Comparison of readmission and short-term mortality rates between different types of urinary diversion in patients undergoing radical cystectomy

Purpose To analyze the impact of urinary diversion type following radical cystectomy (RC) on readmission and short-term mortality rates. Methods Patients who underwent RC for bladder cancer in the National Cancer Data Base were grouped based on the type of urinary diversion performed: non-continent...

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Bibliographic Details
Published in:World journal of urology 2018-03, Vol.36 (3), p.393-399
Main Authors: Nahar, Bruno, Koru-Sengul, Tulay, Miao, Feng, Prakash, Nachiketh Soodana, Venkatramani, Vivek, Gauri, Aliyah, Alonzo, David, Alameddine, Mahmoud, Swain, Sanjaya, Punnen, Sanoj, Ritch, Chad, Parekh, Dipen J., Gonzalgo, Mark L.
Format: Article
Language:English
Subjects:
Bladder cancer
Health risk assessment
Medicine
Medicine & Public Health
Mortality
Nephrology
Oncology
Original Article
Regression analysis
Short term
Surgery
Urinary bladder
Urology
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Summary:Purpose To analyze the impact of urinary diversion type following radical cystectomy (RC) on readmission and short-term mortality rates. Methods Patients who underwent RC for bladder cancer in the National Cancer Data Base were grouped based on the type of urinary diversion performed: non-continent [ileal conduit (IC)] or two continent techniques [continent pouch (CP) and orthotopic neobladder (NB)]. We used propensity score matching and multivariable logistic regression models to compare 30-day readmission and 30- and 90-day mortality between the different types of urinary diversion. Results Among 11,933 patients who underwent RC, we identified 10,197 (85.5%) IC, 1044 (8.7%) CP, and 692 (5.8%) NB. Patients who received IC were significantly older and had more comorbidities ( p  
ISSN:0724-4983
1433-8726
DOI:10.1007/s00345-017-2140-3