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A comparative propensity score-matched analysis of perioperative outcomes of intracorporeal vs extracorporeal urinary diversion after robot-assisted radical cystectomy: results from the International Robotic Cystectomy Consortium

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A comparative propensity score-matched analysis of perioperative outcomes of intracorporeal vs extracorporeal urinary diversion after robot-assisted radical cystectomy : results from the International Robotic Cystectomy Consortium. / Hussein, Ahmed A.; Elsayed, Ahmed S.; Aldhaam, Naif A.; Jing, Zhe; Peabody, James O.; Wijburg, Carl J.; Wagner, Andrew; Canda, Abdullah Erdem; Khan, Mohammad Shamim; Scherr, Douglas; Schanne, Francis; Maatman, Thomas J.; Kim, Eric; Mottrie, Alexandre; Aboumohamed, Ahmed; Gaboardi, Franco; Pini, Giovannalberto; Kaouk, Jihad; Yuh, Bertram; Rha, Koon Ho; Hemal, Ashok; Palou Redorta, Joan; Badani, Ketan; Saar, Matthias; Stockle, Michael; Richstone, Lee; Roupret, Morgan; Balbay, Derya; Dasgupta, Prokar; Menon, Mani; Guru, Khurshid A.

In: BJU International, Vol. 126, No. 2, 01.08.2020, p. 265-272.

Research output: Contribution to journalArticle

Harvard

Hussein, AA, Elsayed, AS, Aldhaam, NA, Jing, Z, Peabody, JO, Wijburg, CJ, Wagner, A, Canda, AE, Khan, MS, Scherr, D, Schanne, F, Maatman, TJ, Kim, E, Mottrie, A, Aboumohamed, A, Gaboardi, F, Pini, G, Kaouk, J, Yuh, B, Rha, KH, Hemal, A, Palou Redorta, J, Badani, K, Saar, M, Stockle, M, Richstone, L, Roupret, M, Balbay, D, Dasgupta, P, Menon, M & Guru, KA 2020, 'A comparative propensity score-matched analysis of perioperative outcomes of intracorporeal vs extracorporeal urinary diversion after robot-assisted radical cystectomy: results from the International Robotic Cystectomy Consortium', BJU International, vol. 126, no. 2, pp. 265-272. https://doi.org/10.1111/bju.15083

APA

Hussein, A. A., Elsayed, A. S., Aldhaam, N. A., Jing, Z., Peabody, J. O., Wijburg, C. J., Wagner, A., Canda, A. E., Khan, M. S., Scherr, D., Schanne, F., Maatman, T. J., Kim, E., Mottrie, A., Aboumohamed, A., Gaboardi, F., Pini, G., Kaouk, J., Yuh, B., ... Guru, K. A. (2020). A comparative propensity score-matched analysis of perioperative outcomes of intracorporeal vs extracorporeal urinary diversion after robot-assisted radical cystectomy: results from the International Robotic Cystectomy Consortium. BJU International, 126(2), 265-272. https://doi.org/10.1111/bju.15083

Vancouver

Hussein AA, Elsayed AS, Aldhaam NA, Jing Z, Peabody JO, Wijburg CJ et al. A comparative propensity score-matched analysis of perioperative outcomes of intracorporeal vs extracorporeal urinary diversion after robot-assisted radical cystectomy: results from the International Robotic Cystectomy Consortium. BJU International. 2020 Aug 1;126(2):265-272. https://doi.org/10.1111/bju.15083

Author

Hussein, Ahmed A. ; Elsayed, Ahmed S. ; Aldhaam, Naif A. ; Jing, Zhe ; Peabody, James O. ; Wijburg, Carl J. ; Wagner, Andrew ; Canda, Abdullah Erdem ; Khan, Mohammad Shamim ; Scherr, Douglas ; Schanne, Francis ; Maatman, Thomas J. ; Kim, Eric ; Mottrie, Alexandre ; Aboumohamed, Ahmed ; Gaboardi, Franco ; Pini, Giovannalberto ; Kaouk, Jihad ; Yuh, Bertram ; Rha, Koon Ho ; Hemal, Ashok ; Palou Redorta, Joan ; Badani, Ketan ; Saar, Matthias ; Stockle, Michael ; Richstone, Lee ; Roupret, Morgan ; Balbay, Derya ; Dasgupta, Prokar ; Menon, Mani ; Guru, Khurshid A. / A comparative propensity score-matched analysis of perioperative outcomes of intracorporeal vs extracorporeal urinary diversion after robot-assisted radical cystectomy : results from the International Robotic Cystectomy Consortium. In: BJU International. 2020 ; Vol. 126, No. 2. pp. 265-272.

Bibtex Download

@article{05c5e967cd034298884b21345a5f48c3,
title = "A comparative propensity score-matched analysis of perioperative outcomes of intracorporeal vs extracorporeal urinary diversion after robot-assisted radical cystectomy: results from the International Robotic Cystectomy Consortium",
abstract = "Objective: To compare the perioperative outcomes of intracorporeal (ICUD) vs extracorporeal urinary diversion (ECUD) after robot-assisted radical cystectomy (RARC). Patients and Methods: We retrospectively reviewed the prospectively maintained International Robotic Cystectomy Consortium (IRCC) database. A total of 972 patients from 28 institutions who underwent RARC were included. Propensity score matching was used to match patients based on age, gender, body mass index (BMI), American Society of Anesthesiologists Score (ASA) score, Charlson Comorbidity Index (CCI) score, prior radiation and abdominal surgery, receipt of neoadjuvant chemotherapy, and clinical staging. Matched cohorts were compared. Multivariate stepwise logistic and linear regression models were fit to evaluate variables associated with receiving ICUD, operating time, 90-day high-grade complications (Clavien–Dindo Classification Grade ≥III), and 90-day readmissions after RARC. Results: Utilisation of ICUD increased from 0% in 2005 to 95% in 2018. The ICUD patients had more overall complications (66% vs 58%, P = 0.01) and readmissions (27% vs 17%, P = 0.01), but not high-grade complications (21% vs 24%, P = 0.22). A more recent RC era and ileal conduit diversion were associated with receiving an ICUD. Higher BMI, ASA score ≥3, and receiving a neobladder were associated with longer operating times. Shorter operating time was associated with male gender, older age, ICUD, and centres with a larger annual average RC volume. Longer intensive care unit stay was associated with 90-day high-grade complications. Higher CCI score, prior radiation therapy, neoadjuvant chemotherapy, and ICUD were associated with a higher risk of 90-day readmissions. Conclusions: Utilisation of ICUD has increased over the past decade. ICUD was associated with more overall complications and readmissions compared to ECUD, but not high-grade complications.",
keywords = "extracorporeal, intracorporeal, urinary diversion",
author = "Hussein, {Ahmed A.} and Elsayed, {Ahmed S.} and Aldhaam, {Naif A.} and Zhe Jing and Peabody, {James O.} and Wijburg, {Carl J.} and Andrew Wagner and Canda, {Abdullah Erdem} and Khan, {Mohammad Shamim} and Douglas Scherr and Francis Schanne and Maatman, {Thomas J.} and Eric Kim and Alexandre Mottrie and Ahmed Aboumohamed and Franco Gaboardi and Giovannalberto Pini and Jihad Kaouk and Bertram Yuh and Rha, {Koon Ho} and Ashok Hemal and {Palou Redorta}, Joan and Ketan Badani and Matthias Saar and Michael Stockle and Lee Richstone and Morgan Roupret and Derya Balbay and Prokar Dasgupta and Mani Menon and Guru, {Khurshid A.}",
year = "2020",
month = aug,
day = "1",
doi = "10.1111/bju.15083",
language = "English",
volume = "126",
pages = "265--272",
journal = "BJU International",
issn = "1464-4096",
publisher = "Wiley-Blackwell",
number = "2",

}

RIS (suitable for import to EndNote) Download

TY - JOUR

T1 - A comparative propensity score-matched analysis of perioperative outcomes of intracorporeal vs extracorporeal urinary diversion after robot-assisted radical cystectomy

T2 - results from the International Robotic Cystectomy Consortium

AU - Hussein, Ahmed A.

AU - Elsayed, Ahmed S.

AU - Aldhaam, Naif A.

AU - Jing, Zhe

AU - Peabody, James O.

AU - Wijburg, Carl J.

AU - Wagner, Andrew

AU - Canda, Abdullah Erdem

AU - Khan, Mohammad Shamim

AU - Scherr, Douglas

AU - Schanne, Francis

AU - Maatman, Thomas J.

AU - Kim, Eric

AU - Mottrie, Alexandre

AU - Aboumohamed, Ahmed

AU - Gaboardi, Franco

AU - Pini, Giovannalberto

AU - Kaouk, Jihad

AU - Yuh, Bertram

AU - Rha, Koon Ho

AU - Hemal, Ashok

AU - Palou Redorta, Joan

AU - Badani, Ketan

AU - Saar, Matthias

AU - Stockle, Michael

AU - Richstone, Lee

AU - Roupret, Morgan

AU - Balbay, Derya

AU - Dasgupta, Prokar

AU - Menon, Mani

AU - Guru, Khurshid A.

PY - 2020/8/1

Y1 - 2020/8/1

N2 - Objective: To compare the perioperative outcomes of intracorporeal (ICUD) vs extracorporeal urinary diversion (ECUD) after robot-assisted radical cystectomy (RARC). Patients and Methods: We retrospectively reviewed the prospectively maintained International Robotic Cystectomy Consortium (IRCC) database. A total of 972 patients from 28 institutions who underwent RARC were included. Propensity score matching was used to match patients based on age, gender, body mass index (BMI), American Society of Anesthesiologists Score (ASA) score, Charlson Comorbidity Index (CCI) score, prior radiation and abdominal surgery, receipt of neoadjuvant chemotherapy, and clinical staging. Matched cohorts were compared. Multivariate stepwise logistic and linear regression models were fit to evaluate variables associated with receiving ICUD, operating time, 90-day high-grade complications (Clavien–Dindo Classification Grade ≥III), and 90-day readmissions after RARC. Results: Utilisation of ICUD increased from 0% in 2005 to 95% in 2018. The ICUD patients had more overall complications (66% vs 58%, P = 0.01) and readmissions (27% vs 17%, P = 0.01), but not high-grade complications (21% vs 24%, P = 0.22). A more recent RC era and ileal conduit diversion were associated with receiving an ICUD. Higher BMI, ASA score ≥3, and receiving a neobladder were associated with longer operating times. Shorter operating time was associated with male gender, older age, ICUD, and centres with a larger annual average RC volume. Longer intensive care unit stay was associated with 90-day high-grade complications. Higher CCI score, prior radiation therapy, neoadjuvant chemotherapy, and ICUD were associated with a higher risk of 90-day readmissions. Conclusions: Utilisation of ICUD has increased over the past decade. ICUD was associated with more overall complications and readmissions compared to ECUD, but not high-grade complications.

AB - Objective: To compare the perioperative outcomes of intracorporeal (ICUD) vs extracorporeal urinary diversion (ECUD) after robot-assisted radical cystectomy (RARC). Patients and Methods: We retrospectively reviewed the prospectively maintained International Robotic Cystectomy Consortium (IRCC) database. A total of 972 patients from 28 institutions who underwent RARC were included. Propensity score matching was used to match patients based on age, gender, body mass index (BMI), American Society of Anesthesiologists Score (ASA) score, Charlson Comorbidity Index (CCI) score, prior radiation and abdominal surgery, receipt of neoadjuvant chemotherapy, and clinical staging. Matched cohorts were compared. Multivariate stepwise logistic and linear regression models were fit to evaluate variables associated with receiving ICUD, operating time, 90-day high-grade complications (Clavien–Dindo Classification Grade ≥III), and 90-day readmissions after RARC. Results: Utilisation of ICUD increased from 0% in 2005 to 95% in 2018. The ICUD patients had more overall complications (66% vs 58%, P = 0.01) and readmissions (27% vs 17%, P = 0.01), but not high-grade complications (21% vs 24%, P = 0.22). A more recent RC era and ileal conduit diversion were associated with receiving an ICUD. Higher BMI, ASA score ≥3, and receiving a neobladder were associated with longer operating times. Shorter operating time was associated with male gender, older age, ICUD, and centres with a larger annual average RC volume. Longer intensive care unit stay was associated with 90-day high-grade complications. Higher CCI score, prior radiation therapy, neoadjuvant chemotherapy, and ICUD were associated with a higher risk of 90-day readmissions. Conclusions: Utilisation of ICUD has increased over the past decade. ICUD was associated with more overall complications and readmissions compared to ECUD, but not high-grade complications.

KW - extracorporeal

KW - intracorporeal

KW - urinary diversion

UR - http://www.scopus.com/inward/record.url?scp=85084647298&partnerID=8YFLogxK

U2 - 10.1111/bju.15083

DO - 10.1111/bju.15083

M3 - Article

C2 - 32306494

AN - SCOPUS:85084647298

VL - 126

SP - 265

EP - 272

JO - BJU International

JF - BJU International

SN - 1464-4096

IS - 2

ER -

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