Active Surveillance vs Primary Intervention for Clinical T1a Kidney Tumors: 12-Year Experience of the Delayed Intervention and Surveillance for Small Renal Masses Prospective Comparative Study
In our study cohort, AS is not inferior to PI in patients with SRM suspicious for renal cell carcinoma. The difference in OS between AS and PI is most likely attributable to the increased risk of death from competing causes among AS patients. A priori definitions of progression, including growth rate, should be reconsidered.
Authors
- Thomas J. Guzzo
- Peter Chang (ORCID: https://orcid.org/0000-0003-3971-2630)
- Khalid Y. Alkhatib (ORCID: https://orcid.org/0000-0002-6008-0503)
- Ridwan Alam (ORCID: https://orcid.org/0000-0001-7805-9596)
- Mohamad E. Allaf (ORCID: https://orcid.org/0000-0003-3333-3904)
- Phillip M. Pierorazio (ORCID: https://orcid.org/0000-0003-0766-9981)
- Nirmish Singla (ORCID: https://orcid.org/0000-0001-9495-6983)
- Andrew A. Wagner (ORCID: https://orcid.org/0000-0002-1832-1983)
- Joseph Cheaib (ORCID: https://orcid.org/0000-0003-1679-2682)
- Tina Wlajnitz
- James M. McKiernan (ORCID: https://orcid.org/0000-0001-5866-6348)
- Hiten D. Patel (ORCID: https://orcid.org/0000-0003-4028-010X)
- Christian P. Pavlovich (ORCID: https://orcid.org/0000-0002-8532-0251)
- Maximilian Pallauf (ORCID: https://orcid.org/0000-0002-8496-4506)
Institutions
- Northwestern University (US)
- Beth Israel Deaconess Medical Center (US)
- Johns Hopkins University (US)
- Paracelsus Medical University (AT)
- Columbia University Irving Medical Center (US)
- Johns Hopkins Medicine (US)
- Northwestern University (PH)
- Penn Center for AIDS Research (US)
- Northwestern Medicine (US)
- University of Pennsylvania (US)
Publication Details
- Journal
- The Journal of Urology
- Published
- 2025-04-22
- DOI
- https://doi.org/10.1097/ju.0000000000004583
- Citations
- 4
- Primary Topic
- Renal cell carcinoma treatment
- Type
- article
- Field-Weighted Citation Impact
- 6.07