Current state of renal tumor surgery among pediatric surgeons and pediatric urologists: A survey of American Pediatric Surgical Association (APSA) and Society for Pediatric Urology (SPU) members

Reported individual RT surgery volume is low. Factors associated with increased volume include sub-specialty practice, tumor board involvement, and higher institutional volume. Responses on LN sampling and biopsy in WT demonstrate opportunities for educational initiatives.Table. Multivariate logistic regression analysis of factors associated with higher reported renal tumor surgery volume (>2 per year).UnivariateMultivariateOR95% CIpOR95% CIpLower limitUpper limitLower limitUpper limitPractice specialty Pediatric urology1 (Reference)1 (Reference) Pediatric surgery2.5671.5324.301<0.0011.4970.5983.7480.389Are you one of the sub-specialty providers Yes7.6244.09114.206<0.0018.2933.46519.848<0.001 No1 (Reference)1 (Reference)Personally a COG or SIOP member Yes5.0763.1648.143<0.0012.6301.3485.1330.0015 No1 (Reference)1 (Reference)Personal tumor board attendance I never go1 (Reference)1 (Reference) <25% of the time4.41.57912.2570.0056.3641.28331.5720.024 25-50% of the time7.682.5822.86<0.0016.8351.29436.1030.024 50-75% of the time8.42.73925.764<0.00115.1452.75283.3290.002 >75% of the time19.0967.13951.08<0.00119.9304.06697.698<0.001Average institutional renal tumor volume 0-10 cases per year1 (Reference)1 (Reference) >10 cases per year3.2431.9965.271<0.0013.8291.9297.599<0.001Correct answer on impact of open biopsy on staging Yes2.1521.0564.3840.0351.1320.3473.6930.838 No1 (Reference)1 (Reference)Correct answer on impact of percutaneous biopsy on staging Yes2.5621.3974.6990.021.1310.4223.0300.807 No1 (Reference)1 (Reference)Bold indicates factors with p < 0.05.