학술논문

Impact of newly diagnosed prostate cancer at time of evaluation for renal transplantation.
Document Type
Article
Source
Clinical Transplantation. Sep2023, Vol. 37 Issue 9, p1-8. 8p.
Subject
*PROSTATE cancer
*KIDNEY transplantation
*CANCER diagnosis
*WATCHFUL waiting
*TREATMENT effectiveness
Language
ISSN
0902-0063
Abstract
Systematic screening for prostate cancer is widely recommended in candidates for renal transplant at the time of listing. There are concerns that overdiagnosis of low‐risk prostate cancer may result in reducing access to transplant without demonstrated oncological benefits. The objective of the study was to assess the outcome of newly diagnosed prostate cancer in candidates for transplant at the time of listing, and its impact on transplant access and transplant outcomes according to treatment options. This retrospective study was conducted over 10 years in 12 French transplant centers. Patients included were candidates for renal transplant at the time of prostate cancer diagnosis. Demographical and clinical data regarding renal disease, prostate cancer, and transplant surgery were collected. The primary outcome of the study was the interval between prostate cancer diagnosis and active listing according to treatment options. Overall median time from prostate cancer diagnosis to active listing was 25.0 months [16.4–40.2], with statistically significant differences in median time between the radiotherapy and the active surveillance groups (p =.03). Prostate cancer treatment modalities had limited impact on access and outcome of renal transplantation. Active surveillance in low‐risk patients does not seem to compromise access to renal transplantation, nor does it impact oncological outcomes. [ABSTRACT FROM AUTHOR]