Early Complications and Mortality following Radical Cystectomy: Associations with Malnutrition and Obesity

摘要: Background There are conflicting data regarding the impact of obesity on postoperative outcomes following radical cystectomy (RC) and how malnutrition interact in patients undergoing RC. Objective To evaluate associations body mass index (BMI), significant preoperative weight loss, hypoalbuminemia with 30-day complications mortality after Methods Review American College Surgeons National Surgical Quality Improvement Program database identified 2,055 who underwent RC (2006-12). Univariate multivariable logistic regression models were developed to assess between ( 10% as characterized by BMI (class I: 30-34.9, II: 35-39.9, III: ≥40 kg/m2), mortality. Results The median study cohort was 27.82 kg/m2 22.4% classified having class I, 7.5% II, 4.2% III obesity, respectively. Hypoalbuminemia >10% loss present 16.7% 3.5%, Among obese patients, 13.4% had hypoalbuminemia. On analysis, I (OR 1.43, p = 0.01), II 1.92, < 0.001), 2.32, 0.001) 1.47, 0.02) independently associated complications, 2.96, 2.33, 0.03) Conclusion Increasing increased early This highlights fact that may coexist underscores need identify be candidates for nutritional optimization.