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  • Canadian Urological Association Journal  (4)
  • 1
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    Online Resource
    Impact of exercise on physical health status in bladder cancer patients
    Canadian Urological Association Journal ; 2022
    In:  Canadian Urological Association Journal Vol. 17, No. 1 ( 2022-08-30)
    Details
    In: Canadian Urological Association Journal, Canadian Urological Association Journal, Vol. 17, No. 1 ( 2022-08-30)
    Abstract: Introduction: There is a scarcity of data on the impact of behavioral habits, such as exercise, on physical health in patients with bladder cancer. We investigated the association of exercise on self-reported physical health status and examined the prevalence of bladder cancer patients with sedentary lifestyle. Methods: We examined cross-sectional data of participants diagnosed with bladder cancer within the Behavioral Risk Factor Surveillance System (BRFSS) from 2016–2020. Patient health status was surveyed using self-reported measures such as the total days per month when their “physical health is not good.” The primary outcome was patient-reported poor physical health for more than 14 days within a one-month period. Results: Out of 2 193 981 survey participants, we identified 936 with a history of bladder cancer. Nearly one in three bladder cancer patients reported being sedentary within the last month, as a total of 307 (32.8%) patients reported no exercise within the last 30 days. The remaining 628 (67.2%) reported exercising for at least one day within the last month. In multivariable logistic regression model analysis, we found that exercise is protective for self-reported poor physical health status (odds ratio 0.37, 95% confidence interval 0.25–0.56, p 〈 0.001). Patients that exercised were less likely to report bad physical health. Conclusions: Approximately one in three bladder cancer patients report no exercise within 30 days, suggesting a sedentary lifestyle. Patients that are active are less likely to self-report poor physical health status. Implementation of exercise programs for bladder cancer patients could be promising in improving health status.
    Type of Medium: Online Resource
    ISSN: 1920-1214 , 1911-6470
    URL: Article
    DOI: 10.5489/cuaj.8008
    Language: Unknown
    Publisher: Canadian Urological Association Journal
    Publication Date: 2022
    detail.hit.zdb_id: 2431403-1
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  • 2
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    Contemporary perceptions of human papillomavirus and penile cancer: Perspectives from a national survey
    Canadian Urological Association Journal ; 2018
    In:  Canadian Urological Association Journal Vol. 13, No. 2 ( 2018-07-30)
    Details
    In: Canadian Urological Association Journal, Canadian Urological Association Journal, Vol. 13, No. 2 ( 2018-07-30)
    Abstract: Introduction: We aimed to assess the contemporary knowledge of human papillomavirus (HPV) and its association with penile cancer in a nationwide cohort from the U.S. Methods: We used the Health Information National Trends Survey (HINTS), a cross-sectional telephone survey performed in the U.S. initiated by the National Cancer Institute. The most recent iteration, HINTS 4 Cycle 4, was conducted in mail format between August 19 and November 17, 2014. Primary endpoints included knowledge of HPV and its causal relationship to penile cancer. Baseline characteristics included sex, age, education, race and ethnicity, income, residency, personal or family history of cancer, health insurance status, and internet use. Multivariable logistic regression assessed predictors of HPV and penile cancer knowledge. Results: An unweighted sample of 3376 respondents was extracted from the HINTS 4, Cycle 4. Whereas 64.4% of respondents had heard of HPV, only 29.5% of these were aware that it could cause penile cancer. Men were significantly less likely to have heard of HPV than women (odds ratio [OR] 0.32; 95% confidence interval [CI] 0.24–0.43). Older age; African-American, Asian, and “other race”; being married; from a lower education bracket; having a personal cancer history; and those without internet access were significantly less likely to have heard of HPV. None of our examined variables were independent predictors for the knowledge of the association of penile cancer and HPV. Conclusions: Our analysis of a large, nationally representative survey demonstrates that the majority of the American public is familiar with HPV, but lack a meaningful understanding between this virus and penile cancer. Primary care providers and specialists should be encouraged to intensify counselling about this significant association as a primary preventive measure of this potentially fatal disease.
    Type of Medium: Online Resource
    ISSN: 1920-1214 , 1911-6470
    URL: Article
    DOI: 10.5489/cuaj.5366
    Language: Unknown
    Publisher: Canadian Urological Association Journal
    Publication Date: 2018
    detail.hit.zdb_id: 2431403-1
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  • 3
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    The impact of resident involvement in minimally-invasive urologic oncology procedures
    Canadian Urological Association Journal ; 2014
    In:  Canadian Urological Association Journal Vol. 8, No. 9-10 ( 2014-10-13), p. 334-
    Details
    In: Canadian Urological Association Journal, Canadian Urological Association Journal, Vol. 8, No. 9-10 ( 2014-10-13), p. 334-
    Abstract: Introduction: Robotic and laparoscopic surgical training is an integral part of resident education in urology, yet the effect of resident involvement on outcomes of minimally-invasive urologic procedures remains largely unknown. We assess the impact of resident participation on surgical outcomes using a large multi-institutional prospective database.Methods: Relying on the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) Participant User Files (2005-2011), we abstracted the 3 most frequently performed minimally-invasive urologic oncology procedures. These included radical prostatectomy, radical nephrectomy and partial nephrectomy. Multivariable logistic regression models were constructed to assess the impact of trainee involvement (PGY 1-2: junior, PGY 3-4: senior, PGY ≥5: chief) versus attending-only on operative time, length-of-stay, 30-day complication, reoperation and readmission rates.Results: A total of 5459 minimally-invasive radical prostatectomies,1740 minimally-invasive radical nephrectomies and 786 minimally-invasive partial nephrectomies were performed during the study period, for which data on resident surgeon involvement was available. In multivariable analyses, resident involvement was not associated with increased odds of overall complications, reoperation, or readmission rates for minimally-invasive prostatectomy, radical and partial nephrectomy. However, operative time was prolonged when residents were involved irrespective of the type of procedure. Length-of-stay was decreased with senior resident involvement in minimally-invasive partial nephrectomies (odds ratio [OR] 0.49, p = 0.04) and prostatectomies (OR 0.68, p = 0.01). The major limitations of this study include its retrospective observational design, inability to adjust for the case complexity and surgeon/hospital characteristics, and the lack of information regarding the minimally-invasive approach utilized (whether robotic or laparoscopic).Conclusions: Resident involvement is associated with increased operative time in minimally-invasive urologic oncology procedures. However, it does not adversely affect the complication, reoperation or readmission rates, as well as length-of-stay.
    Type of Medium: Online Resource
    ISSN: 1920-1214 , 1911-6470
    URL: Article
    DOI: 10.5489/cuaj.2170
    Language: Unknown
    Publisher: Canadian Urological Association Journal
    Publication Date: 2014
    detail.hit.zdb_id: 2431403-1
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  • 4
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    Short-term perioperative outcomes of patients treated with radical cystectomy for bladder cancer included in the National Surgical Quality Improvement Program (NSQIP) database
    Canadian Urological Association Journal ; 2014
    In:  Canadian Urological Association Journal Vol. 8, No. 9-10 ( 2014-10-22), p. 681-
    Details
    In: Canadian Urological Association Journal, Canadian Urological Association Journal, Vol. 8, No. 9-10 ( 2014-10-22), p. 681-
    Abstract: Introduction: We report the contemporary outcomes of radical cystectomy (RC) in patients with bladder cancer using a national, prospective perioperative database specifically developed to assess the quality of surgical care.Methods: The National Surgical Quality Improvement Program (NSQIP) database was queried from 2006 to 2011 for RC. Data on postoperative complications, operative time, length of stay, blood transfusions, readmission, and mortality within 30 days from surgery were abstracted.Results: Overall, 1094 patients undergoing RC were identified. Rates of overall complications, transfusions, prolonged length of hospitalization, readmission, and perioperative mortality were 31.1%, 34.4%, 25.9%, 20.2%, and 2.7%, respectively. Body mass index represented an independent predictor of overall complications on multivariate analysis (p = 0.04). Baseline comorbidity status was associated with increased odds of postoperative complications, prolonged operative time, transfusion, prolonged hospitalization, and perioperative mortality. In particular, patients with cardiovascular comorbidities were 2.4 times more likely to die within 30 days following cystectomy compared to their healthier counterparts (p = 0.04). Men had lower odds of prolonged operative time and blood transfusions (p ≤ 0.03). Finally, the receipt of a continent urinary diversion was the only predictor of readmission (p = 0.02). Our results are limited by their retrospective nature and by the lack of adjustment for hospital and tumour volume.Conclusions: Complications, transfusions, readmission, and perioperative mortality remain relatively common events in patients undergoing RC for bladder cancer. In an era where many advocate the need for prospective multi-institutional data collection as a means of improving quality of care, our study provides data on short-term outcomes after RC from a national quality improvement initiative.
    Type of Medium: Online Resource
    ISSN: 1920-1214 , 1911-6470
    URL: Article
    DOI: 10.5489/cuaj.2069
    Language: Unknown
    Publisher: Canadian Urological Association Journal
    Publication Date: 2014
    detail.hit.zdb_id: 2431403-1
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