Yıl: 2020 Cilt: 46 Sayı: 2 Sayfa Aralığı: 108 - 114 Metin Dili: İngilizce DOI: 10.5152/tud.2019.19162 İndeks Tarihi: 04-11-2020

Caprini score and surgical times linked to the risk for venous thromboembolism after robotic-assisted radical prostatectomy

Öz:
Objective: To evaluate the Caprini score as an independent predictor of venous thromboembolism (VTE) in patients undergoing robotic-assisted radical prostatectomy (RARP) and to identify appropriate cut-points for clinical use.Material and methods: We performed a retrospective review of patients who underwent RARP for pros-tate cancer between December 2003 and February 2016. VTE cases developed the condition within 90 days of discharge. The control group was comprised of patients whose RARP most closely preceded and followed each VTE case in time and who were matched on lymph node dissection and surgeon. The Cap-rini score was calculated for each patient, and the groups were compared on a number of clinical variables. Multiple logistic regression was used to evaluate whether the Caprini score was an independent predictor of VTE. Receiver operating characteristics (ROC) curves were used to establish appropriate clinical cut-points.Results: A total of 3719 patients underwent RARP during the study period. A total of 52 (1.4%) of patients met the criteria for cases. Data were available for 97 patients who met the criteria for controls. Multiple logistic regression indicated that the Caprini score and operative time were independently both significant predictors of VTE (p=0.005 and p=0.044, respectively). ROC indicated that the Caprini score showed a significant but moderate relationship to VTE (area under curve [AOC]=0.64; p=0.004). A Caprini score >6 was the best arithmetic balance for sensitivity (61.5; 95% confidence interval [CI]: 47.0–74.7) and specificity (59. 8; 95% CI: 49. 3 – 69.6).Conclusion: The Caprini score predicts postoperative VTE in patients undergoing RARP.
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APA Frankel J, Belanger M, TORTORA J, McLaughlin T, Staff I, Wagner J (2020). Caprini score and surgical times linked to the risk for venous thromboembolism after robotic-assisted radical prostatectomy. , 108 - 114. 10.5152/tud.2019.19162
Chicago Frankel Jason,Belanger Matthew,TORTORA Joseph,McLaughlin Tara,Staff Ilene,Wagner Joseph Caprini score and surgical times linked to the risk for venous thromboembolism after robotic-assisted radical prostatectomy. (2020): 108 - 114. 10.5152/tud.2019.19162
MLA Frankel Jason,Belanger Matthew,TORTORA Joseph,McLaughlin Tara,Staff Ilene,Wagner Joseph Caprini score and surgical times linked to the risk for venous thromboembolism after robotic-assisted radical prostatectomy. , 2020, ss.108 - 114. 10.5152/tud.2019.19162
AMA Frankel J,Belanger M,TORTORA J,McLaughlin T,Staff I,Wagner J Caprini score and surgical times linked to the risk for venous thromboembolism after robotic-assisted radical prostatectomy. . 2020; 108 - 114. 10.5152/tud.2019.19162
Vancouver Frankel J,Belanger M,TORTORA J,McLaughlin T,Staff I,Wagner J Caprini score and surgical times linked to the risk for venous thromboembolism after robotic-assisted radical prostatectomy. . 2020; 108 - 114. 10.5152/tud.2019.19162
IEEE Frankel J,Belanger M,TORTORA J,McLaughlin T,Staff I,Wagner J "Caprini score and surgical times linked to the risk for venous thromboembolism after robotic-assisted radical prostatectomy." , ss.108 - 114, 2020. 10.5152/tud.2019.19162
ISNAD Frankel, Jason vd. "Caprini score and surgical times linked to the risk for venous thromboembolism after robotic-assisted radical prostatectomy". (2020), 108-114. https://doi.org/10.5152/tud.2019.19162
APA Frankel J, Belanger M, TORTORA J, McLaughlin T, Staff I, Wagner J (2020). Caprini score and surgical times linked to the risk for venous thromboembolism after robotic-assisted radical prostatectomy. Turkish Journal of Urology, 46(2), 108 - 114. 10.5152/tud.2019.19162
Chicago Frankel Jason,Belanger Matthew,TORTORA Joseph,McLaughlin Tara,Staff Ilene,Wagner Joseph Caprini score and surgical times linked to the risk for venous thromboembolism after robotic-assisted radical prostatectomy. Turkish Journal of Urology 46, no.2 (2020): 108 - 114. 10.5152/tud.2019.19162
MLA Frankel Jason,Belanger Matthew,TORTORA Joseph,McLaughlin Tara,Staff Ilene,Wagner Joseph Caprini score and surgical times linked to the risk for venous thromboembolism after robotic-assisted radical prostatectomy. Turkish Journal of Urology, vol.46, no.2, 2020, ss.108 - 114. 10.5152/tud.2019.19162
AMA Frankel J,Belanger M,TORTORA J,McLaughlin T,Staff I,Wagner J Caprini score and surgical times linked to the risk for venous thromboembolism after robotic-assisted radical prostatectomy. Turkish Journal of Urology. 2020; 46(2): 108 - 114. 10.5152/tud.2019.19162
Vancouver Frankel J,Belanger M,TORTORA J,McLaughlin T,Staff I,Wagner J Caprini score and surgical times linked to the risk for venous thromboembolism after robotic-assisted radical prostatectomy. Turkish Journal of Urology. 2020; 46(2): 108 - 114. 10.5152/tud.2019.19162
IEEE Frankel J,Belanger M,TORTORA J,McLaughlin T,Staff I,Wagner J "Caprini score and surgical times linked to the risk for venous thromboembolism after robotic-assisted radical prostatectomy." Turkish Journal of Urology, 46, ss.108 - 114, 2020. 10.5152/tud.2019.19162
ISNAD Frankel, Jason vd. "Caprini score and surgical times linked to the risk for venous thromboembolism after robotic-assisted radical prostatectomy". Turkish Journal of Urology 46/2 (2020), 108-114. https://doi.org/10.5152/tud.2019.19162