Evaluation of early nephrostomy in patients with post-renal acute renal failure with advanced Cervical Cancer

Abstract

Introduction: Cervical cancer is the fourth most common type of cancer among women, except for cases of non-melanoma skin. However, the state of Amazonas has the highest incidence rate of new cases per year. Objectives: To determine the prognostic impact of early nephrostomy in patients with advanced cervical cancer who present post-renal acute renal failure. Methods: This prospective cohort study was carried out with patients with locally advanced cervical cancer, who evolved with post-renal acute renal failure. Results: 25 patients were included in the study, 52% (13/25) died, 32% (8/25) lost outpatient follow-up and 16% (4/25) returned for follow-up. Of the total, 16% (04/25) underwent renal ultrasonographic reassessment, with 75% (3/4) having unilateral nephrostomy and 25% (1/4) having bilateral. It was not possible to assess the impact of cortical thickness on renal function, due to the lack of indicators used to assess the improvement in renal function. Conclusion: In this study, the relationship between low socioeconomic levels and late diagnosis of cervical cancer was observed. Knowledge of this population's clinical, and socioeconomic profile, and outcomes is essential to guide more robust studies and improve the clinical management of these patients. In addition, promote discussions on the importance of access to information, health services, and preventive measures essential to survival.