Upper tract urothelial carcinoma (UTUC) is a rare malignancy, with typically only few new cases annually per urological department. Adherence to European association of urology (EAU) guidelines on UTUC in the Nordic countries is unknown. The objective of this survey was to examine the implementation of EAU guidelines, the perioperative management and organization of the treatment of UTUC in the Nordic countries.
The electronic survey was distributed to 93 hospitals in the Nordic countries performing radical nephroureterectomy (NU). The survey consisted of 57 main questions and data was collected between December 1st, 2021 and April 23rd, 2022.
Overall response rate was 47/93 (67%) with a completion rate of 98%. Five out of the 6 examined subjects on diagnostic practice are applied by ≥ 72% of the participating centers. NU as treatment for high-risk UTUC is performed by 37/47 (79%), and 91% include a bladder cuff excision.
Adherence to EAU guidelines is high on diagnostic practice in the Nordic countries, whereas disease management is less coherent.
BMC urology. 2024 Jun 25*** epublish ***
Kimie Oedorf, Erik Skaaheim Haug, Fredrik Liedberg, Riikka Järvinen, Sigurdur Gudjonsson, Peter J Boström, Tomas Jerlström, Gigja Gudbrandsdottir, Jørgen Bjerggaard Jensen, Gitte Wrist Lam
Department of Urology, Herlev and Gentofte Hospital, Copenhagen, Denmark. ., Department of Urology, Vestfold Hospital Trust, Toensberg, Oslo, Norway., Department of Urology, Skaanes Universitetssjukhus, Malmö, Sweden., Department of Urology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland., Faculty of Medicine, Department of Urology, University of Iceland, Landspitali University Hospital, Reykjavik, Iceland., Department of Urology, Turku University Hospital, University of Turku, Turku, Finland., Department of Urology, School of Medical Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden., Department of urology, Haukeland University Hospital, Bergen, Norway., Department of Urology, Aarhus University Hospital, Aarhus, Denmark., Department of Urology, Herlev and Gentofte Hospital, Copenhagen, Denmark.