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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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dc.contributor.author나군호-
dc.date.accessioned2020-12-01T17:46:52Z-
dc.date.available2020-12-01T17:46:52Z-
dc.date.issued2020-08-
dc.identifier.issn1464-4096-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/180447-
dc.description.abstractObjective: 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.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherBlackwell Science-
dc.relation.isPartOfBJU INTERNATIONAL-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.titleA 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-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Urology (비뇨의학교실)-
dc.contributor.googleauthorAhmed A Hussein-
dc.contributor.googleauthorAhmed S Elsayed-
dc.contributor.googleauthorNaif A Aldhaam-
dc.contributor.googleauthorZhe Jing-
dc.contributor.googleauthorJames O Peabody-
dc.contributor.googleauthorCarl J Wijburg-
dc.contributor.googleauthorAndrew Wagner-
dc.contributor.googleauthorAbdullah Erdem Canda-
dc.contributor.googleauthorMohammad Shamim Khan-
dc.contributor.googleauthorDouglas Scherr-
dc.contributor.googleauthorFrancis Schanne-
dc.contributor.googleauthorThomas J Maatman-
dc.contributor.googleauthorEric Kim-
dc.contributor.googleauthorAlexandre Mottrie-
dc.contributor.googleauthorAhmed Aboumohamed-
dc.contributor.googleauthorFranco Gaboardi-
dc.contributor.googleauthorGiovannalberto Pini-
dc.contributor.googleauthorJihad Kaouk-
dc.contributor.googleauthorBertram Yuh-
dc.contributor.googleauthorKoon-Ho Rha-
dc.contributor.googleauthorAshok Hemal-
dc.contributor.googleauthorJoan Palou Redorta-
dc.contributor.googleauthorKetan Badani-
dc.contributor.googleauthorMatthias Saar-
dc.contributor.googleauthorMichael Stockle-
dc.contributor.googleauthorLee Richstone-
dc.contributor.googleauthorMorgan Roupret-
dc.contributor.googleauthorDerya Balbay-
dc.contributor.googleauthorProkar Dasgupta-
dc.contributor.googleauthorMani Menon-
dc.contributor.googleauthorKhurshid A Guru-
dc.identifier.doi10.1111/bju.15083-
dc.contributor.localIdA01227-
dc.relation.journalcodeJ00340-
dc.identifier.eissn1464-410X-
dc.identifier.pmid32306494-
dc.identifier.urlhttps://bjui-journals.onlinelibrary.wiley.com/doi/abs/10.1111/bju.15083-
dc.subject.keywordextracorporeal-
dc.subject.keywordintracorporeal-
dc.subject.keywordurinary diversion-
dc.contributor.alternativeNameRha, Koon Ho-
dc.contributor.affiliatedAuthor나군호-
dc.citation.volume126-
dc.citation.number2-
dc.citation.startPage265-
dc.citation.endPage272-
dc.identifier.bibliographicCitationBJU INTERNATIONAL, Vol.126(2) : 265-272, 2020-08-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers

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