Mp34-19 Role of Self-Assessed Social Support and Social Deprivation Index in Predicting Complications Following Radical Cystectomy

You have accessJournal of UrologyDiversity, Equity & Inclusion: Health Equity & Outcomes II (MP34)1 May 2024MP34-19 ROLE OF SELF-ASSESSED SOCIAL SUPPORT AND SOCIAL DEPRIVATION INDEX IN PREDICTING COMPLICATIONS FOLLOWING RADICAL CYSTECTOMY Anosh S. Dadabhoy, Farshad Sheybaeemoghaddam, Sejal Mehta, Erika Wood, Natalie Liu, Sina Sobhani, Kasen Wong, Leilei Xia, Sanam Ledi-Seyedian, Thalia Bajakian, Gus Miranda, Muhannad Alsyouf, and Siamak Daneshmand Anosh S. DadabhoyAnosh S. Dadabhoy , Farshad SheybaeemoghaddamFarshad Sheybaeemoghaddam , Sejal MehtaSejal Mehta , Erika WoodErika Wood , Natalie LiuNatalie Liu , Sina SobhaniSina Sobhani , Kasen WongKasen Wong , Leilei XiaLeilei Xia , Sanam Ledi-SeyedianSanam Ledi-Seyedian , Thalia BajakianThalia Bajakian , Gus MirandaGus Miranda , Muhannad AlsyoufMuhannad Alsyouf , and Siamak DaneshmandSiamak Daneshmand View All Author Informationhttps://doi.org/10.1097/01.JU.0001008876.78012.90.19AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Radical cystectomy (RC) is a morbid oncologic procedure characterized by high rate of complications and frequent readmissions. It remains unknown whether a patient's social support correlates with complications and readmissions after RC. METHODS: To evaluate how self-assessed social support impacts postoperative complications and readmissions, patients undergoing radical cystectomy for invasive bladder cancer were prospectively evaluated using the validated, Medical Outcomes Study (MOS) Social Support Survey Instrument. Clinicopathologic, complication and readmission data were abstracted from an IRB-approved, prospectively maintained institutional bladder cancer database. The Social Deprivation Index (SDI), insurance and distance from index hospital were collected. Summary descriptive statistics and chi-square analyses with outcomes of 30-day complications/readmissions and 90-day complications/readmissions were completed in SPSS. RESULTS: Cohort characteristics are summarized in Table 1. Most had organ-confined invasive bladder cancer (<T3N0M0) and 62% received neoadjuvant chemotherapy. Studer neobladder was the most common urinary diversion (69%). Overall 30 and 90 day complications were 50% and 38%, respectively. Readmissions at 30 and 90 days were 21% and 27%, respectively. Self-assessed social support did not correlate with complications or readmissions at 30 or 90 days. There was high uniformity social support survey responses with a mean score of 83 (median 91, standard deviation 17). Exploration of several social support factors revealed no correlation with complications or readmissions (marital status, having children or a primary care provider, insurance or distance from hospital). However, higher social deprivation index was associated with 30 day readmission (p=0.008), 90 day complications (p=0.0.02) and 90 day readmission (p=0.003). CONCLUSIONS: In this limited cohort, an objective community-level measure (the social deprivation index) was a better predictor of 30 and 90 day complications and readmissions than a patient's self-assessment of their social support. Further exploration into the role of social support as an independent predictor of complications and readmissions following radical cystectomy is warranted. Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e578 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Anosh S. Dadabhoy More articles by this author Farshad Sheybaeemoghaddam More articles by this author Sejal Mehta More articles by this author Erika Wood More articles by this author Natalie Liu More articles by this author Sina Sobhani More articles by this author Kasen Wong More articles by this author Leilei Xia More articles by this author Sanam Ledi-Seyedian More articles by this author Thalia Bajakian More articles by this author Gus Miranda More articles by this author Muhannad Alsyouf More articles by this author Siamak Daneshmand More articles by this author Expand All Advertisement PDF downloadLoading ...