A total of 5,628 patients underwent RC during the study period, 4987 (88.6%) patients <80 and 641 (11.4%) patients ≥80 years old. Comparative rates of discharge destination in patients <80 and ≥80 years old to home was 4398 patients (88.2%) v. 426 patients (66.5%) and to not home was 589 (11.8%) v. 215 (33.5%) (p≤0.01). In comparing the two groups, patients older than 80 years were more likely to have a minor complication (41.8% v. 36.0%, p=0.01), and die within 30 days of surgery (4.4% v. 1.4%, p<0.01).
In summary, octogenarians undergoing RC were found to have significantly increased rates of adverse peri-operative outcomes as well as a significantly higher rate of discharge to a facility. This data will possibly help to risk stratify surgery for patients older than the age of 80 years with MIBC.
Presented by: Hayden M. Hill, MD, Ochsner Clinic, Jefferson, Lousiana
Written by: Stephen B. Williams, MD, Medical Director for High Value Care; Chief of Urology, Associate Professor, Director of Urologic Oncology, Director Urologic Research, The University of Texas Medical Branch at Galveston, TX at the 2019 American College of Surgeons Clinical Congress October 27-31, 2019 - San Francisco, CA