Patient and disease-specific factors and their influence on urinary reconstruction choice at a referral center
Purpose To evaluate potential socioeconomic and demographic factors that may influence or be associated with various types of urinary reconstruction (UR) following a radical cystectomy (RC) accounting for existing clinical variables. Methods There were 828 patients that underwent a RC and UR between...
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| Veröffentlicht in: | World journal of urology 2015-11, Vol.33 (11), p.1763-1768 |
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| container_title | World journal of urology |
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| creator | Luchey, Adam M. Agarwal, Gautum Espiritu, Patrick N. Lockhart, Jorge L. Pow-Sang, Julio M. Spiess, Philippe E. Sexton, Wade J. Poch, Michael A. |
| description | Purpose
To evaluate potential socioeconomic and demographic factors that may influence or be associated with various types of urinary reconstruction (UR) following a radical cystectomy (RC) accounting for existing clinical variables.
Methods
There were 828 patients that underwent a RC and UR between 2000 and 2013. After excluding patients that did not meet medical or surgical criteria for a continent urinary reconstruction (CUR-orthotopic neobladder or continent catheterizable pouch), there were 714 patients available for analysis. Socioeconomic and demographic data along with disease-specific variables were recorded preoperatively and analyzed to determine a correlation with a particular type of UR.
Results
Non-continent urinary reconstruction (ileal conduit or cutaneous ureterostomies) and CUR accounted for 78.3 % (559/714) and 21.7 % (155/714) of UR following RC, respectively. On univariate analysis, younger age, marital status, employment status, type of insurance, ASA score, and preoperative glomerular filtration rate were significantly associated with CUR (
p
|
| doi_str_mv | 10.1007/s00345-015-1532-5 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1727988393</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3845451031</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-88d4fdc49c0f4991f2683e55852df2be04a1595e6fb185dbe29bb64911b8e0d73</originalsourceid><addsrcrecordid>eNp1kU9rGzEQxUVJqF23H6CXsJBLLmr0dyUdg0nSQKA5tGeh1Y5qmbXWkXYP_faRazeEQk4D837zRqOH0FdKvlFC1HUhhAuJCZWYSs6w_ICWVHCOtWLtGVoSxQQWRvMF-lTKlhCqWiI_ogWTSglC5BKlJzdFSFPjUt_0sYArgMsefAzRN8H5aczlrzhtIOYmpjDMkDw0Y2rmHJPLf5oMfkxlyrOfYm37zRgr4KpplQLk7IbG1yWQP6Pz4IYCX051hX7d3f5cf8ePP-4f1jeP2HPFJqx1L0LvhfEkCGNoYK3mIKWWrA-sAyIclUZCGzqqZd8BM13XCkNpp4H0iq_Q1dF3n8fnGcpkd7F4GAaXYJyLpYopozU3vKKX_6Hbcc6pvu5AtVwIKWml6JHyeSylXmX3Oe7q8ZYSewjDHsOwNQx7CMPKOnNxcp67HfSvE_9-vwLsCJQqpd-Q36x-1_UFJk6VLw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1726344551</pqid></control><display><type>article</type><title>Patient and disease-specific factors and their influence on urinary reconstruction choice at a referral center</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>Luchey, Adam M. ; Agarwal, Gautum ; Espiritu, Patrick N. ; Lockhart, Jorge L. ; Pow-Sang, Julio M. ; Spiess, Philippe E. ; Sexton, Wade J. ; Poch, Michael A.</creator><creatorcontrib>Luchey, Adam M. ; Agarwal, Gautum ; Espiritu, Patrick N. ; Lockhart, Jorge L. ; Pow-Sang, Julio M. ; Spiess, Philippe E. ; Sexton, Wade J. ; Poch, Michael A.</creatorcontrib><description>Purpose
To evaluate potential socioeconomic and demographic factors that may influence or be associated with various types of urinary reconstruction (UR) following a radical cystectomy (RC) accounting for existing clinical variables.
Methods
There were 828 patients that underwent a RC and UR between 2000 and 2013. After excluding patients that did not meet medical or surgical criteria for a continent urinary reconstruction (CUR-orthotopic neobladder or continent catheterizable pouch), there were 714 patients available for analysis. Socioeconomic and demographic data along with disease-specific variables were recorded preoperatively and analyzed to determine a correlation with a particular type of UR.
Results
Non-continent urinary reconstruction (ileal conduit or cutaneous ureterostomies) and CUR accounted for 78.3 % (559/714) and 21.7 % (155/714) of UR following RC, respectively. On univariate analysis, younger age, marital status, employment status, type of insurance, ASA score, and preoperative glomerular filtration rate were significantly associated with CUR (
p
< 0.01). Travel distance, race, and education level were not factors for UR type. Additionally, there was no significant difference between males and females receiving a CUR. On multivariate analysis, older age [odds ratio (OR) 0.85,
p
< 0.01], marital status (OR 0.28,
p
< 0.01), insurance status (OR 0.22,
p
= 0.04), and higher ASA score (OR 0.50,
p
< 0.01) remained independent predictors of those less likely to receive a CUR.
Conclusion
Predictable socioeconomic and demographic influences exist between the choice of UR after RC. Increasing age corresponds to a decreasing likelihood of receiving a CUR. No significant difference was seen between men and women in undergoing a CUR.</description><identifier>ISSN: 0724-4983</identifier><identifier>EISSN: 1433-8726</identifier><identifier>DOI: 10.1007/s00345-015-1532-5</identifier><identifier>PMID: 25774005</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Aged ; Cystectomy - psychology ; Decision Making ; Female ; Follow-Up Studies ; Humans ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Nephrology ; Oncology ; Original Article ; Referral and Consultation ; Retrospective Studies ; Risk Factors ; Socioeconomic Factors ; Urinary Bladder Neoplasms - psychology ; Urinary Bladder Neoplasms - surgery ; Urinary Reservoirs, Continent ; Urology</subject><ispartof>World journal of urology, 2015-11, Vol.33 (11), p.1763-1768</ispartof><rights>Springer-Verlag Berlin Heidelberg 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-88d4fdc49c0f4991f2683e55852df2be04a1595e6fb185dbe29bb64911b8e0d73</citedby><cites>FETCH-LOGICAL-c372t-88d4fdc49c0f4991f2683e55852df2be04a1595e6fb185dbe29bb64911b8e0d73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00345-015-1532-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00345-015-1532-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,782,786,27931,27932,41495,42564,51326</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25774005$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Luchey, Adam M.</creatorcontrib><creatorcontrib>Agarwal, Gautum</creatorcontrib><creatorcontrib>Espiritu, Patrick N.</creatorcontrib><creatorcontrib>Lockhart, Jorge L.</creatorcontrib><creatorcontrib>Pow-Sang, Julio M.</creatorcontrib><creatorcontrib>Spiess, Philippe E.</creatorcontrib><creatorcontrib>Sexton, Wade J.</creatorcontrib><creatorcontrib>Poch, Michael A.</creatorcontrib><title>Patient and disease-specific factors and their influence on urinary reconstruction choice at a referral center</title><title>World journal of urology</title><addtitle>World J Urol</addtitle><addtitle>World J Urol</addtitle><description>Purpose
To evaluate potential socioeconomic and demographic factors that may influence or be associated with various types of urinary reconstruction (UR) following a radical cystectomy (RC) accounting for existing clinical variables.
Methods
There were 828 patients that underwent a RC and UR between 2000 and 2013. After excluding patients that did not meet medical or surgical criteria for a continent urinary reconstruction (CUR-orthotopic neobladder or continent catheterizable pouch), there were 714 patients available for analysis. Socioeconomic and demographic data along with disease-specific variables were recorded preoperatively and analyzed to determine a correlation with a particular type of UR.
Results
Non-continent urinary reconstruction (ileal conduit or cutaneous ureterostomies) and CUR accounted for 78.3 % (559/714) and 21.7 % (155/714) of UR following RC, respectively. On univariate analysis, younger age, marital status, employment status, type of insurance, ASA score, and preoperative glomerular filtration rate were significantly associated with CUR (
p
< 0.01). Travel distance, race, and education level were not factors for UR type. Additionally, there was no significant difference between males and females receiving a CUR. On multivariate analysis, older age [odds ratio (OR) 0.85,
p
< 0.01], marital status (OR 0.28,
p
< 0.01), insurance status (OR 0.22,
p
= 0.04), and higher ASA score (OR 0.50,
p
< 0.01) remained independent predictors of those less likely to receive a CUR.
Conclusion
Predictable socioeconomic and demographic influences exist between the choice of UR after RC. Increasing age corresponds to a decreasing likelihood of receiving a CUR. No significant difference was seen between men and women in undergoing a CUR.</description><subject>Aged</subject><subject>Cystectomy - psychology</subject><subject>Decision Making</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Nephrology</subject><subject>Oncology</subject><subject>Original Article</subject><subject>Referral and Consultation</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Socioeconomic Factors</subject><subject>Urinary Bladder Neoplasms - psychology</subject><subject>Urinary Bladder Neoplasms - surgery</subject><subject>Urinary Reservoirs, Continent</subject><subject>Urology</subject><issn>0724-4983</issn><issn>1433-8726</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kU9rGzEQxUVJqF23H6CXsJBLLmr0dyUdg0nSQKA5tGeh1Y5qmbXWkXYP_faRazeEQk4D837zRqOH0FdKvlFC1HUhhAuJCZWYSs6w_ICWVHCOtWLtGVoSxQQWRvMF-lTKlhCqWiI_ogWTSglC5BKlJzdFSFPjUt_0sYArgMsefAzRN8H5aczlrzhtIOYmpjDMkDw0Y2rmHJPLf5oMfkxlyrOfYm37zRgr4KpplQLk7IbG1yWQP6Pz4IYCX051hX7d3f5cf8ePP-4f1jeP2HPFJqx1L0LvhfEkCGNoYK3mIKWWrA-sAyIclUZCGzqqZd8BM13XCkNpp4H0iq_Q1dF3n8fnGcpkd7F4GAaXYJyLpYopozU3vKKX_6Hbcc6pvu5AtVwIKWml6JHyeSylXmX3Oe7q8ZYSewjDHsOwNQx7CMPKOnNxcp67HfSvE_9-vwLsCJQqpd-Q36x-1_UFJk6VLw</recordid><startdate>20151101</startdate><enddate>20151101</enddate><creator>Luchey, Adam M.</creator><creator>Agarwal, Gautum</creator><creator>Espiritu, Patrick N.</creator><creator>Lockhart, Jorge L.</creator><creator>Pow-Sang, Julio M.</creator><creator>Spiess, Philippe E.</creator><creator>Sexton, Wade J.</creator><creator>Poch, Michael A.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</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>3V.</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20151101</creationdate><title>Patient and disease-specific factors and their influence on urinary reconstruction choice at a referral center</title><author>Luchey, Adam M. ; Agarwal, Gautum ; Espiritu, Patrick N. ; Lockhart, Jorge L. ; Pow-Sang, Julio M. ; Spiess, Philippe E. ; Sexton, Wade J. ; Poch, Michael A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-88d4fdc49c0f4991f2683e55852df2be04a1595e6fb185dbe29bb64911b8e0d73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Aged</topic><topic>Cystectomy - psychology</topic><topic>Decision Making</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Nephrology</topic><topic>Oncology</topic><topic>Original Article</topic><topic>Referral and Consultation</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Socioeconomic Factors</topic><topic>Urinary Bladder Neoplasms - psychology</topic><topic>Urinary Bladder Neoplasms - surgery</topic><topic>Urinary Reservoirs, Continent</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Luchey, Adam M.</creatorcontrib><creatorcontrib>Agarwal, Gautum</creatorcontrib><creatorcontrib>Espiritu, Patrick N.</creatorcontrib><creatorcontrib>Lockhart, Jorge L.</creatorcontrib><creatorcontrib>Pow-Sang, Julio M.</creatorcontrib><creatorcontrib>Spiess, Philippe E.</creatorcontrib><creatorcontrib>Sexton, Wade J.</creatorcontrib><creatorcontrib>Poch, Michael A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>World journal of urology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Luchey, Adam M.</au><au>Agarwal, Gautum</au><au>Espiritu, Patrick N.</au><au>Lockhart, Jorge L.</au><au>Pow-Sang, Julio M.</au><au>Spiess, Philippe E.</au><au>Sexton, Wade J.</au><au>Poch, Michael A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patient and disease-specific factors and their influence on urinary reconstruction choice at a referral center</atitle><jtitle>World journal of urology</jtitle><stitle>World J Urol</stitle><addtitle>World J Urol</addtitle><date>2015-11-01</date><risdate>2015</risdate><volume>33</volume><issue>11</issue><spage>1763</spage><epage>1768</epage><pages>1763-1768</pages><issn>0724-4983</issn><eissn>1433-8726</eissn><abstract>Purpose
To evaluate potential socioeconomic and demographic factors that may influence or be associated with various types of urinary reconstruction (UR) following a radical cystectomy (RC) accounting for existing clinical variables.
Methods
There were 828 patients that underwent a RC and UR between 2000 and 2013. After excluding patients that did not meet medical or surgical criteria for a continent urinary reconstruction (CUR-orthotopic neobladder or continent catheterizable pouch), there were 714 patients available for analysis. Socioeconomic and demographic data along with disease-specific variables were recorded preoperatively and analyzed to determine a correlation with a particular type of UR.
Results
Non-continent urinary reconstruction (ileal conduit or cutaneous ureterostomies) and CUR accounted for 78.3 % (559/714) and 21.7 % (155/714) of UR following RC, respectively. On univariate analysis, younger age, marital status, employment status, type of insurance, ASA score, and preoperative glomerular filtration rate were significantly associated with CUR (
p
< 0.01). Travel distance, race, and education level were not factors for UR type. Additionally, there was no significant difference between males and females receiving a CUR. On multivariate analysis, older age [odds ratio (OR) 0.85,
p
< 0.01], marital status (OR 0.28,
p
< 0.01), insurance status (OR 0.22,
p
= 0.04), and higher ASA score (OR 0.50,
p
< 0.01) remained independent predictors of those less likely to receive a CUR.
Conclusion
Predictable socioeconomic and demographic influences exist between the choice of UR after RC. Increasing age corresponds to a decreasing likelihood of receiving a CUR. No significant difference was seen between men and women in undergoing a CUR.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>25774005</pmid><doi>10.1007/s00345-015-1532-5</doi><tpages>6</tpages></addata></record> |
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| ispartof | World journal of urology, 2015-11, Vol.33 (11), p.1763-1768 |
| issn | 0724-4983 1433-8726 |
| language | eng |
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| source | MEDLINE; SpringerNature Journals |
| subjects | Aged Cystectomy - psychology Decision Making Female Follow-Up Studies Humans Male Medicine Medicine & Public Health Middle Aged Nephrology Oncology Original Article Referral and Consultation Retrospective Studies Risk Factors Socioeconomic Factors Urinary Bladder Neoplasms - psychology Urinary Bladder Neoplasms - surgery Urinary Reservoirs, Continent Urology |
| title | Patient and disease-specific factors and their influence on urinary reconstruction choice at a referral center |
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