Evidence map›Paper›PMID 30519743›Full record

ArticleWorld journal of urology2019

Factors influencing intraoperative conversion from planned orthotopic to non-orthotopic urinary diversion during radical cystectomy.

Saum Ghodoussipour, Nariman Ahmadi, Natalie Hartman, Giovanni Cacciamani, Gus Miranda, Jie Cai, Anne Schuckman, Hooman Djaladat, Inderbir Gill, Siamak Daneshmand and 1 more

Abstract read
PubMed Publisher
In one paragraph

Article in World journal of urology, 2019. 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
–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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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

11 authors.

Saum GhodoussipourUSC Institute of Urology, Keck Medicine of USC, University of Southern California, Los Angeles, CA, USA.
Nariman AhmadiUSC Institute of Urology, Keck Medicine of USC, University of Southern California, Los Angeles, CA, USA. nari.ahmadi@gmail.com.
Natalie HartmanUSC Institute of Urology, Keck Medicine of USC, University of Southern California, Los Angeles, CA, USA.
Giovanni CacciamaniUSC Institute of Urology, Keck Medicine of USC, University of Southern California, Los Angeles, CA, USA.
Gus MirandaUSC Institute of Urology, Keck Medicine of USC, University of Southern California, Los Angeles, CA, USA.
Jie CaiUSC Institute of Urology, Keck Medicine of USC, University of Southern California, Los Angeles, CA, USA.
Anne SchuckmanUSC Institute of Urology, Keck Medicine of USC, University of Southern California, Los Angeles, CA, USA.
Hooman DjaladatUSC Institute of Urology, Keck Medicine of USC, University of Southern California, Los Angeles, CA, USA.
Inderbir GillUSC Institute of Urology, Keck Medicine of USC, University of Southern California, Los Angeles, CA, USA.
Siamak DaneshmandUSC Institute of Urology, Keck Medicine of USC, University of Southern California, Los Angeles, CA, USA.
Mihir DesaiUSC Institute of Urology, Keck Medicine of USC, University of Southern California, Los Angeles, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo determine and investigate the intraoperative factors that contribute to a change in plan from continent orthotopic neobladder to ileal conduit or continent cutaneous diversion at the time of radical cystectomy. SUBJECTS AND

methodsA retrospective review of our prospectively maintained bladder cancer database was performed. Of the 711 patients who underwent radical cystectomy from 2012 to 2016, 387 (54.4%) had given consent to have a NB. Of these 387 patients, 348 (89.9%) ultimately received a neobladder while 34 (8.8%) received an ileal conduit and 5 (1.3%) continent cutaneous diversion. The factors involved in the intraoperative change of plan were examined in this study.

resultsPatients who ultimately received a neobladder were significantly more likely to have clinical node-negative disease (p = 0.045), negative soft tissue margins (p = 0.001), lower body mass index (p = 0.045) and higher volume surgeons (p < 0.001). Oncologic reasons for intraoperative conversions were more common than technical reasons (58.3% vs 35.9%), in both robotic and open surgical techniques. The choice of surgical approach (open vs robotic) did not influence the rate of intraoperative conversion.

conclusionThe factors influencing intraoperative decision not to perform neobladder are predominantly oncologic rather than technical. A clear understanding of the factors involved in influencing the intraoperative change in the urinary diversion plan may improve shared decision making in patients undergoing radical cystectomy in the future.

Indexed as

AgedCystectomyFemaleHumansIntraoperative PeriodMaleRetrospective StudiesUrinary Bladder NeoplasmsUrinary DiversionUrinary Reservoirs, ContinentIleal conduitOrthotopic neobladderRadical cystectomyUrinary diversion

Identifiers

PMID30519743

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.