The role of body mass index on quality indicators following minimally-invasive radical prostatectomy

We sought to determine the role of body mass index (BMI) on quality indicators, such as length of stay and readmission. The National Surgical Quality Improvement Program (NSQIP) database was queried to examine the effect of obesity, defined as BMI >30, on outcomes after Minimally Invasive Radical...

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Bibliographic Details
Published in:Investigative and clinical urology 2021, 62(3), , pp.290-297
Main Authors: Pathak, Ram A, Wilson, Robert R A, Craven, Timothy E, Matz, Ethan, Hemal, Ashok K
Format: Article
Language:English
Subjects:
Aged
Body Mass Index
Humans
laparoscopy
Laparoscopy - adverse effects
Length of Stay
Logistic Models
Male
Middle Aged
Obesity - complications
Original
Patient Readmission
postoperative complications
Postoperative Complications - epidemiology
prostatectomy
Prostatectomy - adverse effects
Prostatic Neoplasms - complications
Prostatic Neoplasms - surgery
Quality Indicators, Health Care
Retrospective Studies
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Summary:We sought to determine the role of body mass index (BMI) on quality indicators, such as length of stay and readmission. The National Surgical Quality Improvement Program (NSQIP) database was queried to examine the effect of obesity, defined as BMI >30, on outcomes after Minimally Invasive Radical Retropubic Prostatectomy (MI-RRP). Utilizing the NSQIP database, patient records were identified using the Current Procedural Terminology (CPT) code 55866 (laparoscopy, surgical prostatectomy, radical retropubic) during a 10-year period (2007-2017). Obesity was classified according to the CDC classification. Chi-square tests were utilized to evaluate BMI distribution by surgery year. Logistic regression was used to evaluate the relationship of BMI with length of stay (LOS) and hospital readmission within 30 days, after controlling for preoperative variables. Records of 49,238 patients who have undergone MI-RRP during 2007-2017 were evaluated. Mean yearly BMI rose from 28.5 to 29.2, while the percentage of surgical patients with BMI >30 rose by 5% (33% to 38%; p
ISSN:2466-0493
2466-054X
DOI:10.4111/icu.20200411