Évaluation prospective de l'état nutritionnel et risque de complications post-opératoires de la cystectomie radicale
|Advisor:||Fradet, Vincent; Lamarche, Benoît|
|Abstract:||Radical cystectomy is the reference treatment for muscle invasive bladder cancer. This surgery is associated with a high complication rate and has an important impact on patients’ quality of life. Nutritional status influences outcomes of diseases and surgeries, but few nutritional factors have been associated with complications or mortality after radical cystectomy. We conducted a systematic review to identify factors of the nutritional status associated with the development of complications or mortality after the surgery. This review has shown that hypoalbuminemia seems to be associated with a higher risk of death after the surgery. We conducted a cohort study to identify factors of nutritional status prospectively assessed that predict complications after radical cystectomy, using a standardized reporting method of complications and optimized regression models. Preoperative high body mass index, decreased appetite, weight loss, hypoalbuminemia and hypo-prealbuminemia were associated with complications after RC in this cohort study. Clinical trials are needed to assess surgery issues of preoperative nutritional interventions.|
|Document Type:||Mémoire de maîtrise|
|Open Access Date:||24 April 2018|
|Collection:||Thèses et mémoires|
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