The Feasibility and Safety of Reproductive Organ Preserving Radical Cystectomy for Elderly Female Patients With Muscle-Invasive Bladder Cancer: A Retrospective Propensity Score-matched Study

Bai, Song; Yao, Zichuan; Zhu, Xianqing; Li, Zidong; Jiang, Yunzhong; Wang, Rongzhi; Wen, Ning

doi:10.1016/j.urology.2018.09.035

Cited by 14 publications

(23 citation statements)

References 26 publications

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“…Surprisingly, there was no difference in postoperative complications or operative time in females undergoing ROPRC versus those undergoing RC. It is noteworthy to compare this with previously published studies, which demonstrated an increased risk of short-and long-term complications in the ROPRC group [22]. Bai et al [22] reported an increase of 10% in the absolute risk of shortterm complications in a cohort of 135 patients.…”

Section: Discussionsupporting

confidence: 60%

“…It is noteworthy to compare this with previously published studies, which demonstrated an increased risk of short-and long-term complications in the ROPRC group [22]. Bai et al [22] reported an increase of 10% in the absolute risk of shortterm complications in a cohort of 135 patients. While their study adjusted for multiple comorbidities utilizing PSM, their cohort comprised only 51 patients, as compared with 430 patients in our ROPRC group.…”

Section: Discussionsupporting

confidence: 60%

See 1 more Smart Citation

Gender Disparity in Cystectomy Postoperative Outcomes: Propensity Score Analysis of the National Surgical Quality Improvement Program Database

Bukavina

Mishra

Mahran

et al. 2021

European Urology Oncology

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Section: Discussionsupporting

confidence: 60%

Section: Discussionsupporting

confidence: 60%

Gender Disparity in Cystectomy Postoperative Outcomes: Propensity Score Analysis of the National Surgical Quality Improvement Program Database

Bukavina

Mishra

Mahran

et al. 2021

European Urology Oncology

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“…7 Therefore, preservation of the internal genital organs without any clinical suspicion of involvement during female RC seems to be safe. Additionally, Bai et al published a retrospective propensity score-matched study 8 Roshdy et al published their 7 years of genitalia sparing open cystectomy experience in 24 female patients. Pathological examination revealed only one locally advanced disease which could not detected by preoperative imaging studies in their study.…”

Section: Discussionmentioning

confidence: 99%

Genitalia Preserving Robotic Radical Cystectomy with Intracorporeal Studer Pouch Formation in the Female: Experience in 5 Cases

Köseoğlu¹,

Kılıç²,

Özkan³

et al. 2021

RSRR

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We present operative, postoperative, oncologic and functional outcomes of genital tract sparing robot-assisted laparoscopic radical cystectomy, bilateral extended pelvic lymph node (LN) dissection and intracorporeal Studer pouch construction on five female patients with bladder cancer. One of the cases had concomitant nephroureterectomy performed due to a non-functioning kidney. Median patient age, mean operation time, median estimated blood loss and mean duration of hospital stay were 59 (39–78), 462 ± 25, 400 (50–970), 8.8 ± 2.5, respectively. Pathologic stages were pTis (n=1), pT1 (n=1), pT3 (n=1), pT4a (n=1) and pT4b (n=1). Mean LN yield was 32.4 ± 8.9. Positive surgical margins were detected in 2 patients with pT4 diseases. Only minor complications developed that were resolved with medical treatment. Two patients had no, 1 patient had mild, and 2 patients had moderate daytime incontinence. One patient had good, 3 patients had fair, and 1 had poor night-time incontinence. This complex robotic surgery can be performed safely with acceptable short-term surgical, oncological and functional outcomes.

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“…We used the PSM method to adjust the baseline differences between the risk or non-risk groups and obtain more accurate conclusions, as previously reported. 12 , 13 Moreover, we used an add-in software of JMP® in accordance with the supplier’s protocol ( http://www.jmp.com/content/dam/jmp/documents/jp/su pport/propensityaddin.zip ). A multivariate logistic regression analysis was used to determine the propensity scores for unbalanced variables between the risk or non-risk groups.…”

Section: Methodsmentioning

confidence: 99%

“…A multivariate logistic regression analysis was used to determine the propensity scores for unbalanced variables between the risk or non-risk groups. 12 , 13 The risk and non-risk groups were matched 1:1 using a caliper width of 0.2 of the standard deviation for the propensity score through nearest neighbor matching (greedy-matching algorithm). 12 We achieved a balance between the risk and non-risk groups after PSM analysis for each risk factor.…”

Section: Methodsmentioning

confidence: 99%

Dysuria therapeutic agents as an independent prognostic factor for the primary recurrence of non-muscle invasive bladder cancer: a propensity score matching study

et al. 2021

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Objective To investigate if the use of therapeutic agents for dysuria is a risk factor for the primary recurrence of non-muscle invasive bladder cancer (NMIBC). Methods First, patients with NMIBC were divided into two groups: the non-recurrence group and the recurrence group. Patient characteristics were compared between both groups. The risk factors of recurrence that were statistically different between the two groups were identified by multivariate analysis. Second, we divided the patients into risk and non-risk groups, and differences in the recurrence-free survival (RFS) between the two groups were analyzed before and after propensity score matching (PSM). Results A total of 162 patients were included, with 84 patients in the non-recurrence group and 78 patients in the recurrence group. In the multivariate analysis, the intake of dysuria agents and bacillus Calmette–Guérin (BCG) therapy were independent factors. The RFS results in terms of the intake of dysuria agents were statistically significant before and after PSM analysis, but no factors were significantly different between the BCG and non-BCG groups after PSM. Conclusions Therapeutic agents for dysuria might be at an independent risk factor for NMIBC recurrence. This trial is registered with the UMIN Clinical Trials Registry under the number UMIN000036097 ( https://upload.umin.ac.jp/cgi-open-bin/ctr/ctr_view.cgi?recptno = R000041122 ).

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The Feasibility and Safety of Reproductive Organ Preserving Radical Cystectomy for Elderly Female Patients With Muscle-Invasive Bladder Cancer: A Retrospective Propensity Score-matched Study

Cited by 14 publications

References 26 publications

Gender Disparity in Cystectomy Postoperative Outcomes: Propensity Score Analysis of the National Surgical Quality Improvement Program Database

Gender Disparity in Cystectomy Postoperative Outcomes: Propensity Score Analysis of the National Surgical Quality Improvement Program Database

Genitalia Preserving Robotic Radical Cystectomy with Intracorporeal Studer Pouch Formation in the Female: Experience in 5 Cases

Dysuria therapeutic agents as an independent prognostic factor for the primary recurrence of non-muscle invasive bladder cancer: a propensity score matching study

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