Evidence map›Paper›PMID 30574199›Full record

ArticleTherapeutic advances in urology2018

The impact of patient-related nonmodifiable factors on perioperative outcomes following radical cystectomy with enhanced recovery protocol.

Daniel Zainfeld, Jian Chen, Jie Cai, Gus Miranda, Anne Schuckman, Siamak Daneshmand, Hooman Djaladat

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PubMed Full text at PMC Publisher
In one paragraph

Article in Therapeutic advances in urology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

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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

7 authors.

Daniel ZainfeldCatherine & Joseph Aresty Department of Urology, University of Southern California Institute of Urology, Los Angeles, USA.
Jian ChenCatherine & Joseph Aresty Department of Urology, University of Southern California Institute of Urology, Los Angeles, USA.ORCID https://orcid.org/0000-0002-6740-8401
Jie CaiCatherine & Joseph Aresty Department of Urology, University of Southern California Institute of Urology, Los Angeles, USA.
Gus MirandaCatherine & Joseph Aresty Department of Urology, University of Southern California Institute of Urology, Los Angeles, USA.
Anne SchuckmanCatherine & Joseph Aresty Department of Urology, University of Southern California Institute of Urology, Los Angeles, USA.
Siamak DaneshmandCatherine & Joseph Aresty Department of Urology, University of Southern California Institute of Urology, Los Angeles, USA.
Hooman DjaladatInstitute of Urology, University of Southern California, 1441 Eastlake Avenue Suite 7416, Los Angeles, CA 90089, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEnhanced recovery after surgery (ERAS) protocols decrease the length of hospital stay (LOS) and complications following radical cystectomy (RC). However, the impact of non-modifiable patient factors to postoperative outcome is unclear. This study aimed to identify nonmodifiable patient and disease factors predictive of post-RC outcomes with ERAS protocols.

methodsWe reviewed our institutional review board-approved prospectively maintained bladder cancer database. Patients with primary urothelial bladder cancer who underwent open RC with ERAS protocol between 2012 and 2016 were identified. Patient demographic and disease-relevant variables were reviewed. Factors predictive of LOS, 30- and 90-day complications and readmission were assessed using univariate and multivariable analyses.

resultsA total of 289 patients with a median age of 70 years were included, of whom 80.6% were male, 33.6% had Charlson comorbidity index ⩾2. Median LOS was 4 days and 21.1% received intraoperative transfusion. The 30-day complication and readmission rates were 58.8% and 16.6%, respectively. Age >70 (

conclusionsWith ERAS protocol, non-modifiable patient and disease factors influence outcomes after RC. Risk adjustment for these factors is important for patient counseling, quality assessment and future reimbursement.

Indexed as

cystectomypatient readmissionpostoperative complicationsurinary bladder neoplasms

Identifiers

PMID30574199
PMCPMC6295781

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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.