PMID- 11741129
OWN - NLM
STAT- MEDLINE
DCOM- 20020122
LR  - 20180213
IS  - 0042-1138 (Print)
IS  - 0042-1138 (Linking)
VI  - 67
IP  - 4
DP  - 2001
TI  - Relationship of comorbidity, age and perioperative complications in patients 
      undergoing radical prostatectomy.
PG  - 283-8
AB  - OBJECTIVES: To investigate the prevalence and distribution of comorbidity and its 
      association with perioperative complications in patients undergoing radical 
      prostatectomy (RPE). METHODS: In 431 unselected RPE patients, the American 
      Society of Anesthesiologists Physical Status classification (ASA-PS), the New 
      York Heart Association classification of cardiac insufficiency (NYHA), the 
      classification of angina pectoris of the Canadian Cardiovascular Society (CCS), 
      height, weight, the body mass index (BMI), and the number of concomitant diseases 
      (NCD) were assessed and related to perioperative cardiovascular complications. 
      RESULTS: In RPE patients less than 70 years old, comorbidity rose nearly 
      continuously with increasing age. However, after reaching an age of 70 years, the 
      proportion of NYHA-0 patients increased (60-64 years, 86%; 65-69 years, 85%; 
      >or=70 years, 87%). Furthermore, the severe comorbidities decreased in patients 
      selected for RPE aged 70 or more years. There was a nonsignificant trend towards 
      higher comorbidity in patients with perioperative cardiovascular complications. 
      CONCLUSIONS: These data suggest that documentation of the distribution of ASA-PS, 
      CCS, NYHA and of concomitant diseases might be helpful to characterize the 
      general health status and the degree of selection of prostate cancer treatment 
      populations especially in series with a high portion of patients aged 70 or more 
      years. Concerning perioperative complications, the individual predictive value of 
      comorbidity seems to be poor in the radical prostatectomy setting.
CI  - Copyright 2001 S. Karger AG, Basel
FAU - Froehner, M
AU  - Froehner M
AD  - Department of Urology, University Clinics Carl Gustav Carus, Technical University 
      of Dresden, Germany. Michael.Froehner@mailbox.tu-dresden.de
FAU - Litz, R
AU  - Litz R
FAU - Manseck, A
AU  - Manseck A
FAU - Hakenberg, O W
AU  - Hakenberg OW
FAU - Leike, S
AU  - Leike S
FAU - Albrecht, D M
AU  - Albrecht DM
FAU - Wirth, M P
AU  - Wirth MP
LA  - eng
PT  - Journal Article
PL  - Switzerland
TA  - Urol Int
JT  - Urologia internationalis
JID - 0417373
SB  - IM
MH  - Age Factors
MH  - Aged
MH  - Angina Pectoris/*epidemiology
MH  - Cardiovascular Diseases/epidemiology
MH  - Comorbidity
MH  - Diabetes Mellitus/epidemiology
MH  - Humans
MH  - Hypertension/epidemiology
MH  - Intraoperative Complications
MH  - Male
MH  - Middle Aged
MH  - Postoperative Complications
MH  - Prevalence
MH  - Prostatectomy/*adverse effects
MH  - Prostatic Neoplasms/epidemiology/*surgery
MH  - Pulmonary Disease, Chronic Obstructive/epidemiology
MH  - Retrospective Studies
MH  - Thromboembolism/epidemiology
EDAT- 2001/12/13 10:00
MHDA- 2002/01/23 10:01
CRDT- 2001/12/13 10:00
PHST- 2001/12/13 10:00 [pubmed]
PHST- 2002/01/23 10:01 [medline]
PHST- 2001/12/13 10:00 [entrez]
AID - uin67283 [pii]
AID - 10.1159/000051004 [doi]
PST - ppublish
SO  - Urol Int. 2001;67(4):283-8. doi: 10.1159/000051004.