Impact of peri-operative blood transfusion on the outcomes of patients undergoing radical cystectomy for urothelial carcinoma of the bladder

Luis A. Kluth, Evanguelos Xylinas, Malte Rieken, Maya El Ghouayel, Maxine Sun, Pierre I. Karakiewicz, Yair Lotan, Felix K H Chun, Stephen A. Boorjian, Richard K. Lee, Alberto Briganti, Morgan Rouprêt, Margit Fisch, Douglas S. Scherr, Shahrokh F. Shariat

Research output: Contribution to journalArticlepeer-review

Abstract

Objective To determine the association between peri-operative blood transfusion (PBT) and oncological outcomes in a large multi-institutional cohort of patients undergoing radical cystectomy (RC) for urothelial carcinoma of the bladder (UCB). Patients and Methods We conducted a retrospective analysis of 2895 patients treated with RC for UCB. Univariable and multivariable Cox regression models were used to analyse the effect of PBT administration on disease recurrence, cancer-specific mortality, and any-cause mortality. Results Patients' median (interquartile range [IQR]) age was 67 (60, 73) years and the median (IQR) follow-up was 36.1 (15, 84) months. Patients who received PBT were more likely to have advanced disease (P <0.001), high grade tumours (P = 0.047) and nodal metastasis (P = 0.004). PBT was associated with a higher risk of disease recurrence (P = 0.003), cancer-specific mortality (P = 0.017), and any-cause mortality (P = 0.010) in univariable, but not multivariable, analyses (P > 0.05). In multivariable analyses, pathological tumour stage, pathological nodal stage, soft tissue surgical margin, lymphovascular invasion and administration of adjuvant chemotherapy were independent predictors of disease recurrence, cancer-specific mortality and any-cause mortality (all P values

Original languageEnglish
Pages (from-to)393-398
Number of pages6
JournalBJU International
Volume113
Issue number3
DOIs
Publication statusPublished - Mar 2014

Keywords

  • bladder carcinoma
  • blood transfusion
  • outcomes
  • prognosis
  • radical cystectomy
  • urothelial carcinoma

ASJC Scopus subject areas

  • Urology

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