Evidence map›Paper›PMID 35092468›Full record

ArticleWorld journal of urology2022

Special surgical aspects of radical cystectomy in spinal cord injury patients with bladder cancer.

Ralf Böthig, Clemens Rosenbaum, Holger Böhme, Birgitt Kowald, Kai Fiebag, Roland Thietje, Wolfgang Schöps, Thura Kadhum, Klaus Golka

Abstract read
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In one paragraph

Article in World journal of urology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.7field-weighted citation impact, top 17% 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

5 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Bladder Cancer in Neurogenic Patients.World journal of urology · 2022
    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

9 authors at 5 institutions in 1 country.

Ralf Böthig *Department of Neuro-Urology, Centre for Spinal Cord Injuries, BG Klinikum Hamburg, Bergedorfer Str. 10, 21033, Hamburg, Germany. r.boethig@bgk-hamburg.de.ORCID http://orcid.org/0000-0003-3037-8066
Clemens Rosenbaum *Department of Urology, Asklepios Klinik Barmbek, Hamburg, Germany.
Holger BöhmeDepartment of Urology, Asklepios Klinik Barmbek, Hamburg, Germany.
Birgitt KowaldBiomechanical Laboratory, BG Klinikum Hamburg, Hamburg, Germany.
Kai FiebagDepartment of Neuro-Urology, Centre for Spinal Cord Injuries, BG Klinikum Hamburg, Bergedorfer Str. 10, 21033, Hamburg, Germany.
Roland ThietjeCentre for Spinal Cord Injuries, BG Klinikum Hamburg, Hamburg, Germany.
Wolfgang SchöpsUrological Practice, Sankt Augustin, Germany.
Thura KadhumSpecialist Clinic for Psychosomatic Rehabilitation, Mittelrhein-Klinik, Boppard - Bad Salzig, Germany.
Klaus GolkaLeibniz Research Centre for Working Environment and Human Factors at TU Dortmund (IfADo), Dortmund, Germany.
BG Klinikum Hamburg · DEAsklepios Klinik Barmbek · DEAsklepios Klinik Sankt Augustin · DEGemeinschaftsklinikum Mittelrhein · DETU Dortmund University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeRadical cystectomy in people with spinal cord injury (SCI) provides numerous additional difficulties, compared to able-bodied people. Therefore, it is important to obtain information from an experienced team about optimally managing these patients.

methodsSurgical procedures, based on the experience of 12 radical cystectomies in SCI patients with bladder cancer between January 1st, 2001, and December 31st, 2020, were recorded and the operative and perioperative clinical data were evaluated. Surgery was performed in a high-volume center by the surgeon most experienced in radical cystectomies, assisted by the neuro-urologist, involved in the care of the patient from the spinal cord center. Furthermore, a checklist based on the experience of the surgeon and the assisting neuro-urologist was developed.

resultsSCI patients mostly suffered from an advanced disease and were always operated by the same team. The hospital stays ranged from 23 to 134 days (median 42 days). Four of the patients suffered from a postoperative paralytic ileus. Otherwise, both the operation time and the intraoperative blood loss as well as intraoperative and postoperative complications were basically comparable with those in able-bodied patients. The special features of radical cystectomy in SCI bladder cancer patients are described. Furthermore, a checklist addressing preoperative red flags, intra-operative challenges and post-operative challenges is presented.

conclusionRadical cystectomy in SCI patients should be performed in a high-volume department by the most experienced surgical team. The inclusion of the urologist caring for the patient from the spinal cord injury center is highly recommended.

Indexed as

IleusSpinal Cord InjuriesUrinary Bladder NeoplasmsCystectomyHumansPostoperative ComplicationsTreatment OutcomeUrinary BladderAutonomic dysreflexiaChecklistChronic neurogenic bladder dysfunctionChronic neurogenic bowl dysfunctionDenervation of the urinary bladderSpina bifida

Identifiers

PMID35092468
OpenAlexW4210363991

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.