Evidence map›Paper›PMID 33675471›Full record

ArticleInternational urology and nephrology2021

Association of metabolic equivalent of task (MET) score in length of stay in hospital following radical cystectomy with urinary diversion: a multi-institutional study.

Chun Shea, Abdul Rouf Khawaja, Khalid Sofi, Ghulam Nabi

Abstract readMulticenter Study
In one paragraph

Article in International urology and nephrology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Chun SheaSchool of Medicine, University of Dundee, Dundee, Scotland, UK. Franco.Shea@nhs.net.ORCID http://orcid.org/0000-0001-8871-2552
Abdul Rouf KhawajaDepartment of Urology, Sher-i-Kashmir Institute of Medical Sciences, Soura, Srinagar, India.
Khalid SofiDepartment of Anesthesiology, Sher-i-Kashmir Institute of Medical Sciences, Soura, Srinagar, India.
Ghulam NabiDepartment of Urology, Ninewells Hospital, Dundee, Scotland, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe Metabolic equivalent of task (MET) score is used in patients' preoperative functional capacity assessment. It is commonly thought that patients with a higher MET score will have better postoperative outcomes than patients with a lower MET score. However, such a link remains the subject of debate and is yet unvalidated in major urological surgery. This study aimed to explore the association of patients' MET score with their postoperative outcomes following radical cystectomy.

methodsWe used records-linkage methodology with unique identifiers (Community Health Index/hospital number) and electronic databases to assess postoperative outcomes of patients who had underwent radical cystectomies between 2015 and 2020. The outcome measure was patients' length of hospital stay. This was compared with multiple basic characteristics such as age, sex, MET score and comorbid conditions. A MET score of less than four (< 4) is taken as the threshold for a poor functional capacity. We conducted unadjusted and adjusted Cox regression analyses for time to discharge against MET score.

resultsA total of 126 patients were included in the analysis. Mean age on date of operation was 66.2 (SD 12.2) years and 49 (38.9%) were female. A lower MET score was associated with a statistically significant lower time-dependent risk of hospital discharge (i.e. longer hospital stay) when adjusted for covariates (HR 0.224; 95% CI 0.077-0.652; p = 0.006). Older age (adjusted HR 0.531; 95% CI 0.332-0.848; p = 0.008) and postoperative complications (adjusted HR 0.503; 95% CI 0.323-0.848; p = 0.002) were also found to be associated with longer hospital stay. Other comorbid conditions, BMI, disease staging and 30-day all-cause mortality were statistically insignificant.

conclusionA lower MET score in this cohort of patients was associated with a longer hospital stay length following radical cystectomy with urinary diversion.

Indexed as

CystectomyMetabolic EquivalentUrinary DiversionAgedFemaleHumansLength of StayMaleMiddle AgedRetrospective StudiesUrinary Bladder NeoplasmsCystectomyHospital stay lengthIleal conduitMetabolic equivalent of taskMET scorePostoperative complicationPostoperative outcomeRadical cystectomyUrinary diversion

Identifiers

PMID33675471
PMCPMC8192360

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