{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T23:10:09Z","timestamp":1790982609326,"version":"4.1.0"},"reference-count":13,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T00:00:00Z","timestamp":1768521600000},"content-version":"vor","delay-in-days":15,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study evaluated the safety and efficacy of robot\u2010assisted radical cystectomy (RARC) in patients aged \u2265\u200985\u2009years versus 75\u201384\u2009years, using propensity score matching (PSM) and inverse probability of treatment weighting (IPTW).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively reviewed 479 RARC cases, including 26 patients aged \u2265\u200985\u2009years and 193 aged 75\u201384\u2009years, from four Japanese institutions (2014\u20132025). Patients were matched 1:2 by sex, ECOG\u2010PS, ASA\u2010PS, clinical stage, and neoadjuvant chemotherapy. Surgical outcomes, complications, and survival (OS, CSS, RFS) were analyzed. IPTW\u2010adjusted Cox models assessed survival differences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Postmatching, baseline characteristics were balanced except for age. Intracorporeal urinary diversion was performed for ileal conduit and orthotopic neobladder cases. Ureterostomy was more frequent in the \u2265\u200985\u2010year group; LND was less frequent (67% vs. 92%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.024). Operative time was shorter (380 vs. 428\u2009min,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.041), while blood loss, transfusion, hospital stay, and complications were similar. Kaplan\u2013Meier analysis showed lower 3\u2010year OS in the \u2265\u200985\u2010year group (59% vs. 83%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.042), whereas CSS (77% vs. 85%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.666) and RFS (55% vs. 71%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.662) were comparable. IPTW\u2010adjusted Cox regression showed no significant differences in OS (HR 1.34, 95% CI 0.69\u20132.59,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.386), CSS (HR 0.76, 95% CI 0.27\u20132.18,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.613), or RFS (HR 0.81, 95% CI 0.35\u20131.87,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.614).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>RARC is feasible and safe in patients aged \u2265\u200985\u2009years. Perioperative outcomes, CSS, and RFS were comparable to those aged 75\u201384\u2009years, while lower OS likely reflects age\u2010related factors, supporting RARC as a viable option for well\u2010selected very elderly patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ggi.70346","type":"journal-article","created":{"date-parts":[[2026,1,17]],"date-time":"2026-01-17T00:23:31Z","timestamp":1768609411000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Robot\u2010Assisted Radical Cystectomy in the Very Elderly: A Propensity Score\u2010Matched Comparison of Outcomes Between Patients Aged \u2265\u200985 Versus 75\u201384\u2009Years"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1953-0776","authenticated-orcid":false,"given":"Yutaro","family":"Sasaki","sequence":"first","affiliation":[{"name":"Department of Urology Tokushima University Graduate School of Biomedical Sciences Tokushima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuyoshi","family":"Izumi","sequence":"additional","affiliation":[{"name":"Department of Urology Takamatsu Red Cross Hospital Takamatsu Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyotaro","family":"Fukuta","sequence":"additional","affiliation":[{"name":"Department of Urology Tokushima Prefectural Central Hospital Tokushima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fumiya","family":"Kadoriku","sequence":"additional","affiliation":[{"name":"Department of Urology Tokushima University Graduate School of Biomedical Sciences Tokushima Japan"},{"name":"Department of Urology Ehime Prefectural Central Hospital Matsuyama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kei","family":"Daizumoto","sequence":"additional","affiliation":[{"name":"Department of Urology Tokushima University Graduate School of Biomedical Sciences Tokushima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keito","family":"Shiozaki","sequence":"additional","affiliation":[{"name":"Department of Urology Tokushima University Graduate School of Biomedical Sciences Tokushima Japan"},{"name":"Department of Urology Tokushima Prefectural Central Hospital Tokushima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomoya","family":"Fukawa","sequence":"additional","affiliation":[{"name":"Department of Urology Tokushima University Graduate School of Biomedical Sciences Tokushima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yutaka","family":"Yanagihara","sequence":"additional","affiliation":[{"name":"Department of Urology Ehime Prefectural Central Hospital Matsuyama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hirofumi","family":"Izaki","sequence":"additional","affiliation":[{"name":"Department of Urology Tokushima Prefectural Central Hospital Tokushima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenjiro","family":"Okamoto","sequence":"additional","affiliation":[{"name":"Department of Urology Ehime Prefectural Central Hospital Matsuyama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masahito","family":"Yamanaka","sequence":"additional","affiliation":[{"name":"Department of Urology Takamatsu Red Cross Hospital Takamatsu Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junya","family":"Furukawa","sequence":"additional","affiliation":[{"name":"Department of Urology Tokushima University Graduate School of Biomedical Sciences Tokushima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,16]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(18)30996\u20106"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2022.7393"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2023.08.018"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/iju.15580"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10147\u2010016\u20100950\u20108"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jgo.2019.07.010"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.15274"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12957\u2010021\u201002312\u20104"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/iju.15250"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11701\u2010023\u201001568\u20100"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12894\u2010022\u201001123\u20103"},{"key":"e_1_2_12_13_1","unstructured":"Ministry of Health Labour and Welfare \u201cAbridged Life Tables for Japan \u201d2023 https:\/\/www.mhlw.go.jp\/english\/database\/db\u2010hw\/lifetb23\/index.html."},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877\u2010016\u20100329\u20108"}],"container-title":["Geriatrics &amp; Gerontology 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