Variation in Follow-Up after Radical Cystectomy for Bladder Cancer—An Inventory Roundtable and Literature Review.
In: Journal of Clinical Medicine, Jg. 13 (2024-05-01), Heft 9, S. 2637-2644
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Zugriff:
Background: Follow-up after radical cystectomy (RC) for bladder cancer can be divided into oncological and functional surveillance. It remains unclear how follow-up after RC should ideally be scheduled. The aim of this report was to gain insight into the organization of follow-up after RC in Europe, for which we conducted a roundtable inventory within the EAU Young Academic Urologists Urothelial Cancer working group. Methods: An inventory semi-structured survey was performed among urologists of the EAU Young Academic Urologists Urothelial Cancer working group to describe the organization of follow-up. The surveys were analyzed using a deductive approach. Similarities and differences in follow-up after RC for bladder cancer were described. Results: The survey included 11 urologists from six different European countries. An institutional follow-up scheme was used by six (55%); three (27%) used a national or international guideline, and two (18%) indicated that there was no defined follow-up scheme. Major divergent aspects included the time points of follow-up, the frequency, and the end of follow-up. Six centers (55%) adopted a risk-adapted follow-up approach tailored to (varying) patient and tumor characteristics. Laboratory tests and CT scans were used in all cases; however, the intensity and frequency varied. Functional follow-up overlapped with oncological follow-up in terms of frequency and duration. Patient-reported outcome measures were only used by two (18%) urologists. Conclusions: Substantial variability exists across European centers regarding the follow-up after RC for bladder cancer. This highlights the need for an international analysis focusing on its organization and content as well as on opportunities to improve patients' needs during follow-up after RC. [ABSTRACT FROM AUTHOR]
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Variation in Follow-Up after Radical Cystectomy for Bladder Cancer—An Inventory Roundtable and Literature Review.
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Autor/in / Beteiligte Person: | Contieri, Roberto ; Pichler, Renate ; del Giudice, Francesco ; Marcq, Gautier ; Gallioli, Andrea ; Albisinni, Simone ; Soria, Francesco ; d'Andrea, David ; Krajewski, Wojciech ; Carrion, Diego M. ; Mari, Andrea ; van Rhijn, Bas W. G. ; Moschini, Marco ; Pradere, Benjamin ; Mertens, Laura S. |
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Zeitschrift: | Journal of Clinical Medicine, Jg. 13 (2024-05-01), Heft 9, S. 2637-2644 |
Veröffentlichung: | 2024 |
Medientyp: | academicJournal |
ISSN: | 2077-0383 (print) |
DOI: | 10.3390/jcm13092637 |
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