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Sarcopenia as an independent predictor for venous thromboembolism events in bladder cancer patients undergoing radical cystectomy

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Abstract

Background

Sarcopenia has been proved to be related to the prognosis of patients with bladder cancer (BC) after radical cystectomy (RC). The relationship between sarcopenia and the occurrence of venous thromboembolism (VTE) after RC is unclear.

Methods

We collected data of 252 BC patients treated with RC at our institution. Data was obtained from the electronic medical record database. Sarcopenia was defined by the third lumbar vertebra skeletal muscle index (SMI) which was measured using preoperative computed tomography. The primary outcome was the incidence of VTE within 30 days after the surgery in sarcopenia and non-sarcopenia groups. Outcomes between the two cohorts were compared using univariate analysis. Multivariate logistic regression was used to control for differences between cohorts.

Results

Two hundred fifty-two patients were enrolled, of which 85 (33.7%) patients were in sarcopenia group, while 167 (66.3%) patients were not in sarcopenia group. The incidence of total VTE in sarcopenia group was higher than that in the extended group (10.6% vs. 1.8%, p = 0.005). Sarcopenia did not cause an increase in other postoperation 30 days complications (all p > 0.05). Multivariate analysis confirmed sarcopenia was independently associated with increased odds of VTE (OR = 4.18, 95% CI [1.01–17.27]; p = 0.048). Subgroup analysis showed that patients with VTE tended to be older (76.5 vs 66.0, p = 0.025) and have higher proportion of diabetes (58.3% vs 14.2%, p < 0.001) as well as lower level of serum albumin (35.0 g/L vs 40.4 g/L, p = 0.023) compared with those without VTE.

Conclusions

Sarcopenia was an independent predictor for VTE with patients undergoing RC for BC.

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Availability of data and material

The datasets used or analyzed during the current study are available from the corresponding authors on reasonable request.

Code availability

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Authors and Affiliations

Authors

Contributions

Jie Gao: project design, data collection, and manuscript writing.

Yingxin Shi: project design, data collection, manuscript writing.

Diansheng Zhou: data collection.

Yu Zhang: data analysis.

Dawei Tian: data collection and data analysis.

Changli Wu: project design and manuscript revision.

Corresponding authors

Correspondence to Dawei Tian or Changli Wu.

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All procedures performed in this study (involving human participants) were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964Helsinki Declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants in the study.

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N/A

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The authors declare no competing interests.

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Gao, J., Shi, Y., Zhou, D. et al. Sarcopenia as an independent predictor for venous thromboembolism events in bladder cancer patients undergoing radical cystectomy. Support Care Cancer 30, 1191–1198 (2022). https://doi.org/10.1007/s00520-021-06423-2

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  • DOI: https://doi.org/10.1007/s00520-021-06423-2

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