A nomogram predictive model of ileus after radical cystectomy
10.3969/j.issn.1009-8291.2023.10.013
- VernacularTitle:膀胱癌根治术后患者出现肠梗阻的列线图预测模型
- Author:
Yunzhao AN
1
;
Heng ZHANG
1
;
Ye TIAN
1
;
Lingyue AN
1
;
Guangheng LUO
1
Author Information
1. Department of Urology, Guizhou Provincial People’s Hospital, Guiyang 550002, China
- Publication Type:Journal Article
- Keywords:
bladder cancer;
radical cystectomy;
ileus;
risk factors;
nomogram
- From:
Journal of Modern Urology
2023;28(10):882-887
- CountryChina
- Language:Chinese
-
Abstract:
【Objective】 To analyze the risk factors of ileus after radical cystectomy, and to construct a nomogram predictive model accordingly. 【Methods】 Clinical data of patients who underwent radical cystectomy during Jan.2018 and Dec.2021 were collected. The risk factors related to postoperative ileus were assessed with Logistic univariate and multivariate regression analysis. After that, the predictive model was constructed and its specificity and accuracy were verified. 【Results】 A total of 326 patients were included, 65 of whom developed ileus. Statistical analysis showed that gender, lymph node dissection, serum creatinine and albumin were correlated with postoperative ileus. The area under the receiver operating characteristic curve of the model was 0.769 (95%CI:0.724-0.802). Bootstrap correction curve showed that the model had good prediction accuracy. 【Conclusion】 Male, lymph node dissection, elevated postoperative serum creatinine and postoperative blood albumin decrease are predictors of ileus. The nomogram predictive model based on these predictors can predict the probability of ileus after radical cystectomy.
