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Psoas muscle mass can predict postsurgical outcomes in patients who undergo radical cystectomy and urinary diversion reconstruction

Urology Aug 29, 2021

Stangl-Kremser J, Ahmadi H, Derstine B, et al. - Sarcopenia not only predicted early complications post-radical cystectomy (RC) for bladder cancer but also demonstrated an informative trend for OS after RC, therefore, may inform models predicting postsurgical results.

  • A retrospective single-center study was performed.

  • Bladder cancer patients (n = 441) who had RC and urinary diversion between 2007 and 2012 were included.

  • Sarcopenia was present in 143 patients (32.4%).

  • Increased TPA (total psoas area) was linked with lower odds of 30-day complications post-RC (OR 0.95), in multivariable logistic regression analysis.

  • Similarly, TPA increase had prognostic value, although not statistically significant in the multivariable model once adjusting for other patient factors.

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