{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T17:38:54Z","timestamp":1790617134865,"version":"4.1.0"},"reference-count":30,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,7,23]],"date-time":"2024-07-23T00:00:00Z","timestamp":1721692800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To understand the facilitators and barriers to the implementation of renal tumour biopsy (RTB) in the diagnostic pathway for renal tumours in England.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods<\/jats:title>\n                    <jats:p>Participants consisted of patients who had a renal tumour diagnosed and\/or treated at one of five tertiary centres in England, healthcare professionals involved in the direct care of patients diagnosed with renal tumours, and clinical service managers and commissioners. The study employed a mixed\u2010methods research methodology consisting of individual interviews and an on\u2010line survey that explored the types of facilitators and barriers individuals perceived and experienced and the frequency in which these were reported. A public dissemination event took place following the completion of data collection; to facilitate discussion of potential solutions to implementing RTB.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>There were 50 participant interviews (23 patients, 22 clinicians, and five health service commissioners\/operations managers). The patient on\u2010line survey received 52 responses, and the clinician survey received 22 responses. Patients most frequently reported influences in choosing whether to undergo RTB pertained to wanting to know the diagnosis of their kidney mass (40%), the advice or information provided by healthcare professionals (40%), and not wishing to delay treatment (23%). Clinicians most frequently reported barriers to recommending RTB related to their uncertainty of diagnostic accuracy (56%), availability of appointments or hospital beds (52%), concerns of risk of bleeding (44%), risk of seeding (41%), and delays in meeting national cancer pathway targets (41%). The dissemination event was attended by 18 participants (seven patients and 11 clinicians). Suggestions to improve implementation included reducing variation and promotion of standardisation of practice by a consensus statement, increasing the evidence base (clinicians) and improved communication by developing better patient aids such as videos and diagrams (patients and clinicians).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Implementation of RTB may be dependent on the quality of information provided, its format and perceived reliability of the information. Increased utilisation of RTB may be improved by development of a consensus statement on the role of biopsy, with patients expressing a preference for alternative information aids such as patient videos.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.16470","type":"journal-article","created":{"date-parts":[[2024,7,23]],"date-time":"2024-07-23T07:15:51Z","timestamp":1721718951000},"page":"796-804","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Identifying the facilitators and barriers to implementation of renal tumour biopsy in the diagnostic pathway for small renal masses"],"prefix":"10.1111","volume":"134","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0528-8640","authenticated-orcid":false,"given":"Veronica","family":"Ranieri","sequence":"first","affiliation":[{"name":"Department of Science, Technology, Engineering and Public Policy (STEaPP) University College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4106-2705","authenticated-orcid":false,"given":"Hannah","family":"Warren","sequence":"additional","affiliation":[{"name":"Division of Surgery and Interventional Sciences University College London  London UK"},{"name":"Specialist Centre for Kidney Cancer Royal Free Hospital  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabella","family":"Florez","sequence":"additional","affiliation":[{"name":"Specialist Centre for Kidney Cancer Royal Free Hospital  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joana B.","family":"Neves","sequence":"additional","affiliation":[{"name":"Division of Surgery and Interventional Sciences University College London  London UK"},{"name":"Specialist Centre for Kidney Cancer Royal Free Hospital  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miles","family":"Walkden","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology University College Hospital  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Darryl E.","family":"Bernstein","sequence":"additional","affiliation":[{"name":"Division of Surgery and Interventional Sciences University College London  London UK"},{"name":"Specialist Centre for Kidney Cancer Royal Free Hospital  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Santiapillai","sequence":"additional","affiliation":[{"name":"Division of Surgery and Interventional Sciences University College London  London UK"},{"name":"Specialist Centre for Kidney Cancer Royal Free Hospital  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Norman","family":"Williams","sequence":"additional","affiliation":[{"name":"Division of Surgery and Interventional Sciences University College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William H.","family":"Wildgoose","sequence":"additional","affiliation":[{"name":"Patient Representative  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prasad","family":"Patki","sequence":"additional","affiliation":[{"name":"Specialist Centre for Kidney Cancer Royal Free Hospital  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3188-9140","authenticated-orcid":false,"given":"Grant D.","family":"Stewart","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Cambridge  Cambridge UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Netty","family":"Kinsella","sequence":"additional","affiliation":[{"name":"Urology Unit The Royal Marsden NHS Foundation Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elena","family":"Pizzo","sequence":"additional","affiliation":[{"name":"Research Department of Primary Care and Public Health  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ravi","family":"Barod","sequence":"additional","affiliation":[{"name":"Division of Surgery and Interventional Sciences University College London  London UK"},{"name":"Specialist Centre for Kidney Cancer Royal Free Hospital  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Axel","family":"Bex","sequence":"additional","affiliation":[{"name":"Division of Surgery and Interventional Sciences University College London  London UK"},{"name":"Specialist Centre for Kidney Cancer Royal Free Hospital  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faiz","family":"Mumtaz","sequence":"additional","affiliation":[{"name":"Division of Surgery and Interventional Sciences University College London  London UK"},{"name":"Specialist Centre for Kidney Cancer Royal Free Hospital  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soha","family":"El\u2010Sheikh","sequence":"additional","affiliation":[{"name":"Specialist Centre for Kidney Cancer Royal Free Hospital  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kurinchi","family":"Gurusamy","sequence":"additional","affiliation":[{"name":"Division of Surgery and Interventional Sciences University College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6034-4433","authenticated-orcid":false,"given":"Maxine G.B.","family":"Tran","sequence":"additional","affiliation":[{"name":"Division of Surgery and Interventional Sciences University College London  London UK"},{"name":"Specialist Centre for Kidney Cancer Royal Free Hospital  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,7,23]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2017.7508"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2018.1186"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/tre.900"},{"key":"e_1_2_8_5_1","unstructured":"Cancer Research UK.Kidney Cancer Statistics. Cancer Research UK 2024. Available at:https:\/\/www.cancerresearchuk.org\/health\u2010professional\/cancer\u2010statistics\/statistics\u2010by\u2010cancer\u2010type\/kidney\u2010cancer#heading\u2010Four. Accessed 23rd May 2024"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/cam4.4595"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.13353"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2019.02.011"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urolonc.2020.10.015"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2015.07.072"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2015.11.029"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2018.04.015"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.15496"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.14159"},{"key":"e_1_2_8_15_1","volume-title":"EAU Guidelines on Renal Cell Carcinoma","author":"Ljungberg B","year":"2024"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2018.4602"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2018.0175"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.5489\/cuaj.5065"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.euros.2024.02.002"},{"key":"e_1_2_8_20_1","volume-title":"NVivo [Program]","author":"QSR International","year":"2018"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2019.103208"},{"key":"e_1_2_8_23_1","volume-title":"SPSS","author":"SPSS Inc","year":"2020"},{"key":"e_1_2_8_24_1","unstructured":"Cancer Research UK.Kidney Cancer Incidence Statistics. Cancer Research UK 2024. Available at:https:\/\/www.cancerresearchuk.org\/health\u2010professional\/cancer\u2010statistics\/statistics\u2010by\u2010cancer\u2010type\/kidney\u2010cancer\/incidence#heading\u2010Zero. Accessed 23rd May 2024"},{"key":"e_1_2_8_25_1","article-title":"MP36\u201007 routine mass biopsy in diagnosis of renal cancer","volume":"188","author":"Tanabalan CNJ","year":"2018","journal-title":"J Urol"},{"key":"e_1_2_8_26_1","volume-title":"WHO Classification of Tumours; Urinary and Male Genital Tumours","author":"World Health Organisation (WHO)","year":"2022"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.euros.2022.04.009"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2015.09.067"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2014.11.015"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.5489\/cuaj.3417"},{"key":"e_1_2_8_31_1","unstructured":"NHS England The British Association of Urological Surgeons British Association of Urological Nurses.Urology: towards better care for patients with kidney cancer.2023"}],"container-title":["BJU International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/bju.16470","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T09:50:43Z","timestamp":1761731443000},"score":1,"resource":{"primary":{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/10.1111\/bju.16470"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,23]]},"references-count":30,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2024,11]]}},"alternative-id":["10.1111\/bju.16470"],"URL":"https:\/\/doi.org\/10.1111\/bju.16470","archive":["Portico"],"relation":{},"ISSN":["1464-4096","1464-410X"],"issn-type":[{"value":"1464-4096","type":"print"},{"value":"1464-410X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7,23]]},"assertion":[{"value":"2024-07-23","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}