Evidence map›Paper›PMID 32701439›Full record

ArticleCanadian Urological Association journal = Journal de l'Association des urologues du Canada2021

Re-operation within 30 days of radical cystectomy: Identifying high-risk patients and complications using American College of Surgeons National Surgical Quality Improvement Program database.

Rashid K Sayyid, Diana Magee, Amanda E Hird, Benjamin T Harper, Eric Webb, Katherine L Fratino, Martha K Terris, Rabii Madi, Raj Satkunasivam, Christopher J D Wallis and 1 more

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Article in Canadian Urological Association journal = Journal de l'Association des urologues du Canada, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 37% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Review
  2. 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

11 authors at 4 institutions in 3 countries.

Rashid K SayyidSection of Urology, Department of Surgery, Medical College of Georgia-Augusta University, Augusta, GA, United States.
Diana MageeDivision of Urology, Department of Surgery, University of Toronto, Toronto, ON, Canada.
Amanda E HirdDivision of Urology, Department of Surgery, University of Toronto, Toronto, ON, Canada.
Benjamin T HarperSection of Urology, Department of Surgery, Medical College of Georgia-Augusta University, Augusta, GA, United States.
Eric WebbSection of Urology, Department of Surgery, Medical College of Georgia-Augusta University, Augusta, GA, United States.
Katherine L FratinoSection of Urology, Department of Surgery, Medical College of Georgia-Augusta University, Augusta, GA, United States.
Martha K TerrisSection of Urology, Department of Surgery, Medical College of Georgia-Augusta University, Augusta, GA, United States.
Rabii MadiSection of Urology, Department of Surgery, Medical College of Georgia-Augusta University, Augusta, GA, United States.
Raj SatkunasivamDepartment of Urology and Center for Outcomes Research, Houston Methodist Hospital, Houston, TX, United States.
Christopher J D WallisDivision of Urology, Department of Surgery, University of Toronto, Toronto, ON, Canada.
Zachary KlaassenSection of Urology, Department of Surgery, Medical College of Georgia-Augusta University, Augusta, GA, United States.
University of Toronto · CAAugusta University Health · USMethodist Hospital · USNational Cancer Center of Georgia · GE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRadical cystectomy (RC) is a highly morbid procedure, with 30-day complication rates approaching 31%. Our objective was to determine risk factors for re-operation within 30 days following a RC for non-metastatic bladder cancer.

methodsWe included all patients who underwent a RC for non-metastatic bladder cancer using The American College of Surgeons National Surgical Quality Improvement Program database between January 1, 2007 and December 31, 2014. Logistic regression analyses were used to evaluate predictors of re-operation.

resultsA total of 2608 patients were included; 5.8% of patients underwent re-operation within 30 days. On multivariable analysis, increasing body mass index (BMI) (odds ratio [OR] 1.04, 95% confidence interval [CI] 1.01-1.07), African American race (vs. Caucasian OR 2.29, 95% CI 1.21-4.34), and history of chronic obstructive pulmonary disease (COPD) (OR 2.33, 95% CI 1.45-3.74) were significant predictors of re-operation within 30 days of RC. Urinary diversion type (ileal conduit vs. continent) and history of chemotherapy or radiotherapy within 30 days prior to RC were not. Patients who underwent re-operation within this timeframe had a significantly higher mortality rate (4.0% vs. 1.6%) and were more likely to experience cardiac (7.2% vs. 1.9%), pulmonary (23.0% vs. 3.0%), neurological (2.0% vs. 0.49%), and venous thromboembolic events (10.5% vs. 5.4%), as well as infectious complications (64.5% vs. 24.1%), with a significantly longer hospital length of stay (16.5 vs. 7.0 days).

conclusionsRecognizing increasing BMI, COPD, and African American race as risk factors for re-operation within 30 days of RC will allow urologists to preoperatively identify such high-risk patients and prompt them to adopt more aggressive approaches to minimize postoperative surgical complications.

Identifiers

PMID32701439
PMCPMC7769521
OpenAlexW3043336560

What OpenQuestion holds

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Registered trials

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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.