Abstract:
OBJECTIVE:To test the effect of obesity (body mass index ≥30 kg/m2) on perioperative outcomes and total hospital charges at robot-assisted vs open radical prostatectomy (RARP vs ORP). METHODS:Within the National Inpatient Sample database (2008-2015), we identified obese vs nonobese RARP and ORP patients. Estimated annual percent changes, multivariable logistic regression and linear regression models were used. All models were adjusted for clustering and weighted. RESULTS:Of all, 53,626 (60%) underwent RARP vs 35,757 (40%) underwent ORP. At RARP, 8.6% were obese vs 6.9% at ORP. RARP rate increased significantly over time (12.5%-81.5%). Obesity rate increased significantly over time at both, RARP (5.1%-10.5%) and ORP (5.4%-10.7%). In multivariable logistic regression models, obesity predicted 5 of 11 unfavourable perioperative complications at RARP (odds ratio: 1.6-1.8) and 9 of 11 at ORP (odds ratio: 1.3-2.8). In linear regression models, obesity significantly added to total hospital charges at RARP (740$) and ORP (312$). CONCLUSION:Obesity may predispose to higher rates of adverse outcomes at RP. Its effect varies according to surgical approach.
journal_name
Urologyjournal_title
Urologyauthors
Knipper S,Mazzone E,Mistretta FA,Palumbo C,Tian Z,Briganti A,Saad F,Tilki D,Graefen M,Karakiewicz PIdoi
10.1016/j.urology.2019.05.053subject
Has Abstractpub_date
2019-11-01 00:00:00pages
135-144eissn
0090-4295issn
1527-9995pii
S0090-4295(19)30646-6journal_volume
133pub_type
杂志文章相关文献
UROLOGY文献大全abstract::Urinary incontinence occurring during orgasm in women is an infrequently volunteered symptom. We studied 3 such patients to understand the mechanism behind such leakage. Urodynamic studies were performed prior to and during orgasm. It was found that during orgasm, there was involuntary bladder contraction with simulta...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(88)90160-4
更新日期:1988-03-01 00:00:00
abstract::Autologous blood predeposit is a widely used transfusion practice that has become a standard of care for elective surgery. Despite the support for this practice there are unanswered questions in the usage and efficacy of autologous blood programs. This study is a prospective analysis of 52 consecutively audited urolog...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(92)90474-b
更新日期:1992-09-01 00:00:00
abstract:OBJECTIVE:To assess the efficacy and safety of a weekly oral cycling antibiotic (WOCA) strategy to prevent UTI in women. MATERIALS AND METHODS:We performed a monocentric, comparative, retrospective, cross-sectional study on pregnant women under clean intermittent self catheterization between January 2008 and December ...
journal_title:Urology
pub_type: 杂志文章,评审
doi:10.1016/j.urology.2016.02.007
更新日期:2016-05-01 00:00:00
abstract:OBJECTIVES:Ureteral stents commonly cause lower urinary tract and flank discomfort. We evaluated the use of extended release oxybutynin versus phenazopyridine versus placebo for the management of ureteral stent discomfort after ureteroscopy. METHODS:Each of 60 patients who received a unilateral stent after ureteroscop...
journal_title:Urology
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.urology.2007.11.004
更新日期:2008-05-01 00:00:00
abstract:OBJECTIVE:To measure past active surveillance (AS) adoption rates, institute the best practice, and measure the AS adoption rates following implementation. We report our findings over a 3-year period. METHODS:Patient prostate needle biopsy and treatment data from the period August 2011 to August 2014 were retrieved fr...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2015.11.053
更新日期:2016-07-01 00:00:00
abstract:OBJECTIVES:We examined the use of laser tissue soldering (LTS) as an adjunct to suturing of, as well as a primary means of, tissue closure in urethral reconstruction. METHODS:Since June 1994, 26 boys ranging in age from 3 months to 14 years (mean 3.0 years) underwent hypospadias repair using LTS techniques. The classi...
journal_title:Urology
pub_type: 临床试验,杂志文章
doi:10.1016/S0090-4295(96)00243-9
更新日期:1996-10-01 00:00:00
abstract:OBJECTIVES:To describe a modified onlay preputial island flap (OIF) urethroplasty to also be used in patients requiring urethral plate transection for penile straightening. METHODS:A total of 14 cases with primary severe hypospadias underwent the modified OIF urethroplasty as follows. After skin degloving, the corpora...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2010.09.048
更新日期:2011-06-01 00:00:00
abstract:OBJECTIVES:To investigate the role of phospholipase Cε (PLCε) by silencing PLCε with short hairpin RNA (shRNA) in human bladder cancer cells BIU-87 in vitro and in vivo. METHODS:A PLCε shRNA expression vector was transfected into BIU-87 cells, and the expression of PLCε protein was detected by Western blotting. Cell p...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2011.03.014
更新日期:2011-08-01 00:00:00
abstract:OBJECTIVES:To determine the effect of the combination of intranasal desmopressin spray and diclofenac sodium suppository on acute renal colic and compare it with diclofenac sodium suppository alone. METHODS:A total of 150 patients aged 15-65 years referred to our hospital with acute renal colic were included in a doub...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2008.05.053
更新日期:2010-03-01 00:00:00
abstract:OBJECTIVES:Invasive penile and urethral tumors are traditionally treated with aggressive excision that requires involved organ and adjacent organ sacrifice. An alternative approach seeks to completely excise the tumor with adequate margins while preserving form and function of the organ. We present 6 patients who under...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(98)00483-x
更新日期:1999-02-01 00:00:00
abstract:OBJECTIVE:To examine the effect of solifenacin for not only overactive bladder symptoms but also sleep disturbance. Nocturia and urgency are independent factors for sleep disturbance. METHODS:Fifteen male patients with overactive bladder symptoms and sleep disturbance were enrolled in this study. The overactive bladde...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2011.04.020
更新日期:2011-09-01 00:00:00
abstract::Although certain risk factors are known to be associated with erectile dysfunction (ED), the demographic and ED characteristics of the population of men with ED are quite diverse. We examined results from randomized trials of sildenafil citrate (Viagra) to ascertain if efficacy differed across various subgroups of men...
journal_title:Urology
pub_type: 杂志文章,meta分析
doi:10.1016/s0090-4295(02)01687-4
更新日期:2002-09-01 00:00:00
abstract:OBJECTIVES:The present study was designed to determine the relationship between serum prostate-specific antigen (PSA) levels and prostatic epithelial volumes. METHODS:Forty-two men between the ages of 50 and 79 years of age with either an abnormal digital rectal examination (DRE) or a serum PSA level > 4 ng/dL underwe...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(94)80131-2
更新日期:1994-08-01 00:00:00
abstract:OBJECTIVE:To describe the prevalence of hydronephrosis in advanced pelvic organ prolapse (POP) and to describe clinical and urodynamic parameters associated with hydronephrosis. MATERIALS AND METHODS:Prospective, observational cohort study examining the prevalence of hydronephrosis in advanced POP. Women with a POP-Q ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2015.05.005
更新日期:2015-08-01 00:00:00
abstract::We present the case of an infant who suffered intraperitoneal bladder perforation secondary to routine neonatal circumcision with the Plastibell device. On day-of-life 5, the patient presented with abdominal distention, vomiting, diarrhea, and severe acute renal failure. After removal of a distal meatal obstruction ca...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2015.11.022
更新日期:2016-03-01 00:00:00
abstract::A urologic study of 28 patients (11 males and 17 females, 4 to 14 years old) revealed that 23 patients (83%) had organic disease, 20 of whom had lower urinary tract abnormalities. Of 22 patients who were assessed psychologically, 14 had difficulty in adaptation, 20 had special birth order problems, and in 14 onset of ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(87)90572-3
更新日期:1987-07-01 00:00:00
abstract:OBJECTIVE:To treat mild-to-moderate apical compartment prolapse while preserving the uterus, our extraperitoneal uterosacral ligament hysteropexy repair technique was developed. Hysterectomy for prolapse accounted for 13% of all benign hysterectomies, which is the third most common reason.1 Although concomitant hystere...
journal_title:Urology
pub_type:
doi:10.1016/j.urology.2020.02.026
更新日期:2020-06-01 00:00:00
abstract::Thirteen patients were examined for grade, stage, and extent of their prostatic cancer, utilizing nuclear magnetic resonance imaging (MRI) and clinical workup for metastases. Of these 13 patients, 12 had known prostatic cancer proved by needle biopsy or by pathologic examination of transurethral prostatectomy tissue. ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(88)90050-7
更新日期:1988-02-01 00:00:00
abstract::Six cases of cylinder problems encountered in 1986 with the AMS 700 Silastic inflatable penile prosthesis (IPP) were studied in detail. The problems included 1 case of significant penile bending, the development of a cylinder tear, and several cylinder aneurysms. Possible causes of the problems are explored, along wit...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(88)90086-6
更新日期:1988-04-01 00:00:00
abstract::Our patient was a 61-year-old man with hormone-refractory prostate cancer and a rapidly rising serum prostate-specific antigen level. During the course of therapy for prostate cancer, abnormal blood counts and subsequent bone marrow biopsy led to a diagnosis of acute lymphoblastic leukemia. He was treated with a chemo...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2004.05.042
更新日期:2004-10-01 00:00:00
abstract:OBJECTIVE:To determine the efficacy of computed tomography of the chest (CTC) and plain radiograph (CXR) in the initial staging process of testicular germ cell tumors. METHODS:The medical records of 362 patients with testicular germ cell tumor treated at our center between January 1980 and August 1993 were reviewed wi...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(94)80139-8
更新日期:1994-08-01 00:00:00
abstract:OBJECTIVES:To investigate several comorbidity classifications as possible predictors of mortality, because the value of comorbidity as a prognostic factor is uncertain in patients older than 70 years of age and radical prostatectomy in patients older than 70 years is controversial. METHODS:A total of 214 consecutive p...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2006.03.050
更新日期:2006-09-01 00:00:00
abstract::Chromaffin cell tumors are derived from neural crest cells and can produce and secrete catecholamines. Classic symptoms include headache, palpitations, diaphoresis, and hypertension. Diagnosis is typically in adulthood, and metastatic disease is rarely found. Genetic testing is suggested with young age, extra-adrenal ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2016.05.028
更新日期:2016-12-01 00:00:00
abstract:OBJECTIVES:Excessive formation of reactive oxygen species (ROS) in human semen has been associated with impaired sperm function and fertility potential. The presence of ROS in semen specimens from normal fertile men emphasizes the importance of defining a normal range of ROS formation. The purpose of this study was to ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(95)97088-6
更新日期:1995-01-01 00:00:00
abstract::We describe the technique and initial clinical results with application of a novel method to achieve renal parenchymal hypothermia using retrograde ureteral access. A 38-year-old man was scheduled to undergo an open right partial nephrectomy for renal cell carcinoma. Before the open procedure, a ureteral access sheath...
journal_title:Urology
pub_type: 杂志文章,多中心研究
doi:10.1016/s0090-4295(02)02566-9
更新日期:2003-05-01 00:00:00
abstract::A rare developmental disorder, cystic dysplasia of the testis, encountered in a newborn infant, is described. The relationship to renal dysplasia and the recent literature are reviewed. ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(87)90597-8
更新日期:1987-01-01 00:00:00
abstract::Priapism was associated with multiple myeloma and hyperviscosity in a sixty-year-old black male. Plasmapheresis treatment of the hyperviscosity corrected his priapism, and chemotherapy for the underlying multiple myeloma prevented the recurrence of priapism after a chronic intermittent history of seventeen years. ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(78)90334-5
更新日期:1978-08-01 00:00:00
abstract::If following posterior urethral valve fulguration a unilateral nonfunctioning or poorly functioning kidney remains, nephroureterectomy is the customary method of management. The distal ureter of such renal units can serve as a means of salvage for complications resulting from surgery on the ureter serving the remainin...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(84)90008-6
更新日期:1984-02-01 00:00:00
abstract:OBJECTIVE:To report on the establishment of a unified, electronic patient-reported outcome (PRO) infrastructure and pilot results from the first 5 practices enrolled in the web-based collection system developed by the Michigan Urological Surgery Improvement Collaborative. MATERIALS AND METHODS:Eligible patients were t...
journal_title:Urology
pub_type: 杂志文章,多中心研究
doi:10.1016/j.urology.2017.04.058
更新日期:2017-09-01 00:00:00
abstract::Bochdalek hernias are postero-medial diaphragmatic defects that usually contain peritoneal fat and often remain asymptomatic. We present a unique case in which involvement of the adjacent ureter in the hernia defect resulted in obstructive uropathy. ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2010.04.032
更新日期:2011-06-01 00:00:00