The impact of socio-economic deprivation on recovery following robotic assisted radical cystectomy.
Bladder cancer
ERAS
deprivation index
length of stay
recovery
socioeconomic status
Journal
Urologia
ISSN: 1724-6075
Titre abrégé: Urologia
Pays: United States
ID NLM: 0417372
Informations de publication
Date de publication:
Feb 2023
Feb 2023
Historique:
medline:
5
4
2023
pubmed:
9
6
2022
entrez:
8
6
2022
Statut:
ppublish
Résumé
Despite enhanced recovery programmes, length of stay is variable following robotic assisted radical cystectomy (RARC). The aim of this study was to assess the impact socioeconomic deprivation on recovery following RARC. The prospectively maintained RARC databases at two tertiary referral hospitals were reviewed from 2015 to 2017. Demographic, histological, and outcome data including length of stay (LOS), operation time and blood loss were recorded. The Index of Multiple Deprivation, was chosen as a deprivation index as this is used by the UK government to direct funding and resources to regions, towns and postal codes by assessing a number of indicators. During the study period, 340 consecutive patients underwent RARC. Deprivation deciles were significantly higher in site 1 patients (7.9 in site 1 vs 6.6 in site 2, p < 0.001) implying that these patients are more likely to have higher incomes, levels of education and improved living environments. The mean operating time was longer in the site 1 cohort (397 vs 366 min, p > 0.001) with a reduced mean blood loss volume (252 and 484 mL, p < 0.001). There was a significant difference in mean LOS (6.2 days in site 1 vs 10.6 days in site 2, p < 0.001). On multivariable analysis, a higher deprivation decile did not predict LOS (OR = 1, 95% CI = 0.9-1.1, p = 0.407). Sex and operation site were however significantly associated with LOS (p = 0.006 and <0.001). Recovery following RARC was independent of socioeconomic status when comparing two hospitals with diverse catchment areas in the UK.
Sections du résumé
BACKGROUND
UNASSIGNED
Despite enhanced recovery programmes, length of stay is variable following robotic assisted radical cystectomy (RARC). The aim of this study was to assess the impact socioeconomic deprivation on recovery following RARC.
METHODS
UNASSIGNED
The prospectively maintained RARC databases at two tertiary referral hospitals were reviewed from 2015 to 2017. Demographic, histological, and outcome data including length of stay (LOS), operation time and blood loss were recorded. The Index of Multiple Deprivation, was chosen as a deprivation index as this is used by the UK government to direct funding and resources to regions, towns and postal codes by assessing a number of indicators.
RESULTS
UNASSIGNED
During the study period, 340 consecutive patients underwent RARC. Deprivation deciles were significantly higher in site 1 patients (7.9 in site 1 vs 6.6 in site 2, p < 0.001) implying that these patients are more likely to have higher incomes, levels of education and improved living environments. The mean operating time was longer in the site 1 cohort (397 vs 366 min, p > 0.001) with a reduced mean blood loss volume (252 and 484 mL, p < 0.001). There was a significant difference in mean LOS (6.2 days in site 1 vs 10.6 days in site 2, p < 0.001). On multivariable analysis, a higher deprivation decile did not predict LOS (OR = 1, 95% CI = 0.9-1.1, p = 0.407). Sex and operation site were however significantly associated with LOS (p = 0.006 and <0.001).
CONCLUSION
UNASSIGNED
Recovery following RARC was independent of socioeconomic status when comparing two hospitals with diverse catchment areas in the UK.
Identifiants
pubmed: 35673803
doi: 10.1177/03915603221100821
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM