diagnosis, treatment, and follow-up can improve the clinical handling of patients with RCC.

摘要

背景与目的

欧洲泌尿外科学会肾癌(RCC)指南小组制定了这些指南,以帮助临床医生评估当前基于循证的 RCC 管理,并将目前的建议纳入日常临床实践。

证据获取

当前更新的指南中提供的建议是基于对可用的 RCC 指南和综述文章的全面审查,以及使用 Medline 和 Cochrane 对照试验中心注册库进行的系统文献检索。

证据综合

目前有许多关于 RCC 的高质量证据的前瞻性随机研究,而早期的出版物则基于回顾性分析,包括一些更大的多中心验证研究、荟萃分析和精心设计的对照研究。

结论

这些指南包含了根据当前标准化一般方法治疗个别患者的信息。关于诊断、治疗和随访的更新建议可以改善 RCC 患者的临床处理。

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