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array:23 [ "pii" => "S0210480608739172" "issn" => "02104806" "doi" => "10.1016/S0210-4806(08)73917-2" "estado" => "S300" "fechaPublicacion" => "2008-01-01" "aid" => "73917" "copyright" => "Asociación Española de Urología (AEU)" "copyrightAnyo" => "2008" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2008;32:696-704" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1138 "formatos" => array:3 [ "EPUB" => 8 "HTML" => 717 "PDF" => 413 ] ] "itemSiguiente" => array:18 [ "pii" => "S0210480608739184" "issn" => "02104806" "doi" => "10.1016/S0210-4806(08)73918-4" "estado" => "S300" "fechaPublicacion" => "2008-01-01" "aid" => "73918" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2008;32:705-12" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1264 "formatos" => array:3 [ "EPUB" => 10 "HTML" => 760 "PDF" => 494 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Prevalencia de disfunción eyaculatoria secundaria al tratamiento con alfa-bloqueantes en pacientes con hiperplasia benigna de próstata" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "705" "paginaFinal" => "712" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Prevalence of ejaculatory dysfunction secondary to alpha-blocker therapy in patients with benign prostatic hyperplasia" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "A. Martín-Morales, G. Meyer, E. Ramírez" "autores" => array:3 [ 0 => array:2 [ "nombre" => "A." "apellidos" => "Martín-Morales" ] 1 => array:2 [ "nombre" => "G." "apellidos" => "Meyer" ] 2 => array:2 [ "nombre" => "E." "apellidos" => "Ramírez" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480608739184?idApp=UINPBA00004N" "url" => "/02104806/0000003200000007/v1_201304251911/S0210480608739184/v1_201304251911/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0210480608739160" "issn" => "02104806" "doi" => "10.1016/S0210-4806(08)73916-0" "estado" => "S300" "fechaPublicacion" => "2008-01-01" "aid" => "73916" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2008;32:691-5" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1023 "formatos" => array:3 [ "EPUB" => 8 "HTML" => 595 "PDF" => 420 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Tendencia en la incidencia del cáncer testicular de células germinales en un área sanitaria española de 300.000 habitantes (1991-2005)" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "691" "paginaFinal" => "695" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Trends in the incidence of testicular germ cell cancer in a 300.000 inhabitants spanish population (1991-2005)" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "L. Llanes González, M. Luján Galán, N. Rodríguez García, A. García Tello, A. Berenguer Sánchez" "autores" => array:5 [ 0 => array:2 [ "nombre" => "L." "apellidos" => "Llanes González" ] 1 => array:2 [ "nombre" => "M." "apellidos" => "Luján Galán" ] 2 => array:2 [ "nombre" => "N." "apellidos" => "Rodríguez García" ] 3 => array:2 [ "nombre" => "A." "apellidos" => "García Tello" ] 4 => array:2 [ "nombre" => "A." "apellidos" => "Berenguer Sánchez" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480608739160?idApp=UINPBA00004N" "url" => "/02104806/0000003200000007/v1_201304251911/S0210480608739160/v1_201304251911/es/main.assets" ] "es" => array:12 [ "idiomaDefecto" => true "titulo" => "Cistectomía radical como tratamiento del cáncer vesical infiltrante en el paciente de edad avanzada" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "696" "paginaFinal" => "704" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "J.A. March Villalba, J.M. Martinez Jabaloyas, F. Pastor Hernandez, F.J. Gunthner Stefan, R. Rodriguez Navarro, P. Chuan Nuez" "autores" => array:6 [ 0 => array:4 [ "nombre" => "J.A." "apellidos" => "March Villalba" "email" => array:1 [ 0 => "joseantoniomarch@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "J.M." "apellidos" => "Martinez Jabaloyas" ] 2 => array:2 [ "nombre" => "F." "apellidos" => "Pastor Hernandez" ] 3 => array:2 [ "nombre" => "F.J." "apellidos" => "Gunthner Stefan" ] 4 => array:2 [ "nombre" => "R." "apellidos" => "Rodriguez Navarro" ] 5 => array:2 [ "nombre" => "P." "apellidos" => "Chuan Nuez" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Urología del Hospital Clínico Universitario de Valencia. Valencia" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Correspondencia autor: Dr. J.A. March Villalba Servicio de Urologia. Hospital Clinico Universitario de Valencia Avda. Blasco Ibanez, 17 - 46010 Valencia Tel.: 963 862 600" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Radical cystectomy as a muscle-invasive bladder cancer treatment in elderly patients" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec88682" "palabras" => array:3 [ 0 => "Anciano" 1 => "Cistectomía" 2 => "Cáncer vesical infiltrante" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec88681" "palabras" => array:3 [ 0 => "Elderly" 1 => "Cystectomy" 2 => "Bladder neoplasm" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Realizar una cistectomía radical en ancianos con cáncer vesical infiltrante es un tema controvertido</p> <span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">El objetivo de nuestro trabajo ha sido determinar si existen diferencias significativas en cuanto a la morbimortalidad perioperatoria, complicaciones tardías, tiempo libre de enfermedad y supervivencia cáncer-específica en un grupo de pacientes ancianos con cáncer vesical infiltrante tratados mediante cistectomía radical, comparado al resto de pacientes de menor edad y analizar qué variables pudieron predecir la morbi-mortalidad perioperatoria</p> <span class="elsevierStyleSectionTitle">Material y métodos</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Estudio retrospectivo de pacientes con cáncer vesical infiltrante tratados mediante cistectomía radical y derivación ileal. Se compararon 2 grupos: <70 años en el momento de la realización de la cistectomía (n=55) y ≥=70 años (n=57)</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">No hubo diferencias entre ambos grupos con respecto a: tiempo quirúrgico, complicaciones intraoperatorias (<70=21,8%, ≥=70=31,6%), mortalidad postoperatoria (<70=3,6%, ≥=70=8,8%), complicaciones postoperatorias menores (<70=18,2%, ≥=70=26,3%) y médicas (<70=7,3%, ≥=70=8,8%), eventos tardíos, periodo libre de enfermedad y supervivencia cáncer-específica. El porcentaje de complicaciones mayores (<70=23,6%, ≥=70=43,9%) y la estancia hospitalaria (<70=10,2, =70=15,2 días) difieren significativamente entre ambos grupos. La edad y los factores de riesgo cardiacos predicen de manera independiente la aparición de complicaciones postoperatorias mayores</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">La cistectomía radical puede ser realizada en pacientes ancianos seleccionados adecuadamente</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Radical cystectomy in elderly is a controversial issue that increases importance overtime because average life span is growing</p> <span class="elsevierStyleSectionTitle">Objetive</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The porpouse of our work was to analize the differences about perioperative and later outcomes between ages of patients with muscle-invasive bladder neoplasm treated with radical cystectomy</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">We retrospectively reviewed the records of patients who underwent radical cystectomy for muscle-invasive bladder cancer. Two age groups were compared: <70 years old at time of cystectomy (n=55) and ≥=70 years (n=57)</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">There was no difference between both age groups about: time of surgery, intraoperative complications (<70=21,8%,≥=70=31,6%), postoperative mortality (<70=3,6%, ≥=70=8,8%), minor (<70=18,2%, ≥=70=26,3%) and major medical postoperative complications (<70=7,3%, ≥=70=8,8%), late outcomes as cancer-specific morby-mortality and actuarial overall survival stratified by patient age. The rate of major postoperative complications (<70=23,6%, ≥=70=43,9%) as well as the mean length of hospital stay (<70=10,2, ≥=70=15,2 days) differed significantly between the two age groups. Age and cardiovascular risk factors were independient predictive factors of mayor postoperative complications</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Radical cystectomy could be performed in carefully selected elderly patients</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:26 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Anuario estadistíco de España 1998-2005. Instituto Nacional de Estadística. Ministerio de Economía y Hacienda.<a class="elsevierStyleInterRef" href="http://www.ine.es">http://www.ine.es</span> (fecha de consulta 20/08/2007). 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Saracino" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1002/cncr.20654" "Revista" => array:7 [ "tituloSerie" => "Cancer" "fecha" => "2004" "volumen" => "101" "numero" => "11" "paginaInicial" => "2540" "paginaFinal" => "2548" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15481058" "web" => "Medline" ] ] ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib0055" "etiqueta" => "11." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Radical cystectomy in the elderly. Comparison of survival between younger and older patients" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "P.E. Clark" 1 => "J.P. Stein" 2 => "S.G. Groshen" 3 => "J. Cai" 4 => "G. Miranda" 5 => "G. 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Amiel" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.eururo.2006.11.004" "Revista" => array:7 [ "tituloSerie" => "Eur Urol" "fecha" => "2007" "volumen" => "51" "numero" => "3" "paginaInicial" => "699" "paginaFinal" => "706" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17113703" "web" => "Medline" ] ] ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib0065" "etiqueta" => "13." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Radical cystectomy in the elderly. Comparison of clinical outcomes between younger and older patients" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "P.E. Clark" 1 => "J.P. Stein" 2 => "S.G. Groshen" 3 => "J. Cai" 4 => "G. Miranda" 5 => "G. 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