TAILIEUCHUNG - Kidney Cancer

People who get systemic radiation also may feel very tired. They may be more likely to get infections. If you have radiation therapy and chemotherapy at the same time, your side effects may be worse. The side effects can be distressing. You can talk with your doctor about ways to relieve them. You may find it helpful to read NCI’s booklet Radiation Therapy and You. Page 46 tells how to get NCI booklets. | CHAPTER 10 Kidney Cancer Eric M. Wallen MD Assistant Professor of Surgery Urology University of North Carolina Chapel Hill Chapel Hill North Carolina Geoffrey F. Joyce PhD Economist RAND Health Santa Monica California Matthew Wise MPH Epidemiology Consultant RAND Health Santa Monica California Contents DEFINITION AND RISK INCIDENCE AND TRENDS IN HEALTHCARE RESOURCE Inpatient Outpatient Emergency Room Surgical ECONOMIC Kidney Cancer Eric M. Wallen MD Geoffrey F. Joyce PhD Matthew Wise MPH INTRODUCTION Kidney cancer the third most common urologic malignancy and the seventh most common cancer overall was diagnosed in an estimated 35 000 Americans in 2005 and nearly 13 000 died from it 1 . That year kidney cancer constituted 3 of new cancer cases and 3 of all cancer deaths in men. Kidney cancer occurs about half as often in women and constitutes less than 2 of female cancer cases and deaths 1 . When discovered in its early stages the disease is curable but metastatic kidney cancer is usually fatal. Fortunately the recent increase in kidney cancer incidence reflects primarily small tumors discovered incidentally during abdominal imaging. Table 1 lists the diagnosis and procedure codes associated with kidney cancer. Kidney cancer imposes a significant burden on the US healthcare system as its diagnosis involves advanced radiologic testing and its treatment often involves surgery hospitalization and regular surveillance visits to assess for recurrence. These interventions result in loss of work time and regular activity not only for the patient but also for family members providing support. Currently less than 1 of visits to urologists are for the treatment of kidney cancer Table 2 . DEFINITION AND DIAGNOSIS The term kidney cancer generally refers to any cancer arising in the kidney or renal pelvis but

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