학술논문
Evaluating the utility of a preoperative nomogram for predicting 90-day mortality following radical cystectomy for bladder cancer.
Document Type
Article
Author
Source
Subject
*BLADDER cancer
*CYSTS (Pathology)
*SURGERY
*NOMOGRAPHY (Mathematics)
*MORTALITY
*SURGICAL complications
*HEALTH risk assessment
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Language
ISSN
1464-4096
Abstract
Study Type - Prognosis (individual cohort) Level of Evidence 2b What's known on the subject? and What does the study add? We know that patient fitness for surgery is a major predictor of morbidity and mortality after surgery. We found the published nomogram did not incorporate several known clinical risk factors and its predictive value was only slightly better than using the patient's age and Charlson score to predict perioperative morality. This limitation may be related to the lack of availability of these factors in national databases for inclusion when creating a nomogram. In addition, there are elements that factor into postoperative patient care that are not easily measured, such as hospital-stay pathways, ancillary staff expertise, supportive medical care, and surgeon ability. OBJECTIVE [ABSTRACT FROM AUTHOR]