Table 1.
Number of nephrectomies and their types and approach in England between 2000 and 2010
| Year | AAPC, % | P | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2000 | 2001 | 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009 | 2010 | |||
| Nephrectomy patients, n | 2211 | 2128 | 2279 | 2364 | 2515 | 2706 | 2911 | 3135 | 3371 | 3479 | 3664 | ||
| Nephrectomy rate (per 100 000 people) | 4.5 | 4.3 | 4.6 | 4.7 | 5.0 | 5.3 | 5.7 | 6.1 | 6.5 | 6.7 | 7.0 | 4.9 | <0.01 |
| %: | |||||||||||||
| Proportion of RCCs resected (by year of diagnosis) | 50.5 | 49.3 | 49.6 | 50.3 | 51.2 | 52.9 | 52.9 | 54.6 | 55.9 | 53.9 | 50.9 | 0.5 | 0.36 |
| Male | 51.5 | 51.0 | 50.7 | 51.6 | 52.8 | 53.0 | 52.6 | 55.1 | 56.1 | 55.5 | 50.7 | 0.3 | 0.56 |
| Female | 48.9 | 46.4 | 47.7 | 48.2 | 48.6 | 52.8 | 53.5 | 53.7 | 55.6 | 51.5 | 51.2 | 0.9 | 0.39 |
| Age, years | |||||||||||||
| <65 | 64.7 | 65.0 | 62.7 | 68.2 | 67.6 | 68.9 | 70.1 | 68.7 | 72.9 | 70.6 | 66.7 | 0.9 | 0.02 |
| 65–74 | 53.6 | 53.2 | 53.4 | 53.0 | 56.0 | 56.6 | 58.9 | 60.3 | 61.6 | 57.4 | 55.8 | 0.5 | 0.40 |
| ≥75 | 30.0 | 27.0 | 29.5 | 26.1 | 26.8 | 30.1 | 28.7 | 31.2 | 30.7 | 30.1 | 27.6 | 0.5 | 0.41 |
| Nephrectomy type, n (%) | |||||||||||||
| Radical | 2111 (95.5) | 2040 (95.9) | 2158 (94.7) | 2216 (93.7) | 2324 (92.4) | 2488 (91.9) | 2641 (90.7) | 2832(90.3) | 2997 (88.9) | 3035 (87.2) | 3078 (84.0) | –1.3 | <0.01 |
| Partial | 105 (4.8) | 93 (4.4) | 124 (5.4) | 149 (6.3) | 197 (7.8) | 223 (8.2) | 270 (9.3) | 308 (9.8) | 379 (11.2) | 455 (13.1) | 589 (16.1) | 13.2 | <0.01 |
| T1, n (%a) | 9 (6.4) | 14 (7.3) | 22 (8.7) | 45 (14.5) | 39 (10.9) | 62 (14.7) | 77 (14.9) | 103 (15.5) | 158 (17.8) | 227 (23.1) | 362 (29.0) | 14.4 | <0.01 |
| T2, n (%a) | – | 1 (0.7) | 4 (2.3) | 4 (2.0) | 8 (4.0) | 5 (2.1) | 5 (2.0) | 5 (1.7) | 6 (1.8) | 11 (3.3) | 15 (3.6) | 8.9 | 0.12 |
| Type of access, n (%) | |||||||||||||
| Open | 2198 (99.4) | 2081 (97.8) | 2171 (95.3) | 2160 (91.4) | 2175 (86.5) | 2166 (80.0) | 2177 (74.8) | 2124 (67.8) | 2138 (63.4) | 2056 (59.1) | 1964 (53.6) | –5.9 | <0.01 |
| Laparoscopic | 13 (0.6) | 47 (2.2) | 108 (4.7) | 204 (8.6) | 340 (13.5) | 540 (20.0) | 734 (25.2) | 1011 (32.3) | 1228 (36.4) | 1413 (40.6) | 1663 (45.4) | 54.6 | <0.01 |
| Robot‐assisted | – | – | – | – | – | – | – | – | 5 (0.2) | 10 (0.3) | 37 (1.0) | ||
a
Denotes proportion of RCC performed under partial nephrectomy in patients with identical T stage.