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Table 3 Association of patient and tumor factors with likelihood of recommending active surveillance and specific cut-offs viewed as most appropriate for active surveillance (N = 127 for Bosniak III; N = 124 for Bosniak IV)

From: Management of complex renal cysts in Canada: results of a survey study

 

Significant impact on likelihood to recommend active surveillance reported

N (%)

Characteristics

Bosniak III

Bosniak IV

Patient factors

 ▪Age

121 (95.3)

104 (84.5)

Cutoff

 > 55 years old

6 (5.0)

3 (2.9)

 > 65 years old

35 (28.9)

17 (16.4)

> 75 years old

80 (66.1)

84 (80.8)

 ▪Presence of comorbidities

121 (96.0)

105 (85.4)

Tumor factors

 ▪Cyst size

72 (56.7)

59 (48.0)

Cutoff

 < 4 cm

56 (77.8)

54 (91.5)

 < 7 cm

16 (22.2)

5 (8.5)

 ▪Size of nodular component

N/A

86 (69.9)

Upper limit cutoff, median (IQR)

 

2 cm (1–3 cm)

 ▪Number of septa/calcification

32 (25.2)

25 (20.7)

Cutoff

 ≤ 2

7 (22.9)

9 (36.0)

 ≤ 3

20 (62.5)

12 (48.0)

 ≤ 4 or 5

5 (15.7)

4 (16.0)

 ▪Thickness of septa/calcification

56 (44.1)

31 (25.2)

Upper limit cutoff, median (IQR)

3 mm (2–5 mm)

5 mm (3–5 mm)

 ▪Cyst wall nodularity

95 (74.8)

N/A