The Journal of Urology
Volume 179, Issue 2 , Pages 461-467 , February 2008

Trends in the Use of Gross and Frozen Section Pathological Consultations During Partial or Radical Nephrectomy for Renal Cell Carcinoma

  • David C. Miller

      Affiliations

    • Department of Urology, David Geffen School of Medicine, University of California-Los Angeles, Los Angeles, California
    • Jonsson Comprehensive Cancer Center, University of California-Los Angeles, Los Angeles, California
  • ,
  • Rajal B. Shah

      Affiliations

    • Departments of Pathology and Urology, University of Michigan Medical School, Ann Arbor, Michigan
  • ,
  • Aron Bruhn

      Affiliations

    • Department of Urology, David Geffen School of Medicine, University of California-Los Angeles, Los Angeles, California
  • ,
  • Rodger Madison

      Affiliations

    • RAND Corp., Santa Monica, California
  • ,
  • Christopher S. Saigal

      Affiliations

    • Department of Urology, David Geffen School of Medicine, University of California-Los Angeles, Los Angeles, California
    • RAND Corp., Santa Monica, California
    • Corresponding Author InformationCorrespondence: Department of Urology, University of California-Los Angeles, Box 951738, Los Angeles, California 90095-1738 (telephone: 310-206-8183; FAX: 310-206-5343).
  • ,
  • Urologic Diseases in America Project

Received 29 May 2007

References 

  1. Truong LD, Krishnan B, Shen SS. Intraoperative pathology consultation for kidney and urinary bladder specimens. Arch Pathol Lab Med. 2005;129:1585
  2. Algaba F, Arce Y, Lopez-Beltran A, Montironi R, Mikuz G, Bono AV, et al. Intraoperative frozen section diagnosis in urological oncology. Eur Urol. 2005;47:129
  3. Krishnan B, Lechago J, Ayala G, Truong L. Intraoperative consultation for renal lesions (Implications and diagnostic pitfalls in 324 cases). Am J Clin Pathol. 2003;120:528
  4. Duvdevani M, Laufer M, Kastin A, Mor Y, Nadu A, Hanani J, et al. Is frozen section analysis in nephron sparing surgery necessary? (A clinicopathological study of 301 cases). J Urol. 2005;173:385
  5. Timsit MO, Bazin JP, Thiounn N, Fontaine E, Chretien Y, Dufour B, et al. Prospective study of safety margins in partial nephrectomy: intraoperative assessment and contribution of frozen section analysis. Urology. 2006;67:923
  6. Wennberg JE. Practice variations and health care reform: connecting the dots. Health Affairs Suppl Web Exclusive. 2004;VAR140
  7. Wennberg JE. Practice variation: implications for our health care system. Managed Care. 2004;13:3
  8. Hankey BF, Ries LA, Edwards BK. The surveillance, epidemiology, and end results program: a national resource. Cancer Epidemiol Biomarkers Prev. 1999;8:1117
  9. Warren JL, Klabunde CN, Schrag D, Bach PB, Riley GF. Overview of the SEER-Medicare data: content, research applications, and generalizability to the United States elderly population. Med Care, suppl. 2002;40:3
  10. Hafez KS, Fergany AF, Novick AC. Nephron sparing surgery for localized renal cell carcinoma: impact of tumor size on patient survival, tumor recurrence and TNM staging. J Urol. 1999;162:1930
  11. Bach PB, Guadagnoli E, Schrag D, Schussler N, Warren JL. Patient demographic and socioeconomic characteristics in the SEER-Medicare database applications and limitations. Med Care, suppl. 2002;40:19
  12. Klabunde CN, Harlan LC, Warren JL. Data sources for measuring comorbidity: a comparison of hospital records and Medicare claims for cancer patients. Med Care. 2006;44:921
  13. Baldwin LM, Adamache W, Klabunde CN, Kenward K, Dahlman C, Warren JL. Linking physician characteristics and Medicare claims data: issues in data availability, quality, and measurement. Med Care, suppl. 2002;40:82
  14. Fisher ES, Wennberg JE. Health care quality, geographic variations, and the challenge of supply-sensitive care. Persp Biol Med. 2003;46:69
  15. Weinstein JN, Bronner KK, Morgan TS, Wennberg JE. Trends and geographic variations in major surgery for degenerative diseases of the hip, knee, and spine. Health Affairs Suppl Web Exclusive. 2004;VAR81
  16. McHale T, Malkowicz SB, Tomaszewski JE, Genega EM. Potential pitfalls in the frozen section evaluation of parenchymal margins in nephron-sparing surgery. Am J Clin Path. 2002;118:903
  17. Fiscella K, Williams DR. Health disparities based on socioeconomic inequities: implications for urban health care. Acad Med. 2004;79:1139

 Study received approval from the University of California-Los Angeles institutional review board.

 Supported by the National Institute of Diabetes, Digestive and Kidney Diseases, National Cancer Institute NIH-1-F32 CA123819-01 (DCM), American Cancer Society PF CPHPS-112124 (DCM) and the American Urological Association Foundation Research Scholar Program (DCM).

PII: S0022-5347(07)02541-4

doi: 10.1016/j.juro.2007.09.041

The Journal of Urology
Volume 179, Issue 2 , Pages 461-467 , February 2008