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8, 95% CI 1.04-3.30, p=0.036). Patients with postoperative acute kidney injury demonstrated a significantly higher odds of stage 3 chronic kidney disease at 3 months even after controlling for baseline renal function (OR 2.5, 95% CI 1.3-4.9, p=0.016). Conclusion Use of an ERAS protocol following radical cystectomy was associated with a higher risk of postoperative acute kidney injury, in patients who had baseline chronic kidney disease which could be related to the restricted perioperative fluid management mandated by ERAS. Use of the ER