Most Read Articles
Roshini Claire Anthony, Yesterday

The addition of the glucagon-like peptide-1 analogue semaglutide to standard of care resulted in sustained reduction in weight and waist circumference in individuals with type 2 diabetes (T2D) with high cardiovascular risk, according to the phase III SUSTAIN 6* trial presented at EASD 2017.

5 days ago
There appears to be an association between waterpipe tobacco smoking and gastro-oesophageal reflux disease (GERD), which is a known risk factor for oesophageal adenocarcinoma, a study has shown.
Tristan Manalac, 6 days ago
An 8-week regimen of sofosbuvir-velpatasvir-voxilaprevir combination is not noninferior to a 12-week regimen of sofosbuvir-velpatasvir for patients with chronic hepatitis C virus (HCV) infection, report two recent phase 3 open-label trials.
2 days ago
The additional use of intermittent low-energy diet (LED) or daily meal replacements after a mean 10-percent weight loss and 1-year maintenance effectively maintains weight loss in obese patients with knee osteoarthritis for 3 years, according to a recent study.

Old age, female gender, BMI predict use of discharge resources after radical cystectomy

31 Aug 2017

The predictors of increased use of discharge resources following radical cystectomy are older age, female gender, length of stay, comorbidities, incontinent diversion and body mass index (BMI), a recent study has found.

To test the hypothesis that patient discharge needs after radical cystectomy are affected by health literacy, researchers identified 504 patients who underwent radical cystectomy and completed the validated Brief Health Literacy Screen (BHLS) after November 2010.

Researchers also performed bivariate and logistic regression analyses to determine whether health literacy is associated with the use of discharge resources after radical cystectomy.

About half (50.6 percent) of patients treated with radical cystectomy required discharge services and had lower health literacy compared with patients discharged home without services (BHLS, 11.9 vs 12.5; p=0.016).

Multivariable analysis showed that older age (odds ratio [OR], 1.1, 95 percent CI, 1.0 to 1.1; p=0.002), female gender (OR, 2.3; 1.2 to 4.4; p=0.019), BMI (OR, 1.1; 1.0 to 1.1; p=0.034), Charlson comorbidity index score (OR, 1.1; 1.0 to 1.2; p=0.037) and length of stay (OR, 1.1; 1.0 to 1.2; p=0.019) significantly correlated with the use of discharge resources.

Patients with continent vs incontinent urinary diversion were less likely to need discharge services after radical cystectomy (OR, 0.4; 0.2 to 0.08; p=0.013).

“Low health literacy may affect patient discharge disposition, but it was not significant on multivariable analysis,” according to researchers. “Factors that influence the complex self-care required of patients after cystectomy should be considered during discharge planning.”

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Most Read Articles
Roshini Claire Anthony, Yesterday

The addition of the glucagon-like peptide-1 analogue semaglutide to standard of care resulted in sustained reduction in weight and waist circumference in individuals with type 2 diabetes (T2D) with high cardiovascular risk, according to the phase III SUSTAIN 6* trial presented at EASD 2017.

5 days ago
There appears to be an association between waterpipe tobacco smoking and gastro-oesophageal reflux disease (GERD), which is a known risk factor for oesophageal adenocarcinoma, a study has shown.
Tristan Manalac, 6 days ago
An 8-week regimen of sofosbuvir-velpatasvir-voxilaprevir combination is not noninferior to a 12-week regimen of sofosbuvir-velpatasvir for patients with chronic hepatitis C virus (HCV) infection, report two recent phase 3 open-label trials.
2 days ago
The additional use of intermittent low-energy diet (LED) or daily meal replacements after a mean 10-percent weight loss and 1-year maintenance effectively maintains weight loss in obese patients with knee osteoarthritis for 3 years, according to a recent study.