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Renal function variation was evaluated at postoperative day (POD)\u20141, 6 and 12\u00a0months. Timepoints differences were \u03941\u2009=\u2009POD-1 eGFR\u2009\u2212\u2009baseline eGFR; \u03942\u2009=\u20096\u00a0months eGFR\u2009\u2212\u2009POD-1 eGFR; \u03943\u2009=\u200912\u00a0months eGFR\u2009\u2212\u20096\u00a0months eGFR. We defined POD-1 acute kidney injury (AKI) as an increase in serum creatinine by\u2009\u2265\u20090.3\u00a0mg\/dl or a 1.5 1.9-fold from baseline. Additionally, a cutoff of 60\u00a0ml\/min in eGFR was considered to define renal function decline at 6 and 12\u00a0months. Logistic regression (LR) and linear mixed (LM) models were used to evaluate the association between clinical factors and eGFR decline and their interaction with follow-up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 576 were included, of these 409(71.0%) and 403(70.0%) had an eGFR\u2009&lt;\u200960\u00a0ml\/min at 6 and 12\u00a0months, respectively, and 239(41.5%) developed POD-1 AKI. In multivariable LR analysis, age (Odds Ratio, OR 1.05,<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), male gender (OR 0.44,<jats:italic>p<\/jats:italic>\u2009=\u20090.003), POD-1 AKI (OR 2.88,<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) and preoperative eGFR\u2009&lt;\u200960\u00a0ml\/min (OR 7.58,<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) were predictors of renal function decline at 6\u00a0months. Age (OR 1.06,<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), coronary artery disease (OR 2.68,<jats:italic>p<\/jats:italic>\u2009=\u20090.007), POD-1 AKI (OR 1.83,<jats:italic>p<\/jats:italic>\u2009=\u20090.02), and preoperative eGFR\u2009&lt;\u200960\u00a0ml\/min (OR 7.80,<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) were predictors of renal function decline at 12\u00a0months. In LM models, age (<jats:italic>p<\/jats:italic>\u2009=\u20090.019), hydronephrosis (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), POD-1 AKI (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) and pT-stage (<jats:italic>p<\/jats:italic>\u2009=\u20090.001) influenced renal function variation (<jats:italic>\u00df<\/jats:italic>9.2\u2009\u00b1\u20090.7,<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) during follow-up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Age, preoperative eGFR and POD-1 AKI are independent predictors of 6 and 12\u00a0months renal function decline after RNU for UTUC.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00345-022-04156-3","type":"journal-article","created":{"date-parts":[[2022,10,6]],"date-time":"2022-10-06T16:04:39Z","timestamp":1665072279000},"page":"2771-2779","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":37,"title":["Changes in renal function after nephroureterectomy for upper urinary tract carcinoma: analysis of a large multicenter cohort (Radical Nephroureterectomy Outcomes (RaNeO) Research Consortium)"],"prefix":"10.1007","volume":"40","author":[{"given":"Alessandro","family":"Tafuri","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michele","family":"Marchioni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clara","family":"Cerrato","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Mari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riccardo","family":"Tellini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katia","family":"Odorizzi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro","family":"Veccia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniele","family":"Amparore","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aliasger","family":"Shakir","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Umberto","family":"Carbonara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Panunzio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federica","family":"Trovato","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michele","family":"Catellani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Letizia M. 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