Evidence map›Paper›PMID 38811450›Full record

ArticleInternational urology and nephrology2024

Smoking is not associated with wound complications in augmented urethroplasty: a NSQIP analysis.

Ellen Cahill, Raeesa Islam, Kevin Chua, Vasundhara Balraj, Joseph Boyle, Hiren Patel, Alain Kaldany, Sai Krishnaraya Doppalapudi, Danielle Velez, Hari Tunuguntla and 1 more

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Article in International urology and nephrology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing 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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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.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Ellen CahillYale University, New Haven, USA. ellen.cahill@yale.edu.
Raeesa IslamRutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA.
Kevin ChuaRutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA.
Vasundhara BalrajRutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA.
Joseph BoyleMassachusetts General Hospital, Boston, USA.
Hiren PatelUniversity of California, San Francisco, San Francisco, USA.
Alain KaldanyRutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA.
Sai Krishnaraya DoppalapudiRutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA.
Danielle VelezRutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA.
Hari TunuguntlaRutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA.
Joshua SterlingYale University, New Haven, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate if predictors of wound complications differed between patients undergoing excision and primary anastomosis urethroplasty (EPA) and augmented urethroplasty.

methodsThe National Surgical Quality Improvement Program database from 2006 to 2018 was queried for male patients undergoing urethroplasty. Thirty-day wound complications were identified and categorized (superficial/deep/organ-space surgical site infections and dehiscence). Multivariable logistic regression was performed to determine risk factors associated with wound complications. Smoking history was defined as current smoker within the past year.

resultsUrethroplasty was performed in 2251 males, with 25.46% (n = 573) using a flap or graft. There was no significant difference in wound complications for patients undergoing augmented urethroplasty (n = 17, 2.97%) or EPA (n = 45, 2.68%) (p = 0.9). The augmented group had a higher BMI, longer operative time, and longer length of stay. On multivariable logistic regression, risk factors associated with wound complications for patients undergoing EPA were diabetes (OR 2.56, p = 0.03) and smoking (OR 2.32, p = 0.02). However, these factors were not associated with wound complications in patients undergoing augmented urethroplasty.

conclusionsSmoking and diabetes were associated with increased wound complications for men undergoing EPA, but not in patients undergoing augmented urethroplasty. Patients with comorbidities associated with worse wound healing may be more likely to have a wound complication when undergoing EPA.

Indexed as

SmokingUrethraUrologic Surgical Procedures, MaleAdultAgedHumansMaleMiddle AgedPostoperative ComplicationsQuality ImprovementRetrospective StudiesRisk FactorsSurgical Wound InfectionUrethral StrictureReconstructive urologySmokingUrethroplastyWound complications

Identifiers

PMID38811450

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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.