{"id":"https://openalex.org/W4394801751","doi":"https://doi.org/10.1097/01.ju.0001009404.49693.12.15","title":"MP77-15 EFFECT OF METABOLIC SYNDROME ON PERIOPERATIVE OUTCOMES AFTER RADICAL CYSTECTOMY: A NATIONAL SURGICAL QUALITY IMPROVEMENT PROGRAM ANALYSIS","display_name":"MP77-15 EFFECT OF METABOLIC SYNDROME ON PERIOPERATIVE OUTCOMES AFTER RADICAL CYSTECTOMY: A NATIONAL SURGICAL QUALITY IMPROVEMENT PROGRAM ANALYSIS","publication_year":2024,"publication_date":"2024-04-15","ids":{"openalex":"https://openalex.org/W4394801751","doi":"https://doi.org/10.1097/01.ju.0001009404.49693.12.15"},"language":"en","primary_location":{"id":"doi:10.1097/01.ju.0001009404.49693.12.15","doi":"https://doi.org/10.1097/01.ju.0001009404.49693.12.15","is_oa":false,"landing_page_url":"https://doi.org/10.1097/01.ju.0001009404.49693.12.15","pdf_url":null,"source":{"id":"https://openalex.org/S30525748","display_name":"The Journal of Urology","issn_l":"0022-5347","issn":["0022-5347","1527-3792"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Urology","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5078149278","display_name":"Aaron S. Dahmen","orcid":"https://orcid.org/0000-0001-8314-4576","observed_orcids":["https://orcid.org/0000-0001-8314-4576"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Aaron S. Dahmen","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5066030067","display_name":"David J. Nusbaum","orcid":"https://orcid.org/0000-0001-6605-6187","observed_orcids":["https://orcid.org/0000-0001-6605-6187"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"David J. Nusbaum","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5069818512","display_name":"Alon Lazarovich","orcid":"https://orcid.org/0000-0002-7521-5319","observed_orcids":["https://orcid.org/0000-0002-7521-5319"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Alon Lazarovich","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5040536539","display_name":"Jared D. Fialkoff","orcid":"https://orcid.org/0000-0003-2057-5015","observed_orcids":["https://orcid.org/0000-0003-2057-5015"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jared Fialkoff","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5066461876","display_name":"Parth K. Modi","orcid":"https://orcid.org/0000-0001-5754-4445","observed_orcids":["https://orcid.org/0000-0001-5754-4445"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Parth K. Modi","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5084627594","display_name":"Piyush Kumar Agarwal","orcid":"https://orcid.org/0000-0002-6042-6834","observed_orcids":["https://orcid.org/0000-0002-6042-6834"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Piyush K. Agarwal","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":3000,"currency":"USD","value_usd":3000},"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.08810514,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"211","issue":"5S","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10458","display_name":"Bladder and Urothelial Cancer Treatments","score":0.9545999765396118,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10458","display_name":"Bladder and Urothelial Cancer Treatments","score":0.9545999765396118,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12103","display_name":"Cancer Risks and Factors","score":0.004900000058114529,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12020","display_name":"Enhanced Recovery After Surgery","score":0.0038999998942017555,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/metabolic-syndrome","display_name":"metabolic syndrome","score":0.9980000257492065},{"id":"https://openalex.org/keywords/radical-cystectomy","display_name":"radical cystectomy","score":1.0},{"id":"https://openalex.org/keywords/bladder-cancer","display_name":"bladder cancer","score":0.9350000023841858},{"id":"https://openalex.org/keywords/perioperative-complications","display_name":"perioperative complications","score":0.9729999899864197},{"id":"https://openalex.org/keywords/hospital-readmission","display_name":"hospital readmission","score":0.5870000123977661},{"id":"https://openalex.org/keywords/length-of-hospital-stay","display_name":"length of hospital stay","score":0.8889999985694885},{"id":"https://openalex.org/keywords/operative-time","display_name":"operative time","score":0.8429999947547913},{"id":"https://openalex.org/keywords/body-mass-index","display_name":"body mass index","score":0.7229999899864197},{"id":"https://openalex.org/keywords/hypertension","display_name":"hypertension","score":0.7279999852180481},{"id":"https://openalex.org/keywords/diabetes-mellitus","display_name":"diabetes mellitus","score":0.9620000123977661},{"id":"https://openalex.org/keywords/surgical-quality-improvement","display_name":"surgical quality improvement","score":0.6850000023841858},{"id":"https://openalex.org/keywords/national-surgical-quality-improvement-program","display_name":"National Surgical Quality Improvement Program","score":0.6620000004768372}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8910274505615234},{"id":"https://openalex.org/C2775910329","wikidata":"https://www.wikidata.org/wiki/Q245995","display_name":"Cystectomy","level":4,"score":0.8151666522026062},{"id":"https://openalex.org/C31174226","wikidata":"https://www.wikidata.org/wiki/Q64855140","display_name":"Perioperative","level":2,"score":0.7962298393249512},{"id":"https://openalex.org/C2780578515","wikidata":"https://www.wikidata.org/wiki/Q657193","display_name":"Metabolic syndrome","level":3,"score":0.6077629327774048},{"id":"https://openalex.org/C2780221984","wikidata":"https://www.wikidata.org/wiki/Q131191","display_name":"Body mass index","level":2,"score":0.597658097743988},{"id":"https://openalex.org/C2780352672","wikidata":"https://www.wikidata.org/wiki/Q504775","display_name":"Bladder cancer","level":3,"score":0.5918188095092773},{"id":"https://openalex.org/C2780586474","wikidata":"https://www.wikidata.org/wiki/Q332428","display_name":"Overweight","level":3,"score":0.5415944457054138},{"id":"https://openalex.org/C2781121325","wikidata":"https://www.wikidata.org/wiki/Q1146902","display_name":"Underweight","level":4,"score":0.4867401123046875},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.44207143783569336},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.3940914273262024},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.29899725317955017},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.25991716980934143},{"id":"https://openalex.org/C511355011","wikidata":"https://www.wikidata.org/wiki/Q12174","display_name":"Obesity","level":2,"score":0.17401200532913208}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1097/01.ju.0001009404.49693.12.15","doi":"https://doi.org/10.1097/01.ju.0001009404.49693.12.15","is_oa":false,"landing_page_url":"https://doi.org/10.1097/01.ju.0001009404.49693.12.15","pdf_url":null,"source":{"id":"https://openalex.org/S30525748","display_name":"The Journal of Urology","issn_l":"0022-5347","issn":["0022-5347","1527-3792"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Urology","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"sustainable_development_goals_aurora":[],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4400483575","https://openalex.org/W3014058489","https://openalex.org/W3132370808","https://openalex.org/W2141489860","https://openalex.org/W1988252347","https://openalex.org/W2020603909","https://openalex.org/W2802231158","https://openalex.org/W2000539831","https://openalex.org/W2056040011","https://openalex.org/W2109267102"],"abstract_inverted_index":{"You":[0],"have":[1,117,139],"accessJournal":[2],"of":[3,171,183,191,212,214,246,252,315,330,339],"UrologyBladder":[4],"Cancer:":[5],"Invasive":[6],"VI":[7],"(MP77)1":[8],"May":[9],"2024MP77-15":[10],"EFFECT":[11],"OF":[12],"METABOLIC":[13],"SYNDROME":[14],"ON":[15],"PERIOPERATIVE":[16],"OUTCOMES":[17],"AFTER":[18],"RADICAL":[19],"CYSTECTOMY:":[20],"A":[21],"NATIONAL":[22],"SURGICAL":[23],"QUALITY":[24],"IMPROVEMENT":[25],"PROGRAM":[26],"ANALYSIS":[27],"Aaron":[28,45,372],"S.":[29,46,48,373],"Dahmen,":[30],"David":[31,51,380],"J.":[32,52,54,381],"Nusbaum,":[33],"Alon":[34,57,388],"Lazarovich,":[35],"Jared":[36,61,395],"Fialkoff,":[37],"Parth":[38,65,402],"K.":[39,43,66,68,73,75,403,411],"Modi,":[40],"and":[41,71,127,198,220,228,241,286,349,367],"Piyush":[42,72,410],"Agarwal":[44,76,412],"DahmenAaron":[47],"Dahmen":[49,374],",":[50,56,60,64,70],"NusbaumDavid":[53],"Nusbaum":[55,382],"LazarovichAlon":[58],"Lazarovich":[59,389],"FialkoffJared":[62],"Fialkoff":[63,396],"ModiParth":[67],"Modi":[69,404],"AgarwalPiyush":[74],"View":[77],"All":[78,419],"Author":[79,370],"Informationhttps://doi.org/10.1097/01.JU.0001009404.49693.12.15AboutPDF":[80],"ToolsAdd":[81],"to":[82,107,121,138,145,217,300],"favoritesDownload":[83],"CitationsTrack":[84],"CitationsPermissionsReprints":[85],"ShareFacebookLinked":[86],"InTwitterEmail":[87],"Abstract":[88],"INTRODUCTION":[89],"AND":[90],"OBJECTIVE:":[91],"Radical":[92],"cystectomy":[93],"(RC)":[94],"is":[95,310],"a":[96,231],"highly":[97],"morbid":[98],"procedure":[99],"with":[100,209,328],"short":[101],"term":[102,114],"perioperative":[103,115,141,207,303],"complications":[104,116,208],"rates":[105],"cited":[106],"be":[108,122],"as":[109,111],"high":[110],"50%.":[112],"Short":[113],"previously":[118],"been":[119,136],"demonstrated":[120,137],"more":[123],"frequent":[124],"in":[125],"underweight":[126],"overweight":[128],"patients.":[129,201],"While":[130],"abnormal":[131],"body":[132,317],"mass":[133,318],"index":[134,319],"has":[135,151],"worsened":[140],"outcomes,":[142],"we":[143],"sought":[144],"evaluate":[146],"the":[147,168,181,189,250,313],"impact":[148,314],"metabolic":[149,192,247],"syndrome":[150,193,248,298],"on":[152],"outcomes.":[153],"METHODS:":[154],"We":[155,321],"identified":[156],"4,694":[157],"eligible":[158],"patients":[159],"who":[160],"underwent":[161],"RC":[162],"for":[163,236],"non-metastatic":[164],"bladder":[165],"cancer":[166],"using":[167],"American":[169,345,363],"College":[170],"Surgeons":[172],"National":[173],"Surgical":[174],"Quality":[175],"Improvement":[176],"Program":[177],"(NSQIP)":[178],"database":[179],"between":[180],"years":[182],"2019-2021.":[184],"The":[185,224,244,308],"primary":[186,203],"exposure":[187],"was":[188,205,226],"presence":[190,245],"(BMI":[194],">30,":[195],"hypertension,":[196],"diabetes)":[197],"included":[199],"388":[200],"Our":[202],"outcome":[204],"major":[206],"secondary":[210],"outcomes":[211,304],"length":[213],"stay,":[215],"return":[216],"operating":[218],"room,":[219],"operative":[221,242],"time.":[222,243],"RESULTS:":[223],"data":[225],"extracted":[227],"analyzed":[229],"within":[230],"multivariable":[232],"logistic":[233],"regression":[234],"adjusting":[235],"age,":[237],"sex,":[238],"surgical":[239,288,331],"approach":[240,332],"increased":[249],"rate":[251,309],"readmission":[253],"(OR":[254,261,268,275,281,291],"1.730,":[255],"CI":[256,263,277,283,293],"1.365-2.179,":[257],"p<0.001),":[258,285],"pulmonary":[259],"embolism":[260],"2.151,":[262],"0.975-4.241,":[264],"p=0.039),":[265],"renal":[266],"failure":[267],"2.261,":[269],"1.071-4.314,":[270],"p=0.020),":[271],"urinary":[272],"tract":[273],"infection":[274,290],"1.470,":[276],"1.001-2.097,":[278],"p=0.041),":[279],"sepsis":[280],"2.061,":[282],"1.477-2.823,":[284],"superficial":[287],"site":[289],"1.607,":[292],"1.041-2.397,":[294],"p<0.001).":[295],"CONCLUSIONS:":[296],"Metabolic":[297],"appears":[299],"demonstrate":[301],"worse":[302],"following":[305],"radical":[306],"cystectomy.":[307],"higher":[311],"than":[312],"increasing":[316],"alone.":[320],"did":[322],"not":[323],"identify":[324],"any":[325],"compounded":[326],"affect":[327],"subanalysis":[329],"(either":[333],"open":[334],"or":[335],"minimally":[336],"invasive).":[337],"Source":[338],"Funding:":[340],"N/A":[341],"\u00a9":[342],"2024":[343,361],"by":[344,362,377,385,392,399,407,415],"Urological":[346,364],"Association":[347,365],"Education":[348,366],"Research,":[350,368],"Inc.FiguresReferencesRelatedDetails":[351],"Volume":[352],"211Issue":[353],"5SMay":[354],"2024Page:":[355],"e1258":[356],"Advertisement":[357,420],"Copyright":[358],"&":[359],"Permissions\u00a9":[360],"Inc.Metrics":[369],"Information":[371],"More":[375,383,390,397,405,413],"articles":[376,384,391,398,406,414],"this":[378,386,393,400,408,416],"author":[379,387,394,401,409,417],"Expand":[418],"PDF":[421],"downloadLoading":[422],"...":[423]},"counts_by_year":[],"updated_date":"2026-09-27T08:07:27.782135","created_date":"2024-04-16T00:00:00"}