J Urol: Can the Geriatric Nutritional Risk Index (GNRI) predict postoperative complications of bladder cancer?

Malnutrition is widespread in the elderly population and is often diagnosed in cancer patients
.

About one-third of patients undergoing radical cystectomy (RC) are malnourished

diagnosis

The Elderly Nutritional Risk Index (GNRI) is a simple screening tool that can be used to predict nutrition-related morbidity and mortality risks in elderly patients
.

The Elderly Nutritional Risk Index (GNRI) is a simple screening tool that can be used to predict nutrition-related morbidity and mortality risks in elderly patients.
The Elderly Nutritional Risk Index (GNRI) is a simple screening tool that can be used to predict nutrition-related risks in elderly patients.
Morbidity and mortality risk

Recently, researchers from the United States published an article in "J Urol" to assess whether preoperative GNRI is related to complications 30 days after radical cystectomy (RC)
.

Evaluated whether the preoperative GNRI is related to the complications of 30 days after radical cystectomy (RC)

The researchers used data from the National Surgical Quality Improvement Program database of the American College of Surgeons to include patients 65 years and older who were treated for bladder cancer from 2007 to 2019
.

Patients were divided into risk (GNRI≤98) or no risk (GNRI>98) groups

The study identified a total of 2926 patients eligible for analysis, 814 (28%) in the risk-free GNRI group and 2112 (72%) in the non-risk GNRI group
.

The results of the study found that after PSM, the proportion of complications (P=0.

Patient selection flowchart

Patient selection flowchart

In summary, GNRI is a standardized nutritional status screening tool that can be used to pre-operatively assess the risk of postoperative complications in elderly patients undergoing RC surgery, as well as mortality, pneumonia, blood transfusion, prolonged hospital stay, and non-family discharge Independent predictors
.

In short, GNRI is an objective and convenient tool that can be directly used to assess the nutritional status and risk of complications in elderly bladder cancer patients receiving RC

GNRI nutritional status is a standardized screening tool for risk of postoperative complications, preoperative evaluation accepting RC surgery in elderly patients, as well as mortality, pneumonia, blood transfusion, prolonged hospitalization and non-independent predictors of family discharged GNRI is the nutritional status of a standardized screening tool for preoperative evaluation to accept the risk of postoperative complications RC surgery in elderly patients, as well as mortality, pneumonia, blood transfusion, prolonged hospitalization and non-hospital discharge were independent predictors of family screening

Original source:

Original source:

Carlos Riveros, Seyed Behzad Jazayeri, Victor Chalfant et al.

The Geriatric Nutritional Risk Index Predicts Postoperative Outcomes in Bladder Cancer: A Propensity Score-Matched Analysis

 

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