Nomogram for predicting postoperative ileus after radical cystectomy and urinary diversion: a retrospective single-center study
Objective To predict the incidence of postoperative ileus in bladder cancer patients after radical cystectomy.Methods We retrospectively analyzed the perioperative data of 452 bladder cancer patients who underwent radical cystectomy with urinary diversion at the Second Hospital of Tianjin Medical Un...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2024-12-01
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| Series: | Annals of Medicine |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/07853890.2024.2329125 |
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| author | Xiaoyu Sun Chang Liu Changwen Zhang Zhihong Zhang |
| author_facet | Xiaoyu Sun Chang Liu Changwen Zhang Zhihong Zhang |
| author_sort | Xiaoyu Sun |
| collection | DOAJ |
| description | Objective To predict the incidence of postoperative ileus in bladder cancer patients after radical cystectomy.Methods We retrospectively analyzed the perioperative data of 452 bladder cancer patients who underwent radical cystectomy with urinary diversion at the Second Hospital of Tianjin Medical University between 2016 and 2021. Univariate and multivariate logistic regression were used to identify the risk factors for postoperative ileus. Finally, a nomogram model was established and verified based on the independent risk factors.Results Our study revealed that 96 patients (21.2%) developed postoperative ileus. Using multivariate logistic regression analysis, we found that the independent risk factors for postoperative ileus after radical cystectomy included age > 65.0 years, high or low body mass index, constipation, hypoalbuminemia, and operative time. We established a nomogram prediction model based on these independent risk factors. Validation by calibration curves, concordance index, and decision curve analysis showed a strong correlation between predicted and actual probabilities of occurrence.Conclusion Our nomogram prediction model provides surgeons with a simple tool to predict the incidence of postoperative ileus in bladder cancer patients undergoing radical cystectomy. |
| format | Article |
| id | doaj-art-e74072bff3f74a01bc55bc4794096810 |
| institution | Kabale University |
| issn | 0785-3890 1365-2060 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Annals of Medicine |
| spelling | doaj-art-e74072bff3f74a01bc55bc47940968102025-02-03T09:57:36ZengTaylor & Francis GroupAnnals of Medicine0785-38901365-20602024-12-0156110.1080/07853890.2024.2329125Nomogram for predicting postoperative ileus after radical cystectomy and urinary diversion: a retrospective single-center studyXiaoyu Sun0Chang Liu1Changwen Zhang2Zhihong Zhang3Department of Urology, Tianjin Institute of Urology, The Second Hospital of Tianjin Medical University, Tianjin, ChinaDepartment of Urology, Renmin Hospital of Wuhan Economic and Technological Development Zone (Hannan), Wuhan, ChinaDepartment of Urology, Tianjin Institute of Urology, The Second Hospital of Tianjin Medical University, Tianjin, ChinaDepartment of Urology, Tianjin Institute of Urology, The Second Hospital of Tianjin Medical University, Tianjin, ChinaObjective To predict the incidence of postoperative ileus in bladder cancer patients after radical cystectomy.Methods We retrospectively analyzed the perioperative data of 452 bladder cancer patients who underwent radical cystectomy with urinary diversion at the Second Hospital of Tianjin Medical University between 2016 and 2021. Univariate and multivariate logistic regression were used to identify the risk factors for postoperative ileus. Finally, a nomogram model was established and verified based on the independent risk factors.Results Our study revealed that 96 patients (21.2%) developed postoperative ileus. Using multivariate logistic regression analysis, we found that the independent risk factors for postoperative ileus after radical cystectomy included age > 65.0 years, high or low body mass index, constipation, hypoalbuminemia, and operative time. We established a nomogram prediction model based on these independent risk factors. Validation by calibration curves, concordance index, and decision curve analysis showed a strong correlation between predicted and actual probabilities of occurrence.Conclusion Our nomogram prediction model provides surgeons with a simple tool to predict the incidence of postoperative ileus in bladder cancer patients undergoing radical cystectomy.https://www.tandfonline.com/doi/10.1080/07853890.2024.2329125Postoperative ileusbladder cancerradical cystectomyprediction modelnomogram |
| spellingShingle | Xiaoyu Sun Chang Liu Changwen Zhang Zhihong Zhang Nomogram for predicting postoperative ileus after radical cystectomy and urinary diversion: a retrospective single-center study Annals of Medicine Postoperative ileus bladder cancer radical cystectomy prediction model nomogram |
| title | Nomogram for predicting postoperative ileus after radical cystectomy and urinary diversion: a retrospective single-center study |
| title_full | Nomogram for predicting postoperative ileus after radical cystectomy and urinary diversion: a retrospective single-center study |
| title_fullStr | Nomogram for predicting postoperative ileus after radical cystectomy and urinary diversion: a retrospective single-center study |
| title_full_unstemmed | Nomogram for predicting postoperative ileus after radical cystectomy and urinary diversion: a retrospective single-center study |
| title_short | Nomogram for predicting postoperative ileus after radical cystectomy and urinary diversion: a retrospective single-center study |
| title_sort | nomogram for predicting postoperative ileus after radical cystectomy and urinary diversion a retrospective single center study |
| topic | Postoperative ileus bladder cancer radical cystectomy prediction model nomogram |
| url | https://www.tandfonline.com/doi/10.1080/07853890.2024.2329125 |
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