Patient and disease-specific factors and their influence on urinary reconstruction choice at a referral center
| Autor: | Wade J. Sexton, Julio M. Pow-Sang, Jorge L. Lockhart, Gautum Agarwal, Philippe E. Spiess, Adam M. Luchey, Patrick N. Espiritu, Michael A. Poch |
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| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty Multivariate analysis Urology Urinary system medicine.medical_treatment Decision Making Cystectomy Risk Factors Internal medicine medicine Humans Socioeconomic status Referral and Consultation Aged Retrospective Studies Gynecology Univariate analysis business.industry Urinary diversion Urinary Reservoirs Continent Odds ratio Middle Aged Socioeconomic Factors Urinary Bladder Neoplasms Marital status Female business Follow-Up Studies |
| Zdroj: | World journal of urology. 33(11) |
| ISSN: | 1433-8726 |
| Popis: | To evaluate potential socioeconomic and demographic factors that may influence or be associated with various types of urinary reconstruction (UR) following a radical cystectomy (RC) accounting for existing clinical variables. There were 828 patients that underwent a RC and UR between 2000 and 2013. After excluding patients that did not meet medical or surgical criteria for a continent urinary reconstruction (CUR-orthotopic neobladder or continent catheterizable pouch), there were 714 patients available for analysis. Socioeconomic and demographic data along with disease-specific variables were recorded preoperatively and analyzed to determine a correlation with a particular type of UR. Non-continent urinary reconstruction (ileal conduit or cutaneous ureterostomies) and CUR accounted for 78.3 % (559/714) and 21.7 % (155/714) of UR following RC, respectively. On univariate analysis, younger age, marital status, employment status, type of insurance, ASA score, and preoperative glomerular filtration rate were significantly associated with CUR (p |
| Databáze: | OpenAIRE |
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