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. 2018 Apr 6;12(8):260–266. doi: 10.5489/cuaj.5065

Table 3.

Renal tumour biopsy utilization: Overall and per fellowship training

Type of fellowship training

Questions Overall (n=188) Urologic oncology (n=48) Endourology/MIS (n=43) Other fellowship/none (n=97) p
 In what proportion of patients with SRM do you request a RTB to inform treatment? 0.01*
  Never 13 (6.9) 0 (0) 3 (7.0) 10 (10.3)
  ≤ 25% of cases 87 (46.3) 14 (29.2) 23 (53.5) 50 (51.6)
  26–50% of cases 40 (21.3) 15 (31.3) 7 (16.3) 18 (18.6)
  51–75% of cases 26 (13.8) 11 (22.9) 3 (7.0) 12 (12.4)
  76-–100% of cases 22 (11.7) 8 (16.7) 7 (16.3) 7 (7.2)
 What type of biopsy is typically performed at your centre? 0.7
  Fine needle aspiration (FNA) 7 (3.7) 0 (0) 3 (7.0) 4 (4.1)
  Needle core biopsy 129 (68.6) 42 (87.5) 29 (67.4) 58 (59.8)
  Both FNA and core biopsy punctures 35 (18.6) 6 (12.5) 6 (14.0) 23 (23.7)
  Biopsies are not performed or I am unsure 17 (9.0) 0 (0) 5 (11.6) 12 (12.4)
 Who typically performs these RTBs? 0.07
  Radiologist 180 (95.7) 46 (95.8) 43 (100) 91 (93.8)
  Urologist 1 (0.5) 1 (2.1) 0 (0) 0 (0)
  Urologist/radiologist 1 (0.5) 1 (2.1) 0 (0) 0 (0)
  Biopsies are not performed at our centre 6 (3.2) 0 (0) 0 (0) 6 (6.2)
 Who typically performs these RTBs? 0.07
  Radiologist 180 (95.7) 46 (95.8) 43 (100) 91 (93.8)
  Urologist 1 (0.5) 1 (2.1) 0 (0) 0 (0)
  Urologist/radiologist 1 (0.5) 1 (2.1) 0 (0) 0 (0)
  Biopsies are not performed at our centre 6 (3.2) 0 (0) 0 (0) 6 (6.2)
 Following RTB, patients are typically: 0.1
  Hospitalized overnight 8 (4.3) 0 (0) 2 (4.7) 6 (6.2)
  Discharged on the same day (outpatient) 173 (92.0) 48 (100) 41 (95.4) 84 (86.6)
  Other/missing 7 (3.7) 0 (1.4) 0 (2.3) 7 (7.2)
*

Bonferroni adjusted p value urologic oncology vs. endourology=0.01; Bonferroni adjusted p value urologic oncology vs. other fellowship/none=0.003.

If category “biopsies are not performed or I am unsure” considered in the analysis, p =0.02.

If “Other/missing” considered in the analysis, p=0.04.

RTB: renal tumour biopsies; SRMs: small renal masses.