Evidence map›Paper›PMID 26475274›Full record

ReviewWorld journal of urology2016

Ileal conduit: standard urinary diversion for elderly patients undergoing radical cystectomy.

Khurram M Siddiqui, Jonathan I Izawa

Abstract readReview
PubMed Publisher
In one paragraph

Review in World journal of urology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.0field-weighted citation impact, top 9% 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

20 citing papers in PubMed, 45 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. [Urinary diversion in old patients (80+ years)].Urologie (Heidelberg, Germany) · 2024
    Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Treatment of bladder cancer in the elderly.Investigative and clinical urology · 2016
    Review
  20. Article
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

2 authors at 2 institutions in 1 country.

Khurram M SiddiquiDepartments of Surgery, Oncology and Pathology, Divisions of Urology and Surgical Oncology, Schulich School of Medicine & Dentistry, London Health Sciences Centre-Victoria Hospital, Western University, 800 Commissioners Road East, Room E2-649, London, ON, N6A 5W9, Canada.
Jonathan I IzawaDepartments of Surgery, Oncology and Pathology, Divisions of Urology and Surgical Oncology, Schulich School of Medicine & Dentistry, London Health Sciences Centre-Victoria Hospital, Western University, 800 Commissioners Road East, Room E2-649, London, ON, N6A 5W9, Canada. jonathan.izawa@lhsc.on.ca.
Victoria Hospital · CAWestern University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIleal conduit (IC) is the most frequent urinary diversion (UD) performed after radical cystectomy (RC). We reviewed the literature to investigate the factors influencing the choice of this diversion and its complications.

methodsA literature search (PubMed) was performed for all English language publications on UDs performed for treatment of bladder cancer from 1950 to 2015. The literature review was focused on studies reporting outcome of IC and its comparison with other types of UDs.

resultsIC is the most common UD performed in elderly patients undergoing RC for bladder cancer. Long-term studies looking at the change in renal function after UD report a universal decline in the glomerular filtration rate; however, this decline in renal function is the least for IC. There is a significant morbidity of RC (20-56 %), which can be attributed to patient factors, surgical technique and hospital volume. Modern concepts of bowel preparation, postoperative nutrition, early enteral feeding and involvement of stoma therapists have helped improve the outcomes. The quality of life is preserved, and in many including elderly, it may be improved with IC UD.

conclusionsIC is the most commonly performed UD following radical cystectomy. It is associated with acceptable morbidity and has the lowest reoperation rates as compared to continent diversion. It is also the procedure of choice for most patients' elderly patients as well as patients with limited dexterity, poor motivation, anatomical restrictions and poor renal function. Studies measuring HRQOL report excellent patient acceptability, especially in the elderly population.

Indexed as

Glomerular Filtration RatePostoperative ComplicationsAgedAged, 80 and overCarcinoma, Transitional CellCystectomyHospitalsHumansMuscle, SmoothNeoplasm InvasivenessUrinary Bladder NeoplasmsUrinary DiversionElderly patientsIleal conduitsMuscle invasive bladder cancerRadical cystectomyUrinary diversions

Identifiers

PMID26475274
OpenAlexW2184608137

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.