Overall | ACCI < 6 | ACCI ≥ 6 | p | |
---|---|---|---|---|
Clinical preoperative characteristics | ||||
Number of patients | 211 | 117 | 94 | |
Age (y), median (IQR) | 65 (60–70) | 61 (56.5–67) | 69.5 (64–73) | < 0.001c |
Gender: male, n (%) | 181 (85.8) | 100 (85.5) | 81 (86.2) | 0.885a |
BMI (kg/m2), median (IQR) | 25.4 (23.8–27.6) | 25.4 (23.7–27.5) | 25.4 (23.8–27.7) | 0.850b |
Hemoglobin (g/dl), median (IQR) | 12.1 (11–13.4) | 12.3 (11.2–13.7) | 11.6 (10.6–12.9) | 0.015b |
e-GFR before cystectomy (ml/min/1.73 m2), median (IQR) | 79 (52–92) | 81 (63.5–96.7) | 67.9 (45.0–87.0) | < 0.001c |
Hydronephrosis, n (%) | 62 (29.4) | 37 (31.6) | 25 (26.6) | 0.451a |
Smoking, n (%) | 168 (79.6) | 99 (84.6) | 69 (73.4) | 0.044a |
Prior pelvic or abdominal surgery, n (%) | 53 (25.1) | 23 (19.7) | 30 (31.9) | 0.041a |
Intravesical treatment, n (%) | 34 (16.2) | 18 (15.2) | 16 (17.0) | 0.899a |
Prior systemic chemotherapy, n (%) | 38 (18) | 21 (17.9) | 17 (18.1) | 0.980a |
Surgical characteristics | ||||
Operative time (min), median (IQR) | 420 (370–480) | 420 (390–497.5) | 420 (360–480) | 0.031c |
Intraoperative blood loss (ml), median (IQR) | 1100 (700–1725) | 1100 (800–1675) | 1100 (650–1925) | 0.840c |
Length of stay (d), median (IQR) | 12 (11–15) | 12 (11–14) | 12 (11–15) | 0.559c |
Mortality, n (%) | 126 (59.7) | 64 (54.7) | 62 (66) | 0.098c |
Clinical stage | 0.436c | |||
cT1, n (%) | 13 (6.2) | 5 (4.3) | 8 (8.5) | |
cT2, n (%) | 106 (50.2) | 59 (50.4) | 47 (50) | |
cT3, n (%) | 65 (30.8) | 36 (30.8) | 29 (30.8) | |
cT4, n (%) | 27 (12.8) | 17 (14.5) | 10 (10.6) | |
Cystectomy characteristics | ||||
pT stage | 0.052c | |||
pT0, n (%) | 12 (5.7) | 7 (6) | 5 (5.3) | |
pTa, n (%) | 6 (2.9) | 2 (1.7) | 4 (4.3) | |
pT1, n (%) | 18 (8.5) | 8 (6.8) | 10 (10.6) | |
pT2, n (%) | 54 (25.6) | 35 (29.9) | 19 (20.2) | |
pT3, n (%) | 69 (32.7) | 45 (38.5) | 24 (25.5) | |
pT4, n (%) | 50 (23.7) | 20 (17.1) | 30 (31.9) | |
CIS, n (%) | 2 (0.9) | 0 | 2 (0.9) | |
pN stage | 0.530a | |||
pN0, n (%) | 133 (63) | 71 (60.7) | 62 (65.9) | |
pN+, n (%) | 78 (37) | 46 (39.3) | 32 (34.1) | |
Number of lymph nodes resected, median (IQR) | 19 (14-27) | 19 (15-28) | 18.5 (13-25.5) | 0.234c |
Variant histology, n (%) | 41 (19.4) | 22 (18.8) | 19 (20.2) | 0.797a |
Lymphovascular invasion, n (%) | 90 (42.7) | 51 (43.6) | 39 (41.5) | 0.759a |
Presence of CIS, n (%) | 61 (26.8) | 28 (23.9) | 29 (30.9) | 0.261a |
Positive surgical margin, n (%) | 13 (6.2) | 10 (8.5) | 3 (3.2) | 0.104a |
Urinary diversion type | 0.023a | |||
Continent (Studer), n (%) | 10 (4.7) | 9 (7.7) | 1 (1.1) | |
Incontinent (ileal loop), n (%) | 201 (95.3) | 108 (92.3) | 93 (98.9) |