Journal article
The Association Between Mood and Anxiety Disorders With Perioperative Outcomes Following Radical Cystectomy
Urology (Ridgewood, N.J.), Vol.168, pp.143-149
10/01/2022
DOI: 10.1016/j.urology.2022.06.033
PMID: 35830917
Abstract
To identify associations between preoperative psychiatric diagnoses and perioperative outcomes after RC.
The Florida Inpatient Data File was used to identify patients who underwent RC from 2013 to 2019. ICD-10 codes for a mood or anxiety disorder were identified and analyzed as a 3-level variable: neither, one of these, or both. Outcomes included inpatient mortality, non-home discharge, in-hospital complications, and length of stay. Mixed-effects logistic regression (accounting for clustering within hospitals) and negative binomial regression models were utilized.
We identified 4396 RC patients, including 306 (7.0%) with a mood disorder and 389 (8.8%) with an anxiety disorder. After multivariable adjustment, there was no significant association between mood and/or anxiety disorders with mortality or the presence or number of in-hospital complications. However, a mood or anxiety disorder was significantly associated with increased odds of non-home discharge (OR 1.60, 95% CI 1.20-2.14) and longer length of stay (IRR 1.13, 95% CI 1.07-1.19); these associations were also increased among patients with both mood and anxiety disorder diagnoses (non-home discharge OR 2.66, 95% CI 1.61-4.38; length of stay IRR 1.12, 95% CI 1.01-1.24).
Patients with mood and/or anxiety disorders undergoing RC had longer length of stay and increased odds of discharge to a non-home facility despite similar risks of perioperative complications. These data suggest an opportunity for perioperative intervention to address these disparities in postoperative outcomes. However, further work is needed to determine the underlying causes of these differences and to develop effective interventions.
Details
- Title: Subtitle
- The Association Between Mood and Anxiety Disorders With Perioperative Outcomes Following Radical Cystectomy
- Creators
- James Hwang - Mayo Clinic in ArizonaBryce A. Baird - Mayo Clinic in FloridaTiara Taylor - Mayo Clinic in FloridaShalmali Borkar - Mayo Clinic in FloridaEmily Brennan - Mayo Clinic in FloridaAmanda Myers - Mayo Clinic in FloridaAugustus Anderson - Mayo Clinic in FloridaStephen A. Boorjian - Mayo Clinic in ArizonaShehzad K. Niazi - Mayo Clinic in FloridaDorin T. Colibaseanu - Mayo Clinic in FloridaAaron C. Spaulding - Mayo Clinic in FloridaTimothy D. Lyon - Mayo Clinic in Florida
- Resource Type
- Journal article
- Publication Details
- Urology (Ridgewood, N.J.), Vol.168, pp.143-149
- DOI
- 10.1016/j.urology.2022.06.033
- PMID
- 35830917
- NLM abbreviation
- Urology
- ISSN
- 0090-4295
- eISSN
- 1527-9995
- Publisher
- Elsevier Inc
- Grant note
- Mayo Clinic Center for the Science of Health Care Delivery
- Language
- English
- Date published
- 10/01/2022
- Academic Unit
- Urology
- Record Identifier
- 9984934816602771
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