{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T04:23:14Z","timestamp":1745468594032,"version":"3.40.4"},"reference-count":17,"publisher":"S. Karger AG","issue":"3","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/karger.com\/pages\/terms-and-conditions"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/karger.com\/pages\/terms-and-conditions"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Urol Int"],"published-print":{"date-parts":[[2024]]},"abstract":"<b><i>Introduction:<\/i><\/b> The aim of the study was to investigate prevalence and impact of incidental renal masses (IRMs) accompanying increasing computed tomography (CT) work-up for symptomatic aortic valve stenosis (sAVS) of the elderly with regard to the relevance of urological consultation for overall survival (OS). <b><i>Methods:<\/i><\/b> A retrospective analysis of pre-transcatheter aortic-valve implantations (TAVIs) CT scans of patients with sAVS (<i>N<\/i> = 1,253) harboring IRM was performed for 2014\u20132019. According to the clinical management, groups 1 (urologic consultation) and 2 (findings ignored) were formed and analyzed in terms of OS. <b><i>Results:<\/i><\/b> The prevalence of IRM was 9% (119\/1,253). In 19% (23\/119), urological advice was sought (group 1). At baseline, group 1 showed a significantly higher rate of malignancy-specific lesions compared to 2 (<i>p<\/i> &lt; 0.01). Other clinical parameters (e.g., age, cardiological scores, comorbidities) did not differ between groups (<i>p<\/i> &gt; 0.05). In group 1, 4 (17%) findings were histologically confirmed, of which 3 (13%) underwent surgery. There was no significant difference in median OS at a median follow-up of 24.7 months between groups 1 and 2 with 35.7 (95% CI, 5.9; 65.4) and 47.4 months (95% CI, 33.0; 61.7), respectively (<i>p<\/i> = 0.4). In Cox regression analysis, chronic kidney disease but not urologic work-up or chronic obstructive pulmonary disease or heart failure emerged as an independent unfavorable predictor of OS (HR 2.44, 95% CI 1.37; 4.36, <i>p<\/i> = 0.003). <b><i>Conclusion:<\/i><\/b> For the first time, a TAVI population with IRM was analyzed from the urologist\u2019s perspective. Urologic co-evaluation and work-up does not confer a significant benefit in terms of OS in this particular population. <\/jats:p>","DOI":"10.1159\/000537808","type":"journal-article","created":{"date-parts":[[2024,2,14]],"date-time":"2024-02-14T22:00:42Z","timestamp":1707948042000},"page":"219-225","source":"Crossref","is-referenced-by-count":0,"title":["Clinical Impact and Management of Incidental Renal Findings on Pre-TAVI CT Scan from the Urologist\u2019s Perspective"],"prefix":"10.1159","volume":"108","author":[{"given":"Stefanie","family":"Ziewers","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nikita Druva","family":"Fischer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan Hendrik","family":"B\u00f6rner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lilly","family":"Kaufmann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Tamm","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yang","family":"Yang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Florian","family":"Jungmann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Dotzauer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Sparwasser","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Hoefner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Igor","family":"Tsaur","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Axel","family":"Haferkamp","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rene","family":"Mager","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2024,2,14]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2022.5776"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehab395"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)60290-2"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2017.06.032"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.163.1.8010220"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016\/0167-9473(91)90073-b"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1259\/bjr.20190344"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.201612-1023OC"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-019-02930-4"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.5837\/bjc.2021.037"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9681(87)90171-8"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezaa446"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2013.04.057"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2013.08.074"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.26369"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2015.02.001"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcha.2020.100657"}],"container-title":["Urologia Internationalis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/karger.com\/uin\/article-pdf\/108\/3\/219\/4236780\/000537808.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/karger.com\/uin\/article-pdf\/108\/3\/219\/4236780\/000537808.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T15:06:41Z","timestamp":1745420801000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000537808"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024]]},"references-count":17,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2024,6,4]]}},"URL":"https:\/\/doi.org\/10.1159\/000537808","archive":["Portico"],"relation":{},"ISSN":["0042-1138","1423-0399"],"issn-type":[{"type":"print","value":"0042-1138"},{"type":"electronic","value":"1423-0399"}],"subject":[],"published":{"date-parts":[[2024]]}}}