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Preoperative ECOG performance status as a predictor of outcomes in upper tract urothelial cancer surgery

by Chen, Yung-Tai , Yang, Tsung-Mu , Chen, I-Hsuan Alan , Yeh, Hsin-Chih , Chen, Pi-Che , Wu, Richard Chen-Yu , Cheong, Ian-Seng , Tsai, Chung-You , Yang, Chi-Rei , Huang, Steven Kuan-Hua , Tai, Ting-En , Tsai, Yao-Chou , Lee, Hsiang-Ying , Yu, Chia-Cheng , Yu, Chih-Chin , Wu, Chia-Chang , Pang, See-Tong , Jiang, Yuan-Hong , Huang, Hsu-Che , Tseng, Jen-Shu , Lin, Wei-Yu , Lin, Wun-Rong , Chen, Zhi‐Hao , Lin, Po-Hung , Chen, Wen-Chi

in 631/67/589 / 692/308/409 / 692/499 / Aged / Aged, 80 and over / Buddhism / Cancer / Cancer surgery / Carcinoma, Transitional Cell - mortality / Carcinoma, Transitional Cell - surgery / Chemotherapy / Collaboration / Eastern cooperative oncology group / Female / Hospitals / Humanities and Social Sciences / Humans / Laparoscopy / Major perioperative complication / Male / Medical prognosis / Medical schools / Medicine / Middle Aged / Missing data / multidisciplinary / Nephroureterectomy / Oncology / Patients / Preoperative Period / Prognosis / Radical nephroureterectomy / Science / Science (multidisciplinary) / Survival / Survival outcome / Treatment Outcome / Upper tract urothelial carcinoma / Urologic Neoplasms - mortality / Urologic Neoplasms - pathology / Urologic Neoplasms - surgery / Urology / Urothelial cancer / Urothelial carcinoma

2025

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Preoperative ECOG performance status as a predictor of outcomes in upper tract urothelial cancer surgery

2025

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2025

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Journal Article

Preoperative ECOG performance status as a predictor of outcomes in upper tract urothelial cancer surgery

Chen, Yung-Tai,

Yang, Tsung-Mu,

Chen, I-Hsuan Alan,

Yeh, Hsin-Chih,

Chen, Pi-Che,

Wu, Richard Chen-Yu,

Cheong, Ian-Seng,

Tsai, Chung-You,

Yang, Chi-Rei,

Huang, Steven Kuan-Hua,

Tai, Ting-En,

Tsai, Yao-Chou,

Lee, Hsiang-Ying,

Yu, Chia-Cheng,

Yu, Chih-Chin,

Wu, Chia-Chang,

Pang, See-Tong,

Jiang, Yuan-Hong,

Huang, Hsu-Che,

Tseng, Jen-Shu,

Lin, Wei-Yu,

Lin, Wun-Rong,

Chen, Zhi‐Hao,

Lin, Po-Hung,

Chen, Wen-Chi

2025

Overview

Eastern Cooperative Oncology Group performance status (ECOG-PS) is a widely used functional status measure in oncology, yet its prognostic value in upper tract urothelial carcinoma remains unclear. In this multicenter study of 2473 patients undergoing radical nephroureterectomy, ECOG-PS ≥ 2 was independently associated with worse overall survival (hazard ratio [HR] 2.53, p < 0.001), cancer-specific survival (HR 2.02, p < 0.001), and disease-free survival (HR 1.50, p = 0.003) than those with ECOG-PS 0–1. They also had a higher risk of major perioperative complications (odds ratio 2.46, p < 0.001). These findings support ECOG-PS as a valuable preoperative risk stratification tool.

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Publisher

Nature Publishing Group UK,Nature Publishing Group,Nature Portfolio

Subject

631/67/589

/ 692/308/409

/ 692/499

/ Aged

/ Aged, 80 and over

/ Buddhism

/ Cancer