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Survival after radical cystectomy during holiday periods

Liedberg, Fredrik LU ; Hagberg, Oskar LU ; Aljabery, Firas ; Gårdmark, Truls ; Hosseini, Abolfazl ; Jahnson, Staffan ; Jerlström, Tomas ; Malmström, Per Uno ; Sherif, Amir and Söderkvist, Karin , et al. (2021) In Scandinavian Journal of Urology 55(4). p.276-280
Abstract

Objective: For patients undergoing radical cystectomy for bladder cancer, a procedure requiring complex urinary tract reconstruction prone to major postoperative complications, the timing and quality of the surgery have been associated with outcomes. Patients and methods: This study investigated if radical cystectomy for bladder cancer performed during holiday periods had worse disease-specific (DSS) and overall survival (OS), higher 90-day mortality and risk of readmissions. All patients operated on with radical cystectomy for primary bladder cancer during 1997–2014 with holiday periods as exposure (with one narrow (7 weeks) and one wider (14 weeks) definition) in the Swedish population-based bladder cancer research-database... (More)

Objective: For patients undergoing radical cystectomy for bladder cancer, a procedure requiring complex urinary tract reconstruction prone to major postoperative complications, the timing and quality of the surgery have been associated with outcomes. Patients and methods: This study investigated if radical cystectomy for bladder cancer performed during holiday periods had worse disease-specific (DSS) and overall survival (OS), higher 90-day mortality and risk of readmissions. All patients operated on with radical cystectomy for primary bladder cancer during 1997–2014 with holiday periods as exposure (with one narrow (7 weeks) and one wider (14 weeks) definition) in the Swedish population-based bladder cancer research-database (BladderBaSe) were studied. DSS and OS after radical cystectomy during holiday periods were analysed with Cox regression models adjusted for sex, age, comorbidity, marital status, T-stage and nodal metastases, neoadjuvant chemotherapy, hospital volume and year of cystectomy. Results: Surgery during the holiday periods (narrow and wide definitions) were not associated with DSS (Hazard ratio [HR] = 1.05, 95% confidence interval [95% CI] = 0.90–1.21 and HR = 1.04, 95% CI = 0.91–1.17), respectively. HRs for OS were similar, and no associations between radical cystectomy during any of the holiday period definitions and 90-day mortality and readmission were found. Conclusion: Survival after radical cystectomy in Sweden is similar during holiday and non-holiday periods.

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organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Bladder cancer, holiday periods, radical cystectomy, survival
in
Scandinavian Journal of Urology
volume
55
issue
4
pages
276 - 280
publisher
Taylor & Francis
external identifiers
  • scopus:85107846587
  • pmid:34124994
ISSN
2168-1805
DOI
10.1080/21681805.2021.1938665
language
English
LU publication?
yes
id
061d95e4-2b46-4b11-ad74-4d83df3fa1c3
date added to LUP
2021-08-04 14:52:19
date last changed
2024-06-15 13:55:45
@article{061d95e4-2b46-4b11-ad74-4d83df3fa1c3,
  abstract     = {{<p>Objective: For patients undergoing radical cystectomy for bladder cancer, a procedure requiring complex urinary tract reconstruction prone to major postoperative complications, the timing and quality of the surgery have been associated with outcomes. Patients and methods: This study investigated if radical cystectomy for bladder cancer performed during holiday periods had worse disease-specific (DSS) and overall survival (OS), higher 90-day mortality and risk of readmissions. All patients operated on with radical cystectomy for primary bladder cancer during 1997–2014 with holiday periods as exposure (with one narrow (7 weeks) and one wider (14 weeks) definition) in the Swedish population-based bladder cancer research-database (BladderBaSe) were studied. DSS and OS after radical cystectomy during holiday periods were analysed with Cox regression models adjusted for sex, age, comorbidity, marital status, T-stage and nodal metastases, neoadjuvant chemotherapy, hospital volume and year of cystectomy. Results: Surgery during the holiday periods (narrow and wide definitions) were not associated with DSS (Hazard ratio [HR] = 1.05, 95% confidence interval [95% CI] = 0.90–1.21 and HR = 1.04, 95% CI = 0.91–1.17), respectively. HRs for OS were similar, and no associations between radical cystectomy during any of the holiday period definitions and 90-day mortality and readmission were found. Conclusion: Survival after radical cystectomy in Sweden is similar during holiday and non-holiday periods.</p>}},
  author       = {{Liedberg, Fredrik and Hagberg, Oskar and Aljabery, Firas and Gårdmark, Truls and Hosseini, Abolfazl and Jahnson, Staffan and Jerlström, Tomas and Malmström, Per Uno and Sherif, Amir and Söderkvist, Karin and Ströck, Viveka and Ullén, Anders and Häggström, Christel and Holmberg, Lars}},
  issn         = {{2168-1805}},
  keywords     = {{Bladder cancer; holiday periods; radical cystectomy; survival}},
  language     = {{eng}},
  month        = {{06}},
  number       = {{4}},
  pages        = {{276--280}},
  publisher    = {{Taylor & Francis}},
  series       = {{Scandinavian Journal of Urology}},
  title        = {{Survival after radical cystectomy during holiday periods}},
  url          = {{http://dx.doi.org/10.1080/21681805.2021.1938665}},
  doi          = {{10.1080/21681805.2021.1938665}},
  volume       = {{55}},
  year         = {{2021}},
}