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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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| Published in: | Investigative and clinical urology 2021, 62(3), , pp.290-297 |
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| container_title | Investigative and clinical urology |
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| creator | Pathak, Ram A Wilson, Robert R A Craven, Timothy E Matz, Ethan Hemal, Ashok K |
| description | 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 |
| doi_str_mv | 10.4111/icu.20200411 |
| format | article |
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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<0.0001) over the study period. Obese patients demonstrated higher morbidity, prolonged LOS, and increased readmission rates after MI-RRP. Obesity severity correlated negatively with quality indicators in a graded fashion.
Obesity rates in patients undergoing MI-RRP increased from 2007-2017. Obese patients are at increased risk of morbidity, prolonged LOS, and readmission within 30 days, following MI-RRP. These patients should not be excluded from MI-RRP; rather, physicians should discuss these increased risks with their patients. Proper weight loss strategies should be instituted preoperatively to mitigate these risks.</description><identifier>ISSN: 2466-0493</identifier><identifier>EISSN: 2466-054X</identifier><identifier>DOI: 10.4111/icu.20200411</identifier><identifier>PMID: 33834640</identifier><language>eng</language><publisher>Korea (South): The Korean Urological Association</publisher><subject>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 ; 비뇨기과학</subject><ispartof>Investigative and Clinical Urology, 2021, 62(3), , pp.290-297</ispartof><rights>The Korean Urological Association, 2021.</rights><rights>The Korean Urological Association, 2021 2021 The Korean Urological Association</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c484t-3eb8719991d68b3a9834cb5d8a2f1bf51a399ae74c97f424fd659364e2d574ce3</citedby><cites>FETCH-LOGICAL-c484t-3eb8719991d68b3a9834cb5d8a2f1bf51a399ae74c97f424fd659364e2d574ce3</cites><orcidid>0000-0003-4522-4449 ; 0000-0003-1830-8508 ; 0000-0003-0578-2649 ; 0000-0001-8270-341X ; 0000-0002-8685-4271</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8100006/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8100006/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27923,27924,53790,53792</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33834640$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://www.kci.go.kr/kciportal/ci/sereArticleSearch/ciSereArtiView.kci?sereArticleSearchBean.artiId=ART002714611$$DAccess content in National Research Foundation of Korea (NRF)$$Hfree_for_read</backlink></links><search><creatorcontrib>Pathak, Ram A</creatorcontrib><creatorcontrib>Wilson, Robert R A</creatorcontrib><creatorcontrib>Craven, Timothy E</creatorcontrib><creatorcontrib>Matz, Ethan</creatorcontrib><creatorcontrib>Hemal, Ashok K</creatorcontrib><title>The role of body mass index on quality indicators following minimally-invasive radical prostatectomy</title><title>Investigative and clinical urology</title><addtitle>Investig Clin Urol</addtitle><description>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<0.0001) over the study period. Obese patients demonstrated higher morbidity, prolonged LOS, and increased readmission rates after MI-RRP. Obesity severity correlated negatively with quality indicators in a graded fashion.
Obesity rates in patients undergoing MI-RRP increased from 2007-2017. Obese patients are at increased risk of morbidity, prolonged LOS, and readmission within 30 days, following MI-RRP. These patients should not be excluded from MI-RRP; rather, physicians should discuss these increased risks with their patients. Proper weight loss strategies should be instituted preoperatively to mitigate these risks.</description><subject>Aged</subject><subject>Body Mass Index</subject><subject>Humans</subject><subject>laparoscopy</subject><subject>Laparoscopy - adverse effects</subject><subject>Length of Stay</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Obesity - complications</subject><subject>Original</subject><subject>Patient Readmission</subject><subject>postoperative complications</subject><subject>Postoperative Complications - epidemiology</subject><subject>prostatectomy</subject><subject>Prostatectomy - adverse effects</subject><subject>Prostatic Neoplasms - complications</subject><subject>Prostatic Neoplasms - surgery</subject><subject>Quality Indicators, Health Care</subject><subject>Retrospective Studies</subject><subject>비뇨기과학</subject><issn>2466-0493</issn><issn>2466-054X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNpVks1rHCEYxofQkIQkt56LxxY6qV_j6KUQQtMuBAplC72J48fGxBk3OrPt_Pdxd7OhOb36-vPxUZ-qeo_gFUUIffF6usIQQ1hmR9UZpozVsKF_3h3GVJDT6jLnBwghYqRFhJ9Up4RwQhmFZ5VZ3luQYrAgOtBFM4Ne5Qz8YOw_EAfwNKngx3nb8FqNMWXgYgjxrx9WoPeD71UIc-2Hjcp-U6TUlgtgnWIe1Wj1GPv5ojp2KmR7-VLPq9-335Y3P-q7n98XN9d3taacjjWxHW-REAIZxjuiRDGpu8ZwhR3qXIMUEULZlmrROoqpM6wRhFGLTVOalpxXn_a6Q3LyUXsZld_VVZSPSV7_Wi6kaDnBqCnsYs-aqB7kOpWLpHm3YdeIaSVVGr0OVnYtYx2n2mjX0OJAYKGhUIpbRlGrUdH6utdaT11vjbbDmFR4I_p2ZfD3xdNGclS-BbIi8PFFIMWnyeZR9j5rG4IabJyyxA1CmAjYbNHPe1SXF87JutdjEJTbTMiSCXnIRME__G_tFT4kgDwD9yezkQ</recordid><startdate>20210501</startdate><enddate>20210501</enddate><creator>Pathak, Ram A</creator><creator>Wilson, Robert R A</creator><creator>Craven, Timothy E</creator><creator>Matz, Ethan</creator><creator>Hemal, Ashok K</creator><general>The Korean Urological Association</general><general>Korean Urological Association</general><general>대한비뇨의학회</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><scope>ACYCR</scope><orcidid>https://orcid.org/0000-0003-4522-4449</orcidid><orcidid>https://orcid.org/0000-0003-1830-8508</orcidid><orcidid>https://orcid.org/0000-0003-0578-2649</orcidid><orcidid>https://orcid.org/0000-0001-8270-341X</orcidid><orcidid>https://orcid.org/0000-0002-8685-4271</orcidid></search><sort><creationdate>20210501</creationdate><title>The role of body mass index on quality indicators following minimally-invasive radical prostatectomy</title><author>Pathak, Ram A ; Wilson, Robert R A ; Craven, Timothy E ; Matz, Ethan ; Hemal, Ashok K</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c484t-3eb8719991d68b3a9834cb5d8a2f1bf51a399ae74c97f424fd659364e2d574ce3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Aged</topic><topic>Body Mass Index</topic><topic>Humans</topic><topic>laparoscopy</topic><topic>Laparoscopy - adverse effects</topic><topic>Length of Stay</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Obesity - complications</topic><topic>Original</topic><topic>Patient Readmission</topic><topic>postoperative complications</topic><topic>Postoperative Complications - epidemiology</topic><topic>prostatectomy</topic><topic>Prostatectomy - adverse effects</topic><topic>Prostatic Neoplasms - complications</topic><topic>Prostatic Neoplasms - surgery</topic><topic>Quality Indicators, Health Care</topic><topic>Retrospective Studies</topic><topic>비뇨기과학</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pathak, Ram A</creatorcontrib><creatorcontrib>Wilson, Robert R A</creatorcontrib><creatorcontrib>Craven, Timothy E</creatorcontrib><creatorcontrib>Matz, Ethan</creatorcontrib><creatorcontrib>Hemal, Ashok K</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Directory of Open Access Journals</collection><collection>Korean Citation Index</collection><jtitle>Investigative and clinical urology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pathak, Ram A</au><au>Wilson, Robert R A</au><au>Craven, Timothy E</au><au>Matz, Ethan</au><au>Hemal, Ashok K</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The role of body mass index on quality indicators following minimally-invasive radical prostatectomy</atitle><jtitle>Investigative and clinical urology</jtitle><addtitle>Investig Clin Urol</addtitle><date>2021-05-01</date><risdate>2021</risdate><volume>62</volume><issue>3</issue><spage>290</spage><epage>297</epage><pages>290-297</pages><issn>2466-0493</issn><eissn>2466-054X</eissn><abstract>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<0.0001) over the study period. Obese patients demonstrated higher morbidity, prolonged LOS, and increased readmission rates after MI-RRP. Obesity severity correlated negatively with quality indicators in a graded fashion.
Obesity rates in patients undergoing MI-RRP increased from 2007-2017. Obese patients are at increased risk of morbidity, prolonged LOS, and readmission within 30 days, following MI-RRP. These patients should not be excluded from MI-RRP; rather, physicians should discuss these increased risks with their patients. Proper weight loss strategies should be instituted preoperatively to mitigate these risks.</abstract><cop>Korea (South)</cop><pub>The Korean Urological Association</pub><pmid>33834640</pmid><doi>10.4111/icu.20200411</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-4522-4449</orcidid><orcidid>https://orcid.org/0000-0003-1830-8508</orcidid><orcidid>https://orcid.org/0000-0003-0578-2649</orcidid><orcidid>https://orcid.org/0000-0001-8270-341X</orcidid><orcidid>https://orcid.org/0000-0002-8685-4271</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Investigative and Clinical Urology, 2021, 62(3), , pp.290-297 |
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| language | eng |
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| source | PubMed Central (Open Access) |
| 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 비뇨기과학 |
| title | The role of body mass index on quality indicators following minimally-invasive radical prostatectomy |
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