Obesity and Complication Risk From Radical Cystectomy: Identifying a Body Mass Index Threshold

Abstract

Purpose: There are conflicting reports regarding radical cystectomy complication risk from obesity subcategories, and a BMI threshold below which complication risk is notably reduced is undefined. A BMI threshold may be helpful in prehabilitation to aid patient counseling and inform weight loss strategies to potentially mitigate obesity-associated complication risk. This study aims to identify such a threshold and further investigate the association between BMI subcategories and perioperative complications from radical cystectomy. Materials and Methods: Data were extracted from the Canadian Bladder Cancer Information System, a prospective registry across 14 academic centers. Five hundred and eighty-nine patients were analyzed. Perioperative (90 days) complications were compared between BMI subcategories. Unconditional multivariable logistic

The effect of body mass index on quality of life in modified single stoma cutaneous ureterostomy or ileal conduit after radical cystectomy

“…It is known that obesity increases the risk of chronic disease and malignancy, while also being linked to patients' frailty 22–25 . Obesity also increases postoperative complications rate and mortality, resulting in declining QoL 26 . The adoption of different surgical techniques also plays a crucial role in influencing survival benefits and complication.…”

“… 22 , 23 , 24 , 25 Obesity also increases postoperative complications rate and mortality, resulting in declining QoL. 26 The adoption of different surgical techniques also plays a crucial role in influencing survival benefits and complication. Additionally, the long‐term complication, especially for patients wearing urinary bags, may have a significant impact on patients' sense of dignity and self‐perception.…”