Comparison of readmission and short-term mortality rates between different types of urinary diversion in patients undergoing radical cystectomy
Autor: | Aliyah Gauri, David Alonzo, Mark L. Gonzalgo, Mahmoud Alameddine, Tulay Koru-Sengul, Chad R. Ritch, Sanjaya Swain, Nachiketh Soodana Prakash, Dipen J. Parekh, Vivek Venkatramani, Sanoj Punnen, Bruno Nahar, Feng Miao |
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Rok vydání: | 2017 |
Předmět: |
Adult
Male Nephrology medicine.medical_specialty Databases Factual Urology medicine.medical_treatment 030232 urology & nephrology Urinary Diversion Cystectomy Logistic regression Patient Readmission Young Adult 03 medical and health sciences 0302 clinical medicine Internal medicine medicine Humans Mortality Propensity Score Aged Aged 80 and over Academic Medical Centers Carcinoma Transitional Cell Bladder cancer business.industry Mortality rate Urinary Reservoirs Continent Urinary diversion Age Factors Middle Aged medicine.disease United States Logistic Models Urinary Bladder Neoplasms 030220 oncology & carcinogenesis Multivariate Analysis Propensity score matching Female Pouch business |
Zdroj: | World Journal of Urology. 36:393-399 |
ISSN: | 1433-8726 0724-4983 |
Popis: | To analyze the impact of urinary diversion type following radical cystectomy (RC) on readmission and short-term mortality rates. Patients who underwent RC for bladder cancer in the National Cancer Data Base were grouped based on the type of urinary diversion performed: non-continent [ileal conduit (IC)] or two continent techniques [continent pouch (CP) and orthotopic neobladder (NB)]. We used propensity score matching and multivariable logistic regression models to compare 30-day readmission and 30- and 90-day mortality between the different types of urinary diversion. Among 11,933 patients who underwent RC, we identified 10,197 (85.5%) IC, 1044 (8.7%) CP, and 692 (5.8%) NB. Patients who received IC were significantly older and had more comorbidities (p |
Databáze: | OpenAIRE |
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