Evidence map›Paper›PMID 42421772›Full record

ArticleBJUI compass2026

Impact of body mass index on outcomes after radical cystectomy: A retrospective Australian cohort study.

Samiha Arulshankar, Xinyi Wei, Charis Ting, Tran Ngoc An Huynh, Yashvrdhan Khanna, Kylie Lim, Munad Khan, James Huang, Nieroshan Rajarubendra, Kevin Chu and 3 more

Abstract read
In one paragraph

Article in BJUI compass, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Samiha ArulshankarDepartment of Urology Monash Health Victoria Australia.ORCID https://orcid.org/0009-0005-3795-6457
Xinyi WeiDepartment of Urology Monash Health Victoria Australia.
Charis TingFaculty of Medicine, Nursing and Health Science Monash University Melbourne Australia.
Tran Ngoc An HuynhDepartment of Urology Monash Health Victoria Australia.
Yashvrdhan KhannaDepartment of Urology Monash Health Victoria Australia.
Kylie LimDepartment of Urology Monash Health Victoria Australia.ORCID https://orcid.org/0000-0003-3370-3530
Munad KhanDepartment of Urology Monash Health Victoria Australia.
James HuangDepartment of Urology Monash Health Victoria Australia.
Nieroshan RajarubendraDepartment of Urology Monash Health Victoria Australia.
Kevin ChuDepartment of Urology Monash Health Victoria Australia.
Matthew HarperDepartment of Urology Monash Health Victoria Australia.
Scott DonnellanDepartment of Urology Monash Health Victoria Australia.
Weranja RanasingheDepartment of Urology Monash Health Victoria Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: This study aimed to assess the association between body mass index and perioperative outcomes and survival after radical cystectomy for bladder cancer in an Australian cohort. Subjects/patients and methods: We conducted a retrospective single-centre study of patients undergoing radical cystectomy between 2008 and 2021. Preoperative body mass index (BMI) was analysed categorically and continuously. Outcomes included overall survival (OS), Clavien-Dindo grade ≥2 complications and length of hospital stay. Survival was analysed using Kaplan-Meier methods and multivariable Cox regression adjusting for age, sex, tumour stage, nodal status and chemotherapy. Restricted cubic splines were used to explore non-linear associations. Results: The cohort comprised 135 patients (median age 70 years; median BMI 27.2 kg/m Conclusion: Overweight BMI was associated with improved survival following radical cystectomy, while obesity was linked to greater perioperative morbidity. These findings are consistent with the obesity paradox and underscore the limitations of BMI alone for perioperative risk stratification.

Indexed as

bladder cancerbody mass indexobesity paradoxperioperative outcomesradical cystectomysurvival

Identifiers

PMID42421772
PMCPMC13342837

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.