Korean J Urol.  2007 Aug;48(8):775-781. 10.4111/kju.2007.48.8.775.

Analysis of the Causes of Nephrectomy in 1980-2005

• Cho CH
• Kim KK

• KMID: 2061269
• DOI: http://doi.org/10.4111/kju.2007.48.8.775

Abstract

PURPOSE
Neoplastic, infectious and calculous diseases, as well as congenital anomaly and vascular disorder of the kidney, are known to be the main indications of a nephrectomy. However, the incidences of a nephrectomy in various renal diseases differ with respect to several factors, such as the socioeconomic situation, and differences in time and regions. This study was performed to investigate the changes of the causes of a nephrectomy and the associated factors between 1980 and 2005.
MATERIALS AND METHODS
All 116,535 in-patients admitted to the Urological Department of Kangnam Sacred Heart Hospital from 1980 to 2005 were enrolled in this study,and divided into 3 groups, Period I from January 1980 to December 1987, Period II from January 1990 to December 1997, and Period III from January 2000 to December 2005. Of these patients, 11,565(9.9%) underwent urological operations, and 234(2.0%) were treated with a nephrectomy for various renal diseases.
RESULTS
The causes for the nephrectomy in Period I were renal stones (30%), infection-inflammatory diseases(28.75%), congenital anomalies(15%), renal tumors(13.75%), renal injuries(10%), but tumors(41.7%), renal stones (21.4%), congenital anomalies(19.05%), infection-inflammatory diseases (8.3%) and renal injuries(5.6%) in Period II, and tumors(57.1%), congenital anomalies(17.1%), renal stones(14.3%), infection-inflammatory diseases (8.57%) and renal injuries(1.4%) in Period III, in that order(p<0.001).
CONCLUSIONS
The incidence of renal tumors has increased, but those of infection-inflammatory diseases and renal injuries have decreased. Among the renal diseases requiring a nephrectomy, renal tumors were ranked in first position, but the nephrectomy rate for benign renal diseases has markedly decreased over time, which is similar to that of developed countries.

Keyword

Kidney diseases; Nephrectomy

MeSH Terms

Developed Countries
Heart
Humans
Incidence
Kidney
Kidney Diseases
Nephrectomy*

Reference

References

1. Korean National Statistical Office. The causes of death statistics. http://kosis.nso.go.kr. March 22,. 2007.

2. Lee WH, Chang SK. A clinical observation on 171 nephrectomized patients. Korean J Urol. 1982; 23:622–8.

3. Choi BS, Park JY, Hyun JS. Analysis of 50 cases of renal Injury which occurred in the last 6 years. Korean J Urol. 1997; 38:490–5.

4. Higashihara E, Horie S, Takeuchi T, Nutahara K, Aso Y. Long-term consequence of nephrectomy. J Urol. 1990; 143:239–43.

5. Campbell SC, Novick AC, Bukowski RM. Renal tumors. Wein AJ, Kavoussi LR, Novick AC, Partin AW, Peters CA, editors. editors.Campbell-Walsh urology. 9th ed.Philadelphia: Saunders;2007. p. 1567–637.

6. Economic Planning Board. KCD: Korean standard classification of diseases. Economic Planning Board Notice 30. 2nd ed. 1979.

7. Kim JY, Yang KY. A clinical observation on the nephrectomized patients. Korean J Urol. 1982; 23:11–6.

8. Kim HS, Park YI. A clinical observation on the nephrectomized patients. Korean J Urol. 1981; 22:176–81.

9. Lee BW, Chung SW. A clinical observation on the nephrectomized patients. Korean J Urol. 1982; 23:1089–92.

10. Choi KS, Kwon SW. A clinical observation on the nephrectomized patients. Korean J Urol. 1981; 22:530–5.

11. Choi BN, Ryu SB. A clinical observation on the nephrectomized patients. Korean J Urol. 1981; 22:396–9.

12. Choi WR, Park YK. A clinical observation on the nephrectomized patients. Korean J Urol. 1982; 23:467–72.

13. Shim BS. Genitourinary tuberculosis: experiences over a period of 16 years. Ewha Med J. 1992; 15:389–96.

14. Kim HJ. Current situation of tuberculosis and its control in Korea. J Korean Med Assoc. 2006; 49:762–72.

15. Ministry of Health and Welfare. BCG vaccination rate according to age. Health and Welfare Statistics Annual Report 42. 1996.

16. Bai GH, Kim SJ, Lee EK, Lew WJ. Incidence of pulmonary tuberculosis in Korean civil servants: second study, 1992–1994. Int J Tuberc Lung Dis. 2001; 5:346–53.

17. World Health Organization. WHO report 2006. Global Tuberculosis Control. Surveillance, Planning, Financing. WHO/HTM/TB/2006.362.

18. Shim BS. A study for the change of occurrent trend and treatment in 3,069 patients with urolithiasis. Ewha Med J. 1996; 19:505–12.

19. Bae HC, Kim HY, Kim PK, Han SW. Clinical evaluation of ⁹9mTc-patients with unilateral non-functioning kidney on DMSA scan. J Korean Soc Pediatr Nephrol. 1997; 1:31–7.

20. Yu SH, Jung SH. The study for recent changes of disease-mix in health insurance data. Korean J Prev Med. 1990; 23:345–57.

21. Scott RF, Selzman HM. Complications of nephrectomy: review of 450 patients and a description of a modification of the transperitoneal approach. J Urol. 1966; 95:307–12.

22. Yun NS. Statistical observation on urinary tract tuberculosis. Korean J Urol. 1970; 11:195–202.

23. Choi SH. Clinical observation on 122 renal tuberculosis. Korean J Urol. 1977; 18:395–400.

24. Hwang K, Choi SK. The trend of indication of nephrectomy in infants and children. Korean J Urol. 1988; 29:909–16.

25. Hinman F. Hydronephrosis. Surgery. 1945; 17:805–15.

26. Sharp RF. Hydronephrosis: development of present concept of management. J Urol. 1961; 85:206–10.

27. Kelalis PP, Culp OS, Stickler GB, Burke EC. Ureteropelvic obstruction in children: experience with 109 cases. J Urol. 1971; 106:418–22.

28. Parker RM, Rudd TG, Wonderly RK, Ansell JS. Ureteropelvic junction obstruction in infants and children: functional evaluation of the obstructed kidney preoperatively and postoperatively. J Urol. 1981; 126:509–12.

29. Park YY, Kwon SW. Hydronephrosis in children: a review of 35 cases. Korean J Urol. 1986; 27:142–6.

30. Gordon I. Indications for 99m technetium dimercapto-succinic acid scan in children. J Urol. 1987; 137:464–7.