Evidence map›Paper›PMID 29520591›Full record

ArticleWorld journal of urology2018

Sarcopenia predicts 90-day mortality and postoperative complications after radical cystectomy for bladder cancer.

Roman Mayr, Hans-Martin Fritsche, Florian Zeman, Marieke Reiffen, Leopold Siebertz, Christoph Niessen, Armin Pycha, Bas W G van Rhijn, Maximilian Burger, Michael Gierth

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Article in World journal of urology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

46 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  12. An in-depth analysis on the effects of body composition in patients receiving neoadjuvant chemotherapy for urothelial cell carcinoma.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Roman MayrDepartment of Urology, St. Josef Medical Centre, University of Regensburg, Landshuterstr. 65, 93053, Regensburg, Germany. roman.mayr@ukr.de.
Hans-Martin FritscheDepartment of Urology, Surgical Clinic Munich-Bogenhausen, Munich, Germany.
Florian ZemanCentre of Clinical Studies, University Medical Centre Regensburg, Regensburg, Germany.
Marieke ReiffenDepartment of Urology, St. Josef Medical Centre, University of Regensburg, Landshuterstr. 65, 93053, Regensburg, Germany.
Leopold SiebertzDepartment of Urology, St. Josef Medical Centre, University of Regensburg, Landshuterstr. 65, 93053, Regensburg, Germany.
Christoph NiessenDepartment of Radiology, University Medical Centre Regensburg, Regensburg, Germany.
Armin PychaDepartment of Urology, Central Hospital of Bolzano, Bolzano, Italy.
Bas W G van RhijnDepartment of Urology, St. Josef Medical Centre, University of Regensburg, Landshuterstr. 65, 93053, Regensburg, Germany.
Maximilian BurgerDepartment of Urology, St. Josef Medical Centre, University of Regensburg, Landshuterstr. 65, 93053, Regensburg, Germany.
Michael GierthDepartment of Urology, St. Josef Medical Centre, University of Regensburg, Landshuterstr. 65, 93053, Regensburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeA single-center study was conducted to investigate the impact of sarcopenia as a predictor for 90-day mortality (90 dM) and complications within 90 days after radical cystectomy for bladder cancer.

methodsIn total, 327 patients with preoperative available digital computed tomography (CT) scans of the abdomen and pelvis were identified. The lumbar skeletal muscle index was measured using preoperative abdominal CT to assess sarcopenia. Complications were recorded and graded according to Clavien-Dindo (CD). Predictors of 90 dM and complications within 90 days were analyzed by uni- and multivariable logistic regression.

resultsOf the 327 patients, 262 (80%) were male and 108 (33%) patients were classified as sarcopenic. Within 90 days, 28 (7.8%) patients died, of whom 15 patients were sarcopenic and 13 were not. In multivariable logistic regression analysis, sarcopenia (OR 2.59; 95% CI 1.13-5.95; p = 0.025), ASA 3-4 (OR 2.53; 95% CI 1.10-5.82; p = 0.029) and cM + (OR 7.43; 95% CI 2.34-23.64; p = 0.001) were independent predictors of 90-day mortality. Sarcopenic patients experienced significantly more complications, i.e., CD 4a-5 (p = 0.003), compared to non-sarcopenic patients. In multivariable logistic regression analysis, sarcopenia was independently associated with CD ≥ 3b complications corrected for age, BMI, ASA-Score and type of urinary diversion.

conclusionsWe reported that sarcopenia proved an independent predictor for 90 dM and complications in patients undergoing RC for bladder cancer.

Indexed as

AgedCystectomyFemaleHumansMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesSarcopeniaTime FactorsUrinary Bladder NeoplasmsBladder cancerFrailtyPrognosisSkeletal muscle massUrinary bladder neoplasm

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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.