{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T05:38:31Z","timestamp":1793943511949,"version":"4.8.0"},"reference-count":40,"publisher":"Elsevier BV","issue":"8","license":[{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Urologic Oncology: Seminars and Original Investigations"],"published-print":{"date-parts":[[2025,8]]},"DOI":"10.1016\/j.urolonc.2025.03.025","type":"journal-article","created":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T14:56:52Z","timestamp":1746111412000},"page":"468.e7-468.e18","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":5,"title":["Prospective evaluation of comprehensive geriatric assessments in multidisciplinary bladder cancer care and implications for personalized vulnerability phenotyping"],"prefix":"10.1016","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8636-503X","authenticated-orcid":false,"given":"Dana","family":"Cavanaugh","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah K.","family":"Holt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin","family":"Dwyer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin","family":"Petersen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John L.","family":"Gore","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George R.","family":"Schade","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Petros","family":"Grivas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew C.","family":"Hsieh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John K.","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruce","family":"Montgomery","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael T.","family":"Schweizer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Todd","family":"Yezefski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evan Y.","family":"Yu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan J.","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jay J.","family":"Liao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Weg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"Zeng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samia","family":"Jannat","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donna L.","family":"Berry","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Viraj A.","family":"Master","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose M.","family":"Garcia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"May J.","family":"Reed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Itay","family":"Bentov","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan L.","family":"Wright","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah P.","family":"Psutka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"6","key":"10.1016\/j.urolonc.2025.03.025_bib0001","doi-asserted-by":"crossref","first-page":"918","DOI":"10.1111\/bju.12405","article-title":"Preoperative serum albumin is associated with mortality and complications after radical cystectomy","volume":"113","author":"Garg","year":"2014","journal-title":"BJU Int"},{"issue":"18","key":"10.1016\/j.urolonc.2025.03.025_bib0002","doi-asserted-by":"crossref","first-page":"2910","DOI":"10.1002\/cncr.28798","article-title":"Sarcopenia in patients with bladder cancer undergoing radical cystectomy: impact on cancer-specific and all-cause mortality","volume":"120","author":"Psutka","year":"2014","journal-title":"Cancer"},{"issue":"4","key":"10.1016\/j.urolonc.2025.03.025_bib0003","doi-asserted-by":"crossref","first-page":"377","DOI":"10.3233\/BLC-180173","article-title":"Early complications and mortality following radical cystectomy: associations with malnutrition and obesity","volume":"4","author":"Arora","year":"2018","journal-title":"Bladder Cancer"},{"issue":"6","key":"10.1016\/j.urolonc.2025.03.025_bib0004","doi-asserted-by":"crossref","first-page":"784","DOI":"10.1016\/j.eururo.2018.09.001","article-title":"Epidemiology of bladder cancer: a systematic review and contemporary update of risk factors in 2018","volume":"74","author":"Cumberbatch","year":"2018","journal-title":"Eur Urol"},{"issue":"3","key":"10.1016\/j.urolonc.2025.03.025_bib0005","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1016\/j.eururo.2017.07.031","article-title":"Prospective implementation of enhanced recovery after surgery protocols to radical cystectomy","volume":"73","author":"Pang","year":"2018","journal-title":"Eur Urol"},{"issue":"6","key":"10.1016\/j.urolonc.2025.03.025_bib0006","doi-asserted-by":"crossref","first-page":"1042","DOI":"10.1016\/j.eururo.2014.11.043","article-title":"Comparing open radical cystectomy and robot-assisted laparoscopic radical cystectomy: a randomized clinical trial","volume":"67","author":"Bochner","year":"2015","journal-title":"Eur Urol"},{"issue":"2","key":"10.1016\/j.urolonc.2025.03.025_bib0007","doi-asserted-by":"crossref","first-page":"E51","DOI":"10.1111\/bju.12215","article-title":"Unaltered oncological outcomes of radical cystectomy with extended lymphadenectomy over three decades","volume":"112","author":"Zehnder","year":"2013","journal-title":"BJU Int"},{"issue":"12","key":"10.1016\/j.urolonc.2025.03.025_bib0008","doi-asserted-by":"crossref","first-page":"1738","DOI":"10.1016\/j.ejso.2014.10.004","article-title":"Contemporary 90-day mortality rates after radical cystectomy in the elderly","volume":"40","author":"Schiffmann","year":"2014","journal-title":"Eur J Surg Oncol"},{"issue":"3","key":"10.1016\/j.urolonc.2025.03.025_bib0009","doi-asserted-by":"crossref","first-page":"829","DOI":"10.1016\/j.juro.2011.04.089","article-title":"Predicting the probability of 90-day survival of elderly patients with bladder cancer treated with radical cystectomy","volume":"186","author":"Morgan","year":"2011","journal-title":"J Urol"},{"issue":"5","key":"10.1016\/j.urolonc.2025.03.025_bib0010","doi-asserted-by":"crossref","first-page":"235 e17-23","DOI":"10.1016\/j.urolonc.2015.11.012","article-title":"Patient-centered risk stratification of disposition outcomes following radical cystectomy","volume":"34","author":"Nayak","year":"2016","journal-title":"Urol Oncol"},{"issue":"6","key":"10.1016\/j.urolonc.2025.03.025_bib0011","doi-asserted-by":"crossref","first-page":"2005","DOI":"10.1016\/j.juro.2013.06.022","article-title":"The SPARC score: a multifactorial outcome prediction model for patients undergoing radical cystectomy for bladder cancer","volume":"190","author":"Eisenberg","year":"2013","journal-title":"J Urol"},{"issue":"1","key":"10.1016\/j.urolonc.2025.03.025_bib0012","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1016\/j.juro.2013.01.010","article-title":"Comparative performance of comorbidity indices for estimating perioperative and 5-year all cause mortality following radical cystectomy for bladder cancer","volume":"190","author":"Boorjian","year":"2013","journal-title":"J Urol"},{"issue":"4","key":"10.1016\/j.urolonc.2025.03.025_bib0013","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1016\/j.euo.2018.05.010","article-title":"Staging the host: personalizing risk assessment for radical cystectomy patients","volume":"1","author":"Psutka","year":"2018","journal-title":"Eur Urol Oncol"},{"issue":"8","key":"10.1016\/j.urolonc.2025.03.025_bib0014","doi-asserted-by":"crossref","first-page":"1201","DOI":"10.1007\/s00345-018-2259-x","article-title":"Sarcopenia predicts 90-day mortality and postoperative complications after radical cystectomy for bladder cancer","volume":"36","author":"Mayr","year":"2018","journal-title":"World J Urol"},{"issue":"6","key":"10.1016\/j.urolonc.2025.03.025_bib0015","doi-asserted-by":"crossref","first-page":"256 e1-6","DOI":"10.1016\/j.urolonc.2015.12.010","article-title":"Frailty as a marker of adverse outcomes in patients with bladder cancer undergoing radical cystectomy","volume":"34","author":"Chappidi","year":"2016","journal-title":"Urol Oncol"},{"issue":"5","key":"10.1016\/j.urolonc.2025.03.025_bib0016","doi-asserted-by":"crossref","first-page":"590-600 e1","DOI":"10.1016\/j.jamcollsurg.2017.07.1066","article-title":"Cognitive impairment and overall survival in frail surgical patients","volume":"225","author":"Makhani","year":"2017","journal-title":"J Am Coll Surg"},{"issue":"4\u20135","key":"10.1016\/j.urolonc.2025.03.025_bib0017","doi-asserted-by":"crossref","first-page":"330","DOI":"10.1016\/j.euf.2017.10.010","article-title":"Comprehensive geriatric assessment in the older adult with cancer: a review","volume":"3","author":"Hernandez Torres","year":"2017","journal-title":"Eur Urol Focus"},{"issue":"1","key":"10.1016\/j.urolonc.2025.03.025_bib0018","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1016\/j.eururo.2020.03.055","article-title":"European Association of Urology Guidelines on muscle-invasive and metastatic bladder cancer: summary of the 2020 Guidelines","volume":"79","author":"Witjes","year":"2021","journal-title":"Eur Urol"},{"issue":"24","key":"10.1016\/j.urolonc.2025.03.025_bib0019","doi-asserted-by":"crossref","first-page":"2595","DOI":"10.1200\/JCO.2013.54.8347","article-title":"International Society of Geriatric Oncology consensus on geriatric assessment in older patients with cancer","volume":"32","author":"Wildiers","year":"2014","journal-title":"J Clin Oncol"},{"issue":"1","key":"10.1016\/j.urolonc.2025.03.025_bib0020","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1186\/s12877-020-01801-7","article-title":"A scoping review of the Clinical Frailty Scale","volume":"20","author":"Church","year":"2020","journal-title":"BMC Geriatr"},{"issue":"4","key":"10.1016\/j.urolonc.2025.03.025_bib0021","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1080\/17843286.2016.1162381","article-title":"Hand grip strength as a screening tool for frailty in older patients with haematological malignancies","volume":"71","author":"Velghe","year":"2016","journal-title":"Acta Clin Belg"},{"issue":"2","key":"10.1016\/j.urolonc.2025.03.025_bib0022","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1519\/00139143-200831020-00004","article-title":"Normative data and determinants for the timed \"up and go\" test in a population-based sample of elderly individuals without gait disturbances","volume":"31","author":"Pondal","year":"2008","journal-title":"J Geriatr Phys Ther"},{"issue":"12","key":"10.1016\/j.urolonc.2025.03.025_bib0023","doi-asserted-by":"crossref","first-page":"721","DOI":"10.1111\/j.1532-5415.1983.tb03391.x","article-title":"Assessing self-maintenance: activities of daily living, mobility, and instrumental activities of daily living","volume":"31","author":"Katz","year":"1983","journal-title":"J Am Geriatr Soc"},{"issue":"3","key":"10.1016\/j.urolonc.2025.03.025_bib0024","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1016\/0165-1781(92)90005-N","article-title":"Rating chronic medical illness burden in geropsychiatric practice and research: application of the Cumulative Illness Rating Scale","volume":"41","author":"Miller","year":"1992","journal-title":"Psychiatry Res"},{"issue":"6","key":"10.1016\/j.urolonc.2025.03.025_bib0025","doi-asserted-by":"crossref","first-page":"676","DOI":"10.1093\/aje\/kwq433","article-title":"Updating and validating the Charlson comorbidity index and score for risk adjustment in hospital discharge abstracts using data from 6 countries","volume":"173","author":"Quan","year":"2011","journal-title":"Am J Epidemiol"},{"issue":"9","key":"10.1016\/j.urolonc.2025.03.025_bib0026","doi-asserted-by":"crossref","first-page":"922","DOI":"10.1111\/j.1532-5415.1992.tb01992.x","article-title":"The mini-mental state examination: a comprehensive review","volume":"40","author":"Tombaugh","year":"1992","journal-title":"J Am Geriatr Soc"},{"issue":"2","key":"10.1016\/j.urolonc.2025.03.025_bib0027","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1002\/1097-4679(199403)50:2<256::AID-JCLP2270500218>3.0.CO;2-E","article-title":"Validation of the geriatric depression scale\u2014short form among inpatients","volume":"50","author":"Lesher","year":"1994","journal-title":"J Clin Psychol"},{"issue":"2","key":"10.1016\/j.urolonc.2025.03.025_bib0028","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1016\/S0899-9007(98)00171-3","article-title":"The Mini Nutritional assessment (MNA) and its use in grading the nutritional state of elderly patients","volume":"15","author":"Vellas","year":"1999","journal-title":"Nutrition"},{"issue":"5","key":"10.1016\/j.urolonc.2025.03.025_bib0029","doi-asserted-by":"crossref","first-page":"997","DOI":"10.1139\/H08-075","article-title":"A practical and precise approach to quantification of body composition in cancer patients using computed tomography images acquired during routine care","volume":"33","author":"Mourtzakis","year":"2008","journal-title":"Appl Physiol Nutr Metab"},{"issue":"5","key":"10.1016\/j.urolonc.2025.03.025_bib0030","doi-asserted-by":"crossref","first-page":"1507","DOI":"10.1016\/j.juro.2014.11.088","article-title":"Mortality after radical cystectomy: impact of obesity versus adiposity after adjusting for skeletal muscle wasting","volume":"193","author":"Psutka","year":"2015","journal-title":"J Urol"},{"issue":"1","key":"10.1016\/j.urolonc.2025.03.025_bib0031","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1177\/0272989X9501500105","article-title":"Validation of a decisional conflict scale","volume":"15","author":"O'Connor","year":"1995","journal-title":"Med Decis Making"},{"issue":"4","key":"10.1016\/j.urolonc.2025.03.025_bib0032","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1177\/0272989X03256005","article-title":"Validation of a decision regret scale","volume":"23","author":"Brehaut","year":"2003","journal-title":"Med Decis Making"},{"issue":"26","key":"10.1016\/j.urolonc.2025.03.025_bib0033","doi-asserted-by":"crossref","first-page":"4293","DOI":"10.1200\/JCO.23.00933","article-title":"Practical assessment and management of vulnerabilities in older patients receiving systemic cancer therapy: ASCO guideline update","volume":"41","author":"Dale","year":"2023","journal-title":"J Clin Oncol"},{"issue":"8","key":"10.1016\/j.urolonc.2025.03.025_bib0034","doi-asserted-by":"crossref","first-page":"866","DOI":"10.6004\/jnccn.2022.0041","article-title":"NCCN Guidelines (R) insights: bladder cancer, version 2.2022","volume":"20","author":"Flaig","year":"2022","journal-title":"J Natl Compr Canc Netw"},{"issue":"9","key":"10.1016\/j.urolonc.2025.03.025_bib0035","doi-asserted-by":"crossref","first-page":"725","DOI":"10.1016\/j.urolonc.2020.01.003","article-title":"Risk stratification metrics for bladder cancer: comprehensive geriatric assessments","volume":"38","author":"Gadzinski","year":"2020","journal-title":"Urol Oncol"},{"issue":"1","key":"10.1016\/j.urolonc.2025.03.025_bib0036","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1016\/j.urolonc.2018.10.002","article-title":"Frailty as a predictor of complications after radical cystectomy: a prospective study of various preoperative assessments","volume":"37","author":"Burg","year":"2019","journal-title":"Urol Oncol"},{"issue":"10","key":"10.1016\/j.urolonc.2025.03.025_bib0037","doi-asserted-by":"crossref","first-page":"1290","DOI":"10.1200\/JCO.2010.30.6985","article-title":"Implementing a geriatric assessment in cooperative group clinical cancer trials: CALGB 360401","volume":"29","author":"Hurria","year":"2011","journal-title":"J Clin Oncol"},{"issue":"2","key":"10.1016\/j.urolonc.2025.03.025_bib0038","doi-asserted-by":"crossref","first-page":"172","DOI":"10.6004\/jnccn.2017.0018","article-title":"Electronic rapid fitness assessment: a novel tool for preoperative evaluation of the geriatric oncology patient","volume":"15","author":"Shahrokni","year":"2017","journal-title":"J Natl Compr Canc Netw"},{"issue":"2","key":"10.1016\/j.urolonc.2025.03.025_bib0039","doi-asserted-by":"crossref","first-page":"400","DOI":"10.1097\/JU.0000000000001360","article-title":"Electronic rapid fitness assessment identifies factors associated with adverse early postoperative outcomes following radical cystectomy","volume":"205","author":"Chesnut","year":"2021","journal-title":"J Urol"},{"issue":"9","key":"10.1016\/j.urolonc.2025.03.025_bib0040","doi-asserted-by":"crossref","first-page":"1120","DOI":"10.6004\/jnccn.2015.0137","article-title":"Geriatric assessment-guided care processes for older adults: a Delphi consensus of geriatric oncology experts","volume":"13","author":"Mohile","year":"2015","journal-title":"J Natl Compr Canc Netw"}],"container-title":["Urologic Oncology: Seminars and Original Investigations"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1078143925001231?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1078143925001231?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T17:31:55Z","timestamp":1762363915000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1078143925001231"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8]]},"references-count":40,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2025,8]]}},"alternative-id":["S1078143925001231"],"URL":"https:\/\/doi.org\/10.1016\/j.urolonc.2025.03.025","relation":{},"ISSN":["1078-1439"],"issn-type":[{"value":"1078-1439","type":"print"}],"subject":[],"published":{"date-parts":[[2025,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Prospective evaluation of comprehensive geriatric assessments in multidisciplinary bladder cancer care and implications for personalized vulnerability phenotyping","name":"articletitle","label":"Article Title"},{"value":"Urologic Oncology: Seminars and Original Investigations","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.urolonc.2025.03.025","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}