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Renal size biopsy (RM might not be indicated once the results are unlikely to affect administration, such as for instance in younger and/or healthier clients plus in senior and/or frail patients. We analyzed the energy of RMB in three patient cohorts stratified by age-adjusted Charlson comorbidity list score (ACCI). We identified clients with cT1a renal tumors in the National Cancer Database from 2004-2014. We combined age and Charlson-Deyo ratin