The impact of atrial fibrillation on outcomes in patients undergoing radical prostatectomy

Wang, Miao; Yang, Yifeng; Guo, Boda; Hou, Huimin; Meng, Lingfeng; Wang, Xuan; Amankwah, Millicent; Liu, Baoqiong; Jin, Chengyue; Liu, Ming; Wang, Jian‐Ye

doi:10.1007/s00345-020-03337-2

Cited by 6 publications

(5 citation statements)

References 30 publications

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“…However, the currently recorded results are in agreement with historical series. Unfortunately, the previous series have solely examined specific cardiovascular conditions such as perioperative atrial fibrillation or prior percutaneous coronary intervention and have relied on heterogeneous cohorts of patients [12,18]. Taken together, cardiovascular disease and chronic pulmonary disease were both identified as independent risk factors for adverse short-term postoperative outcomes after radical prostatectomy.…”

Section: Discussionmentioning

confidence: 99%

“…In historical series of patients with prostate cancer who underwent radical prostatectomy before 2014, patients with certain comorbidities, such as diabetes mellitus, chronic kidney disease, atrial fibrillation, previous coronary intervention, or previous cerebrovascular attack, were at a significantly higher risk of postoperative complications [11,12,17,18]. Due to new insights into the prostate anatomy [19][20][21] and significant advancements in surgical techniques over time [22,23], these results may not be applicable to more contemporary cohorts of patients with prostate cancer.…”

Section: Introductionmentioning

confidence: 99%

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Cardiovascular Disease and Chronic Pulmonary Disease Increase the Risk of Short-Term Major Postoperative Complications after Robotic-Assisted Radical Prostatectomy

Siech,

Gruber,

Wenzel

et al. 2024

Medicina

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Background and objectives: Certain comorbidities may be associated with a higher risk of complications after robotic-assisted radical prostatectomy. Material and Methods: Relying on a tertiary care database, we identified robotic-assisted radical prostatectomy patients (January 2014–March 2023). Short-term major postoperative complications were defined according to Clavien Dindo as ≥IIIa within 30 days after robotic-assisted radical prostatectomy. Results: Of 1148 patients, the rates of postoperative Clavien Dindo IIIa, Clavien Dindo IIIb, Clavien Dindo IVa, and Clavien Dindo IVb complications were 3.3%, 1.4%, 0.3%, and 0.2%, respectively. Of those, 28 (47%) had lymphoceles, and 8 (13%) had bleeding-associated complications. Patients with cardiovascular disease (8 vs. 4%) or chronic pulmonary disease (13 vs. 5%) were more likely to have complications. In multivariable logistic regression models, cardiovascular disease (odds ratio: 1.78; p = 0.046) and chronic pulmonary disease (odds ratio: 3.29; p = 0.007) remained associated with an increased risk of postoperative complications. Conclusions: Complications after robotic-assisted radical prostatectomy are predominantly manageable without anesthesia. Concomitant cardiovascular disease and chronic pulmonary disease were both associated with a higher risk of postoperative complications.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Cardiovascular Disease and Chronic Pulmonary Disease Increase the Risk of Short-Term Major Postoperative Complications after Robotic-Assisted Radical Prostatectomy

Siech,

Gruber,

Wenzel

et al. 2024

Medicina

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“…The association of preoperative atrial fibrillation with an increased risk for major postoperative complications after pancreatoduodenectomy is a novel finding for this patient category, although similar effects have been reported in other surgical settings. 27,28 Mechanisms, such as an increased need of anticoagulation, heart rate control, and elevated risk of both thromboembolism and bleeding may explain this association. To the best of our knowledge there are no reports describing the association between preoperative heart disease and the risk for delayed gastric emptying after pancreatic surgery.…”

Section: Discussionmentioning

confidence: 99%

Preoperative heart disease and risk for postoperative complications after pancreatoduodenectomy

Larsson

Feldt

Holmberg

et al. 2022

HPB

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“…We read an article published by Wang et al in July edition of World Journal of Urology [1]. In this study authors have compared perioperative outcomes following radical prostatectomy (RP) in patients with and without atrial fibrillation (AF) using data provided by Agency for Healthcare Research and Quality.…”

mentioning

confidence: 99%

“…Wang et al have in their study tried to emphasize on the same fact that AF is associated with increased preoperative morbidity and mortality following RP [1]. However, it is to be noted that authors have missed out on providing some important details.…”

mentioning

confidence: 99%