Evidence map›Paper›PMID 25673978›Full record

ArticleClinical interventions in aging2015

Urological surgery in elderly patients: results and complications.

Milos Brodak, Jan Tomasek, Jaroslav Pacovsky, Lukas Holub, Petr Husek

Open access · goldAbstract read
In one paragraph

Article in Clinical interventions in aging, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.6field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 22 citations in OpenAlex.

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  7. Anesthetic considerations for urologic surgeries.Korean journal of anesthesiology · 2020
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Milos BrodakDepartment of Urology, University Hospital Hradec Kralove, Hradec Kralove, Czech Republic.
Jan TomasekDepartment of Urology, University Hospital Hradec Kralove, Hradec Kralove, Czech Republic.
Jaroslav PacovskyDepartment of Urology, University Hospital Hradec Kralove, Hradec Kralove, Czech Republic.
Lukas HolubDepartment of Urology, University Hospital Hradec Kralove, Hradec Kralove, Czech Republic.
Petr HusekDepartment of Urology, University Hospital Hradec Kralove, Hradec Kralove, Czech Republic.
University Hospital Hradec Králové · CZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOwing to the large aging population, a growing number of elderly patients are undergoing surgical treatment. Surgical procedures in elderly patients are associated with a higher risk of complications. The aim of this study was to evaluate the efficacy and safety of urological surgeries in old patients.

methodsThe authors carried out a retrospective study, evaluating results and early postoperative complications in patients aged 75 years and older. The cohort of patients included 221 patients who underwent surgical procedures in the department of urology between January 2011 and December 2012. The average age of patients was 78. The results and complications were categorized based on the type of surgery performed, and the Dindo-Clavien scale.

resultsThe median follow-up was 18 months. All surgeries for malignant tumors were performed successfully with no residual disease. Totally, 48 (22%) complications were recorded. The most serious were as follows: one patient (<0.5%) died; and four (<2%) patients underwent reoperation. The most common complications involved infection, mainly sepsis and surgical site infections. Other complications included mild respiratory insufficiency, delirium, bleeding, etc.

conclusionSurgeries in elderly patients were effective and safe. The cornerstone of safety is careful preparation and treatment of comorbidities. Complications occurred mainly as a result of emergency procedures during emergency procedures and in major surgeries such as cystectomy and nephrectomy. The standard use of low molecular-weight heparin caused no incidence of thromboembolic disease.

Indexed as

AgedAged, 80 and overFemaleHumansMalePostoperative ComplicationsRetrospective StudiesUrologic Surgical ProceduresagedDindo–Clavien classificationpostoperative complicationsurinary tract

Identifiers

PMID25673978
PMCPMC4321414
OpenAlexW2093546801

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.