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Robot-Assisted Radical Antegrade Modular Pancreatosplenectomy Including Resection and Reconstruction of the Spleno-Mesenteric Junction
Published on: January 3, 2020
Complications after radical cystectomy: analysis of population-based data
Badrinath R Konety1, Veerasathpurush Allareddy, Harry Herr
1Department of Urology, University of California, San Francisco, School of Medicine, UCSF-Mt. Zion Medical Center, San Francisco, California 94143-1695, USA. bkonety@urol.ucsf.edu
Urology
|June 30, 2006
Summary
Radical cystectomy morbidity and mortality rates are similar to previous studies. High-volume hospitals reduce primary complications, while younger patients and specific hospital types lower overall complication risks.
Area of Science:
- Urology
- Surgical Oncology
- Public Health
Background:
- Radical cystectomy is a major surgery for bladder cancer.
- Existing complication data primarily comes from single institutions, lacking population-based insights.
Purpose of the Study:
- To assess morbidity and mortality associated with radical cystectomy using a national population sample.
- To identify patient and hospital factors influencing complication rates.
Main Methods:
- Utilized the National Inpatient Sample (NIS) database from 1998-2002.
- Analyzed International Classification of Diseases, version 9 (ICD-9) codes for complications.
- Employed logistic regression to identify factors associated with complications.
Main Results:
- In-hospital mortality was 2.57%; 28.4% of patients experienced complications.
- Younger patients had fewer complications.
- High-volume hospitals were linked to fewer primary surgery-related complications.
Conclusions:
- Population-based morbidity and mortality for radical cystectomy align with single-center reports.
- Hospital volume is a key factor in reducing primary surgical complications.
