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Outcomes of radical cystectomy in pT4 bladder cancer frail patients: Α high-volume single center study.
Stamatakos, Panagiotis Velissarios; Moschotzopoulos, Dimitrios; Glykas, Ioannis; Fragkoulis, Charalampos; Kostakopoulos, Nikolaos; Papadopoulos, Georgios; Stathouros, Georgios; Aristas, Odysseas; Dellis, Athanasios; Papatsoris, Athanasios; Ntoumas, Konstantinos.
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  • Stamatakos PV; Department of Urology, General Hospital of Athens G.Gennimatas, Athens, Greece.
  • Moschotzopoulos D; Department of Urology, General Hospital of Athens G.Gennimatas, Athens, Greece.
  • Glykas I; Department of Urology, General Hospital of Athens G.Gennimatas, Athens, Greece.
  • Fragkoulis C; Department of Urology, General Hospital of Athens G.Gennimatas, Athens, Greece.
  • Kostakopoulos N; Aberdeen Royal Infirmary, NHS Grampian, Aberdeen, United Kingdom.
  • Papadopoulos G; Metropolitan General Hospital, 1 Department of Urology, Athens, Greece.
  • Stathouros G; Department of Urology, General Hospital of Athens G.Gennimatas, Athens, Greece.
  • Aristas O; Department of Urology, General Hospital of Athens G.Gennimatas, Athens, Greece.
  • Dellis A; Department of Urology, General Hospital of Athens G.Gennimatas, Athens, Greece.
  • Papatsoris A; 2 Department of Surgery, Aretaieion Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
  • Ntoumas K; 1 Department of Urology, Laiko Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
J Frailty Sarcopenia Falls ; 7(3): 147-150, 2022 Sep.
Article en En | MEDLINE | ID: mdl-36119554
Objectives: This study aims to evaluate the effect of frailty in patients undergoing radical cystectomy (RC) for locally advanced bladder cancer. Methods: In this retrospective, single center study we evaluated 51 patients with pT4 bladder cancer treated with radical cystectomy between 2016-2020. Patient frailty was assessed with the Clinical Frailty Scale (CFS). Furthermore, six separate parameters (early mortality index within 30 days after surgery, death after one year, length of stay, respiratory complications, readmission index, total hospital charges) were also evaluated. The patients were categorized on three groups (Group 1, 2, 3) based on the CFS. Results: A total of 51 pT4 RC patients were included in the study. Mean age was 75.6 years. Early mortality rate at 30 days after surgery was low all the groups. One year mortality rate was higher in Group 2 (22%) and 3 (69%). The length of stay and the number of patients with respiratory complications were also higher in the frailer groups. 30 days readmission rate was 22% in Group 2 and 38% in Group 3. Conclusions: Preoperative frailty is associated with worse postoperative results after RC. CFS is an objective tool for patient risk stratification and can predict postoperative complications and mortality.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Prognostic_studies Idioma: En Revista: J Frailty Sarcopenia Falls Año: 2022 Tipo del documento: Article País de afiliación: Grecia Pais de publicación: Grecia
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Prognostic_studies Idioma: En Revista: J Frailty Sarcopenia Falls Año: 2022 Tipo del documento: Article País de afiliación: Grecia Pais de publicación: Grecia