Metabolic syndrome as a predictor for postoperative complications after urologic surgery.

摘要: Objective To elucidate whether metabolic syndrome (MS) has an effect on outcomes after nephrectomy, prostatectomy, or cystectomy. Methods Using the American College of Surgeons National Surgical Quality Improvement Program's database, patients undergoing cystectomy, prostatectomy between 2005 and 2011 were reviewed to assess for presence MS a variety perioperative complications. Results The overall complication rate was 52.4%, 20.2%, 8.7%, respectively. On multivariate analysis controlling age, sex, body mass index, cardiac comorbidity, functional status, surgical approach (prostatectomy nephrectomy), surgery within 30 days, not associated with complications in cystectomy (odds ratio [OR], 0.760; 95% confidence interval [CI], 0.476-1.213). On multivariate analysis, significant predictor radical nephrectomy (adjusted OR, 1.489; CI, 1.146-1.934). With regards to prostatectomy, (OR, 1.065; 0.739-1.535). Conclusion Patients this cohort did experience higher compared without MS, although had rate. It may be warranted preoperatively counsel that rates higher.