| Autor: |
Louise Catherine McLoughlin, Wassim Kassouf, Rodney H. Breau, Adrian Fairey, Ramanakumar Agnihotram V, Afsar Salimi, Eric Hyndman, Darrel E. Drachenberg, Jonathan Izawa, Bobby Shayegan, Jean-Baptiste Lattouf, Michele Lodde, Ricardo Rendon, D. Robert Siemens, Claudio Jeldres, Peter C. Black, Girish S. Kulkarni |
| Rok vydání: |
2022 |
| Předmět: |
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| Zdroj: |
The Journal of urology. 209(1) |
| ISSN: |
1527-3792 |
| Popis: |
There are conflicting reports regarding radical cystectomy complication risk from obesity subcategories, and a BMI threshold below which complication risk is notably reduced is undefined. A BMI threshold may be helpful in prehabilitation to aid patient counseling and inform weight loss strategies to potentially mitigate obesity-associated complication risk. This study aims to identify such a threshold and further investigate the association between BMI subcategories and perioperative complications from radical cystectomy.Data were extracted from the Canadian Bladder Cancer Information System, a prospective registry across 14 academic centers. Five hundred and eighty-nine patients were analyzed. Perioperative (≤90 days) complications were compared between BMI subcategories. Unconditional multivariable logistic regression and cubic spline analysis were performed to determine the association between BMI and complication risk and identify a BMI threshold.Perioperative complications were reported in 51 (30%), 97 (43%), and 85 (43%) normal, overweight, and obese patients (Complication risk from radical cystectomy is independently associated with BMI. Both overweight and obese patients are at increased risk compared to normal BMI patients. A BMI threshold of 34 kg/m |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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