Evidence map›Paper›PMID 26279724›Full record

ArticleCanadian Urological Association journal = Journal de l'Association des urologues du Canada

Feasibility and safety of radical cystectomy under combined spinal and epidural anesthesia in octogenarian patients with ASA score ≥3: A case series.

Vassilios Tzortzis, Konstantinos Dimitropoulos, Anastasios Karatzas, Ioannis Zachos, Konstantinos Stamoulis, Michael Melekos, Stavros Gravas

Open access · diamondAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Canadian Urological Association journal = Journal de l'Association des urologues du Canada. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 30% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
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  3. Article
  4. Review
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

7 authors at 1 institution in 1 country.

Vassilios TzortzisDepartment of Urology, Faculty of Medicine, School of Health Sciences, University of Thessaly, Thessaly, Greece;
Konstantinos DimitropoulosDepartment of Urology, Faculty of Medicine, School of Health Sciences, University of Thessaly, Thessaly, Greece;
Anastasios KaratzasDepartment of Urology, Faculty of Medicine, School of Health Sciences, University of Thessaly, Thessaly, Greece;
Ioannis ZachosDepartment of Urology, Faculty of Medicine, School of Health Sciences, University of Thessaly, Thessaly, Greece;
Konstantinos StamoulisDepartment of Anesthesiology, Faculty of Medicine, School of Health Sciences, University of Thessaly, Thessaly, Greece.
Michael MelekosDepartment of Urology, Faculty of Medicine, School of Health Sciences, University of Thessaly, Thessaly, Greece;
Stavros GravasDepartment of Urology, Faculty of Medicine, School of Health Sciences, University of Thessaly, Thessaly, Greece;
University of Thessaly · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study evaluated the feasibility and safety of open radical cystectomy (RC) under combined regional anesthesia (CRA) in high-risk octogenarian patients.

methodsWe retrospectively evaluated the medical records of high-risk, octogenarian bladder cancer patients submitted to open RC with CRA. Demographic and clinical data, intraoperative parameters and perioperative and postoperative complications were recorded using the Clavien-Dindo classification.

resultsIn total, 14 male and 4 female patients, with a median age of 82.5 years were enrolled. Ureterocutaneostomy was performed in 15 patients and Bricker ileal conduit in the remaining 3. Operative time ranged from 97 to 184 minutes. Five patients were transfused and no major intraoperative complications occurred. Postoperative complications 30 days later included ileus (Grade II) in 3 patients, surgical trauma infection in 1 patient (Grade II), respiratory infection in 2 patients (Grade III), and hydronephrosis with concurrent urinary tract infection in 3 patients (Grade III). No deaths occurred.

conclusionsOur study showed that octogenarian, high-risk bladder cancer patients with indications for RC can safely undergo the surgical procedure under CRA, without apparent increase in major complications.

Identifiers

PMID26279724
PMCPMC4514500
OpenAlexW1854770270

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

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.