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World Journal of Urology

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30-06-2023 | Original Article

Urological hospitalization reasons and outcomes of octogenarians and nonagenarians: does age really matter?

Authors: Anil Erkan, Caglar Boyaci, Gokce Dundar, Metin Kilic

Published in: World Journal of Urology | Issue 8/2023

Abstract

Purpose

Since some urological diseases are age-dependent, these patients are admitted to urology wards for treatment more frequently as an inevitable result of aging. In this study, the urological hospitalization reasons and outcomes patients in octogenarian and nonagenarian age groups were evaluated in comparison with younger adult patients.

Methods

After examining a total of 5615 urology ward admissions of individuals aged 18–99 years, we included 443 (7.7%) patients aged 80–89 years in the octogenarian group and 32 (0.6%) patients in the nonagenarian group. Ten percent of the remaining 5150 adults were randomly selected to form the control group.

Results

The mean ages of the control, octogenarian, and nonagenarian groups were 55.4 ± 16, 83.3 ± 2.6, and 91.9 ± 1.8 years, respectively. The most frequent reasons for the hospitalization were a history of or active bladder tumors in the octogenarian and nonagenarian groups [117 (38.5%) and 3 (21.4%), respectively]. The incidences of any complication in the control, octogenarian, and nonagenarian groups were 61 (12.2%), 63 (15.7%), and 12 (42.9%), respectively. Mortality was seen in five (1%) patients in the control group, 11 (2.5%) in the octogenarians, and five (15.6%) in the nonagenarians. The complication and mortality rates of the nonagenarian group were statistically significantly higher than the remaining two groups (p < 0.001).

Conclusion

Due to additional problems that increase with aging, the urology hospitalizations of octogenarian and nonagenarian patients result in more complications. Mortality rates also increase with age. It is aimed to contribute to the literature by revealing the needs and outcomes of octogenarian and nonagenarian patients in the urology clinic.

United Nations, Department of Economic and Social Affairs, Population Division, World population prospects: the 2022 revision. https://population.un.org/dataportal/home. Accessed 12 Sep 2022

Schultzel M, Saltzstein SL, Downs TM, Shimasaki S, Sanders C, Sadler GR (2008) Late age (85 years or older) peak incidence of bladder cancer. J Urol 179(4):1302–1305. https://doi.org/10.1016/j.juro.2007.11.079. (discussion 1305–1306)CrossRefPubMedPubMedCentral

Lim KB (2017) Epidemiology of clinical benign prostatic hyperplasia. Asian J Urol 4(3):148–151. https://doi.org/10.1016/j.ajur.2017.06.004CrossRefPubMedPubMedCentral

Pridgeon S, Nagarajan E, Ellis G, Green JS (2016) The use of urological hospital services by nonagenarians. Ann R Coll Surg Engl 98(03):181–186. https://doi.org/10.1308/rcsann.2016.0002CrossRefPubMedPubMedCentral

Eredics K, Luef T, Madersbacher S (2021) The future of urology: nonagenarians admitted to a urological ward. World J Urol 39(9):3671–3676. https://doi.org/10.1007/s00345-020-03582-5CrossRefPubMed

Liguori G, Trombetta C, Pomara G, Amodeo A, Bucci S, Garaffa G, Francesca F, Belgrano E (2007) Major invasive surgery for urologic cancer in octogenarians with comorbid medical conditions. Eur Urol 51(6):1600–1605. https://doi.org/10.1016/j.eururo.2006.07.046CrossRefPubMed

Dindo D, Demartines N, Clavien P-A (2004) Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 240(2):205–213. https://doi.org/10.1097/01.sla.0000133083.54934.aeCrossRefPubMedPubMedCentral

Eredics K, Bretterbauer KM, Comploj E, Friedl A, Gschliesser T, Lenart S, Seklehner S, Wimpissinger F, Madersbacher S (2018) Bladder cancer in nonagenarians: a multicentre study of 123 patients. BJU Int 122(6):1010–1015. https://doi.org/10.1111/bju.14419CrossRefPubMed

NHS Digital (2021) Hospital admitted patient care activity 2020–21. https://digital.nhs.uk/data-and-information/publications/statistical/hospital-admitted-patient-care-activity/2020-21. Accessed 18 Sep 18 2022

10.

Patel H, Cerantola Y, Valerio M, Persson B, Jichlinski P, Ljungqvist O, Hubner M, Kassouf W, Müller S, Baldini G et al (2014) Enhanced recovery after surgery: are we ready, and can we afford not to implement these pathways for patients undergoing radical cystectomy? Eur Urol 65(2):263–266CrossRefPubMed

11.

Shenoy S, Ward P, Wigmore T (2009) Surgical management of urological malignancy: anaesthetic and critical care considerations. Curr Anaesth Criti Care 20(1):22–27CrossRef

12.

Smith R, Osterweil D, Ouslander JG (1996) Perioperative care in the elderly urologic patient. Urol Clin North Am 23(1):27–41. https://doi.org/10.1016/s0094-0143(05)70291-3CrossRefPubMed

13.

Halachmi S, Katz Y, Meretyk S, Barak M (2008) Perioperative morbidity and mortality in 80 years and older undergoing elective urology surgery—a prospective study. Aging Male 11(4):162–166. https://doi.org/10.1080/13685530802351081CrossRefPubMed

14.

Brodak M, Tomasek J, Pacovsky J, Holub L, Husek P (2015) Urological surgery in elderly patients: results and complications. Clin Interv Aging 10:379. https://doi.org/10.2147/CIA.S73381CrossRefPubMedPubMedCentral

Title: Urological hospitalization reasons and outcomes of octogenarians and nonagenarians: does age really matter?
Authors: Anil Erkan
Caglar Boyaci
Gokce Dundar
Metin Kilic
Publication date: 30-06-2023
Publisher: Springer Berlin Heidelberg
Published in: World Journal of Urology / Issue 8/2023
Print ISSN: 0724-4983
Electronic ISSN: 1433-8726
DOI: https://doi.org/10.1007/s00345-023-04470-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Urological hospitalization reasons and outcomes of octogenarians and nonagenarians: does age really matter?

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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