All other pre- and postoperative ADL and iADL values did not have significant correlations with relevant outcome parameters ( Table 3).ДЈ.4. A lower ADL value after the operation was associated with longer length of hospital stay ( P = 0).

Before the operations, there was a significant negative correlation between ADL values and mortality ( P =. The correlation analysis accounted for both patient groups, and associations among mortality, complication rates, length of hospital stay, and comorbidities were investigated. Correlation of CGA values with outcome parameters Nevertheless, the intergroup difference of ADL values diminished to a nonsignificant level again one year after surgery ( Table 2).ДЈ.3. ADL values decreased by 10 points in both groups postoperatively, with a significantly worse performance in the kidney/distal urinary tract group ( P =. IADL values were comparable in both groups preoperatively and after 1 year. both groups were taken together and statistically evaluated together here ( Table 2). Daily life activities after the operation and after 1 yearДЄlthough both groups reached good levels of daily life activities after 1 year, there were significant differences in daily life activities (both ADL and iADL) directly after the operation and 1 year later. Preoperative MMSE scores were comparable (29 for prostate vs 28 for kidney/distal urinary tract P =. 001), a higher ASA state (3 vs 2 P <.001]), and significantly more preoperative medications (6 vs 2 P <.001). They also had significantly more comorbidities (median CCI score, 3 vs 2 P <. Patients with kidney/distal urinary tract carcinoma were older (median age, 71 vs 74 years P <.008). A Spearman correlation test was performed to detect correlations among length of hospital stay, perioperative complications, and mortality.

If 3 or more groups were analyzed, a Kruskal-Wallis test was used. For further ADL and iADL analysis, the Wilcoxon test was used. For ADL and iADL, which are nonparametrical parameters, differences were observed between the states before the operation, directly after the operation, and 12 months postoperatively. Descriptive statistics were used for additional clinical and demographic parameters, including age, BMI, ASA state, length of hospital stay, and the number of medications. Without normal distribution, data were presented as the median, 25% and 75% quartile, and further analyzed with the Mann-Whitney U test. After confirmation for normal distribution, continuous data were displayed as mean (SD) and further analyzed with a t test. Statistical analysis was performed with SPSS 15.0 (IBM Statistics). The remaining 111 patients were subdivided into groups according to their diagnosis: Group 1: prostate cancer and Group 2: kidney/distal urinary tract cancers (carcinomas of urinary bladder and ureter Figure 2). Sixty-two patients were lost to follow-up. In total, 305 urologic patients were screened, of whom 199 fulfilled the inclusion criteria subsequently, 17 declined to participate and 9 had histological confirmation of an oncocytoma, which is definitively nonmalignant. Results: In comparison with the patients with prostate cancer, those with kidney/distal urinary tract cancer had higher CCI scores (median, 3 vs 2 P 39 вЊ) NuDESC score >2 cardiopulmonary complications (eg, acute respiratory distress syndrome, atrial fibrillation and other rhythm diseases, dyspnea, pleural effusion) musculoskeletal complications (eg, joint effusions) gastrointestinal complications (eg, meteorism, nausea, emesis, diarrhea, constipation) extraordinary pain (ie, Visual Analogue Scale score >5), and urogenital complications (eg, urinary stasis, urinary tract infections).Дў.4. The relationships between CGA and complications, hospital duration, death rate, and baseline characteristics were analyzed. Further CGA tools were Instrumental Activities of Daily Living (iADL), Activities of Daily Living (ADL), and the Charlson Comorbidity Index (CCI). Patients were divided into 2 groups: prostate cancer (n = 88) and distal urinary tract cancer (n = 29). Methods: After informed consent, 111patients were included, all aged more than 65 years, with oncological surgery (with proof of a malignancy), a Mini Mental State Examination (MMSE) score of at least 23 points, and a prospective life expectancy of more than 2 months. Objectives: This work aims to evaluatecomprehensive geriatric assessment (CGA) tools to better guide patients with urogenital carcinomas perioperatively and, consequently, to intensify or reduce hospital resource use.

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