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      고령 및 초고령 방광암 환자 간의 근치적방광절제술 후 수술 주변기 결과 및 생존율의 비교 분석 = Comparison of Perioperative and Oncologic Outcome Between Old Versus Oldest Old After Radical Cystectomy for Bladder Cancer

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      https://www.riss.kr/link?id=A108244559

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      다국어 초록 (Multilingual Abstract)

      Purpose: The purpose of study was to compare oncologic outcomes (recurrence-free survival [RFS], cancer-specific survival [CSS], and overall survival [OS]) and early complication (within 30 days) after radical cystectomy (RC) between old patients (70–79 aged) and oldest-old patients (above 80).Materials and Methods: This retrospective study reviewed total 340 patients with urothelial carcinoma of bladder who received RC between November 1996 and December 2018. The patients were divided into 2 groups by age, 307 patients aged 70–79 and 33 patients aged above 80. Baseline characteristics, perioperative outcomes and early complication were compared between the 2 groups. Kaplan–Meier (K-M) survival analysis was used to estimate RFS, CSS, OS, and multivariable Cox proportional hazard models were used to identify factors predicting RFS, CSS, OS.Results: The results of both groups did not statistically differ from each other in most clinicopathologic baseline characteristics and perioperative information. Both groups showed similar 30-day complication rates (59.3% vs. 60.3%, p=0.210). K-M showed 3-year survival rate, RFS was shorter in oldest-old group (41.4% vs. 56.7%) but not statistically different (p=0.063). Oldest-old group showed similar 3-year CSS (78.1% vs. 74.6%, p=0.779) but worse OS (51% vs. 58%, p=0.047) compared with the old group. Common factor affecting RFS, CSS, and OS were T stage and N stage (all p<0.05). Age is not factor affecting RFS, CSS, and OS.Conclusions: Oldest-old who received RC had similar perioperative, oncologic outcome and complication compared with the seventies. RC could be considered treatment option for selected oldest-old patients.
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      Purpose: The purpose of study was to compare oncologic outcomes (recurrence-free survival [RFS], cancer-specific survival [CSS], and overall survival [OS]) and early complication (within 30 days) after radical cystectomy (RC) between old patients (70...

      Purpose: The purpose of study was to compare oncologic outcomes (recurrence-free survival [RFS], cancer-specific survival [CSS], and overall survival [OS]) and early complication (within 30 days) after radical cystectomy (RC) between old patients (70–79 aged) and oldest-old patients (above 80).Materials and Methods: This retrospective study reviewed total 340 patients with urothelial carcinoma of bladder who received RC between November 1996 and December 2018. The patients were divided into 2 groups by age, 307 patients aged 70–79 and 33 patients aged above 80. Baseline characteristics, perioperative outcomes and early complication were compared between the 2 groups. Kaplan–Meier (K-M) survival analysis was used to estimate RFS, CSS, OS, and multivariable Cox proportional hazard models were used to identify factors predicting RFS, CSS, OS.Results: The results of both groups did not statistically differ from each other in most clinicopathologic baseline characteristics and perioperative information. Both groups showed similar 30-day complication rates (59.3% vs. 60.3%, p=0.210). K-M showed 3-year survival rate, RFS was shorter in oldest-old group (41.4% vs. 56.7%) but not statistically different (p=0.063). Oldest-old group showed similar 3-year CSS (78.1% vs. 74.6%, p=0.779) but worse OS (51% vs. 58%, p=0.047) compared with the old group. Common factor affecting RFS, CSS, and OS were T stage and N stage (all p<0.05). Age is not factor affecting RFS, CSS, and OS.Conclusions: Oldest-old who received RC had similar perioperative, oncologic outcome and complication compared with the seventies. RC could be considered treatment option for selected oldest-old patients.

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      참고문헌 (Reference)

      1 Cho KS, "The risk factor for urethral recurrence after radical cystectomy in patients with transitional cell carcinoma of the bladder" 82 : 306-311, 2009

      2 Shariat SF, "The effect of age on bladder cancer incidence, prognosis and therapy" 6 : 649-659, 2010

      3 Peyromaure M, "Surgical management of infiltrating bladder cancer in elderly patients" 45 : 147-153, 2004

      4 Abdollah F, "Stage-specific impact of pelvic lymph node dissection on survival in patients with non-metastatic bladder cancer treated with radical cystectomy" 109 : 1147-1154, 2012

      5 Yamanaka K, "Significance of radical cystectomy for bladder cancer in patients over 80 years old" 39 : 209-214, 2007

      6 De Groote R, "Robot-assisted radical cystectomy for bladder cancer in octogenarians" 30 : 792-798, 2016

      7 Chang SS, "Radical cystectomy is safe in elderly patients at high risk" 166 : 938-941, 2001

      8 Donat SM, "Radical cystectomy in octogenarians--does morbidity outweigh the potential survival benefits?" 183 : 2171-2177, 2010

      9 Lance RS, "Radical cystectomy for invasive bladder cancer in the octogenarian" 8 : 723-726, 2001

      10 Madersbacher S, "Radical cystectomy for bladder cancer today--a homogeneous series without neoadjuvant therapy" 21 : 690-696, 2003

      1 Cho KS, "The risk factor for urethral recurrence after radical cystectomy in patients with transitional cell carcinoma of the bladder" 82 : 306-311, 2009

      2 Shariat SF, "The effect of age on bladder cancer incidence, prognosis and therapy" 6 : 649-659, 2010

      3 Peyromaure M, "Surgical management of infiltrating bladder cancer in elderly patients" 45 : 147-153, 2004

      4 Abdollah F, "Stage-specific impact of pelvic lymph node dissection on survival in patients with non-metastatic bladder cancer treated with radical cystectomy" 109 : 1147-1154, 2012

      5 Yamanaka K, "Significance of radical cystectomy for bladder cancer in patients over 80 years old" 39 : 209-214, 2007

      6 De Groote R, "Robot-assisted radical cystectomy for bladder cancer in octogenarians" 30 : 792-798, 2016

      7 Chang SS, "Radical cystectomy is safe in elderly patients at high risk" 166 : 938-941, 2001

      8 Donat SM, "Radical cystectomy in octogenarians--does morbidity outweigh the potential survival benefits?" 183 : 2171-2177, 2010

      9 Lance RS, "Radical cystectomy for invasive bladder cancer in the octogenarian" 8 : 723-726, 2001

      10 Madersbacher S, "Radical cystectomy for bladder cancer today--a homogeneous series without neoadjuvant therapy" 21 : 690-696, 2003

      11 American Cancer Society, "Probability (%) of developing invasive cancers during selected age intervals by sex, US, 2007-2009*" American Cancer Society

      12 Neuzillet Y, "Positive surgical margins and their locations in specimens are adverse prognosis features after radical cystectomy in nonmetastatic carcinoma invading bladder muscle : results from a nationwide case-control study" 111 : 1253-1260, 2013

      13 Guillotreau J, "Outcomes of laparoscopic and robotic radical cystectomy in the elderly patients" 79 : 585-590, 2012

      14 Schultzel M, "Late age(85 years or older)peak incidence of bladder cancer" 179 : 1302-1305, 2008

      15 Hollenbeck BK, "Identifying risk factors for potentially avoidable complications following radical cystectomy" 174 : 1231-1237, 2005

      16 Knap MM, "Early and late treatment-related morbidity following radical cystectomy" 38 : 153-160, 2004

      17 Shabsigh A, "Defining early morbidity of radical cystectomy for patients with bladder cancer using a standardized reporting methodology" 55 : 164-174, 2009

      18 Mendiola FP, "Cystectomy in the ninth decade : operative results and long-term survival outcomes" 14 : 3628-3634, 2007

      19 Konety BR, "Complications after radical cystectomy : analysis of populationbased data" 68 : 58-64, 2006

      20 Fairey A, "Associations among age, comorbidity and clinical outcomes after radical cystectomy : results from the Alberta Urology Institute radical cystectomy database" 180 : 128-134, 2008

      21 Crews DE, "Aging, disability, and frailty : implications for universal design" 25 : 113-118, 2006

      22 Xie S, "A comparative study of perioperative and survival outcomes of robot-assisted radical cystectomy in patients over 80 and under 80 years old" 19 : 202-, 2021

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      연월일 이력구분 이력상세 등재구분
      2026 평가예정 재인증평가 신청대상 (재인증)
      2020-01-01 평가 등재학술지 유지 (재인증) KCI등재
      2017-01-01 평가 등재학술지 선정 (계속평가) KCI등재
      2015-01-01 평가 등재후보학술지 선정 (신규평가) KCI등재후보
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      2016 0.04 0.04 0
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