All patients | NSAID use | Metformin use | Prednisone use | |||||||
---|---|---|---|---|---|---|---|---|---|---|
Preoperative chronic use | No | P-value | Preoperative chronic use | No | P-value | Preoperative chronic use | No | P-value | ||
Number of patients | 3742 | 1503 | 1025 | 420 | 3052 | 293 | 2363 | |||
Age, median (IQR) | 70 (64–76) | 72 (67–77) | 69 (62–75) | < 0.001 | 72 (67–76) | 70 (63–76) | < 0.001 | 72 (67–76) | 70 (63–76) | < 0.001 |
Sex | ||||||||||
- Male | 2827 (75.5%) | 1167 (77.6%) | 746 (72.8%) | 0.005 | 334 (79.5%) | 2278 (74.6%) | 0.030 | 203 (69.3%) | 1829 (77.4%) | 0.002 |
- Female | 915 (24.5%) | 336 (22.4%) | 279 (27.2%) | 86 (20.5%) | 774 (25.4%) | 90 (30.7%) | 534 (22.6%) | |||
Region of residence | ||||||||||
- Regions with cities with > 400,000 inhabitants | 1453 (38.8%) | 555 (36.9%) | 434 (42.3%) | 0.008 | 164 (39.0%) | 1187 (38.9%) | 0.95 | 99 (33.8%) | 936 (39.6%) | 0.14 |
- Regions with cities with 100,000-250,000 inhabitants | 2012 (53.8%) | 839 (55.8%) | 524 (51.1%) | 228 (54.3%) | 1641 (53.8%) | 173 (59.0%) | 1258 (53.2%) | |||
- Rural regions (largest city in region < 100,000 inhabitants) | 252 (6.7%) | 106 (7.1%) | 55 (5.4%) | 26 (6.2%) | 201 (6.6%) | 20 (6.8%) | 150 (6.3%) | |||
- Unknown | 25 (0.7%) | 3 (0.2%) | 12 (1.2%) | 2 (0.5%) | 23 (0.8%) | 1 (0.3%) | 19 (0.8%) | |||
Charlson’s comorbidity index, median (IQR) | 7 (5–8) | 7 (6–9) | 6 (5–7) | < 0.001 | 8 (7–10) | 6 (5–8) | < 0.001 | 8 (6–9) | 6 (5–8) | < 0.001 |
Year of surgery | ||||||||||
- 2000–2009 | 2203 (58.9%) | 839 (55.8%) | 561 (54.7%) | 0.59 | 189 (45.0%) | 1835 (60.1%) | < 0.001 | 169 (57.7%) | 1308 (55.4%) | 0.45 |
- 2010–2015 | 1539 (41.1%) | 664 (44.2%) | 464 (45.3%) | 231 (55.0%) | 1217 (39.9%) | 124 (42.3%) | 1055 (44.6%) | |||
Hospital characteristics | ||||||||||
- Distance to hospital in km, median (IQR) | 20 (7–77) | 20 (7–85) | 17 (7–57) | 0.020 | 20 (8–67) | 19 (7–71) | 0.74 | 26 (10–80) | 19 (7–76) | 0.048 |
- Hospital type, academic | 1886 (50.4%) | 729 (48.5%) | 534 (52.1%) | 0.08 | 197 (46.9%) | 1559 (51.1%) | 0.11 | 149 (50.9%) | 1208 (51.1%) | 0.93 |
- Hospital RC volume/year, median (IQR) | 13 (8–32) | 13 (7–32) | 13 (7–32) | 0.90 | 13 (7–32) | 13 (8–32) | 0.32 | 13 (8–32) | 13 (8–32) | 0.71 |
- Surgeon RC volume/year, median (IQR) | 7 (5–13) | 7 (5–13) | 8 (5–13) | 0.61 | 7 (5–10) | 7 (5–13) | 0.43 | 7 (5–13) | 7 (5–13) | 0.77 |
Type of bladder diversion | ||||||||||
- Ileal conduit | 3046 (81.4%) | 1269 (84.4%) | 830 (81.0%) | 0.012 | 371 (88.3%) | 2465 (80.8%) | 0.001 | 248 (84.6%) | 1896 (80.2%) | 0.12 |
- Continent diversion | 544 (14.5%) | 176 (11.7%) | 155 (15.1%) | 38 (9.0%) | 456 (14.9%) | 37 (12.6%) | 376 (15.9%) | |||
- Unknown | 152 (4.1%) | 58 (3.9%) | 40 (3.9%) | 11 (2.6%) | 131 (4.3%) | 8 (2.7%) | 91 (3.9%) | |||
Neoadjuvant chemotherapy | 208 (5.6%) | 74 (4.9%) | 76 (7.4%) | 0.009 | 23 (5.5%) | 170 (5.6%) | 0.94 | 8 (2.7%) | 154 (6.5%) | 0.011 |
Preoperative chronic medication use | ||||||||||
- Statins | 1406 (37.6%) | 939 (62.5%) | 206 (20.1%) | < 0.001 | 308 (73.3%) | 1001 (32.8%) | < 0.001 | 142 (48.5%) | 826 (35.0%) | < 0.001 |
- NSAIDs | 1503 (40.2%) | - | - | - | 284 (67.6%) | 1128 (37.0%) | < 0.001 | 159 (54.3%) | 864 (36.6%) | < 0.001 |
- Aspirin | 1144 (30.6%) | 1144 (76.1%) | - | - | 257 (61.2%) | 814 (26.7%) | < 0.001 | 116 (39.6%) | 652 (27.6%) | < 0.001 |
- Other NSAIDs | 464 (12.4%) | 464 (30.9%) | - | - | 56 (13.3%) | 382 (12.5%) | < 0.001 | 60 (20.5%) | 249 (10.5%) | < 0.001 |
- Metformin | 420 (11.2%) | 284 (18.9%) | 61 (6.0%) | < 0.001 | - | - | - | 32 (10.9%) | 259 (11.0%) | 1.00 |
- Prednisone | 293 (7.8%) | 159 (10.6%) | 57 (5.6%) | < 0.001 | 32 (7.6%) | 242 (7.9%) | 0.58 | - | - | - |
Follow-up time (in years), median (95% CI) | 7.9 (7.6–8.4) | 7.3 (6.7–7.7) | 6.5 (5.6–7.4) | 5.4 (4.7–6.4) | 8.1 (7.7–8.5) | 8.2 (7.2–8.9) | 6.6 (6.3–7.2) |