Treatment delay and prognosis in invasive bladder cancer.
(2005) In The Journal of urology 174(5). p.1777-1781- Abstract
- Purpose: We studied treatment delay, and the impact on disease specific survival and stage progression in a series of patients who had undergone cystectomy. Materials and Methods: All 141 patients underwent radical cystectomy between 1990 and 1997 due to locally advanced bladder cancer. Treatment delay was defined as time from pathological confirmation of invasive disease to performance of cystectomy, and was registered retrospectively from the patient charts. Two patients received neoadjuvant chemotherapy and were excluded from further analyses. Followup continued until April 2003 with death due to bladder cancer as the end point. Causes of death were retrieved from the Swedish Cause of Death Registry. Results: The median treatment delay... (More)
- Purpose: We studied treatment delay, and the impact on disease specific survival and stage progression in a series of patients who had undergone cystectomy. Materials and Methods: All 141 patients underwent radical cystectomy between 1990 and 1997 due to locally advanced bladder cancer. Treatment delay was defined as time from pathological confirmation of invasive disease to performance of cystectomy, and was registered retrospectively from the patient charts. Two patients received neoadjuvant chemotherapy and were excluded from further analyses. Followup continued until April 2003 with death due to bladder cancer as the end point. Causes of death were retrieved from the Swedish Cause of Death Registry. Results: The median treatment delay was 49 days, but was significantly longer for the 71 cases who were referred from other hospitals (63 Vs 41 days, p < 0.001). Treatment delay did not influence cumulative incidence of death from bladder cancer. Considering all cases, there was no significant correlation between treatment delay and stage progression. For clinical stage T2 tumors, median treatment delay was 76 days among patients with stage progression compared to 41 and 48 days for those with stage regression and stage equivalence, respectively (p=0.20). Conclusions: Treatment delay was not found to influence disease specific survival in the present study. Furthermore, treatment delay was not significantly longer in cases that progressed compared to those with equal or lower pathological stage in the cystectomy specimen. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/144711
- author
- Liedberg, Fredrik LU ; Anderson, Harald LU and Månsson, Wiking LU
- organization
- publishing date
- 2005
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- therapeutics, disease progression, appointments and, schedules, bladder neoplasms
- in
- The Journal of urology
- volume
- 174
- issue
- 5
- pages
- 1777 - 1781
- publisher
- Lippincott Williams & Wilkins
- external identifiers
-
- wos:000232619700016
- pmid:16217282
- scopus:27544507285
- pmid:16217282
- ISSN
- 1527-3792
- DOI
- 10.1097/01.ju.0000177521.72678.61
- language
- English
- LU publication?
- yes
- id
- 59d24026-bdee-44bb-9668-a64f20de35e2 (old id 144711)
- alternative location
- http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=16217282&dopt=Abstract
- date added to LUP
- 2016-04-01 17:15:09
- date last changed
- 2022-04-23 03:47:04
@article{59d24026-bdee-44bb-9668-a64f20de35e2,
abstract = {{Purpose: We studied treatment delay, and the impact on disease specific survival and stage progression in a series of patients who had undergone cystectomy. Materials and Methods: All 141 patients underwent radical cystectomy between 1990 and 1997 due to locally advanced bladder cancer. Treatment delay was defined as time from pathological confirmation of invasive disease to performance of cystectomy, and was registered retrospectively from the patient charts. Two patients received neoadjuvant chemotherapy and were excluded from further analyses. Followup continued until April 2003 with death due to bladder cancer as the end point. Causes of death were retrieved from the Swedish Cause of Death Registry. Results: The median treatment delay was 49 days, but was significantly longer for the 71 cases who were referred from other hospitals (63 Vs 41 days, p < 0.001). Treatment delay did not influence cumulative incidence of death from bladder cancer. Considering all cases, there was no significant correlation between treatment delay and stage progression. For clinical stage T2 tumors, median treatment delay was 76 days among patients with stage progression compared to 41 and 48 days for those with stage regression and stage equivalence, respectively (p=0.20). Conclusions: Treatment delay was not found to influence disease specific survival in the present study. Furthermore, treatment delay was not significantly longer in cases that progressed compared to those with equal or lower pathological stage in the cystectomy specimen.}},
author = {{Liedberg, Fredrik and Anderson, Harald and Månsson, Wiking}},
issn = {{1527-3792}},
keywords = {{therapeutics; disease progression; appointments and; schedules; bladder neoplasms}},
language = {{eng}},
number = {{5}},
pages = {{1777--1781}},
publisher = {{Lippincott Williams & Wilkins}},
series = {{The Journal of urology}},
title = {{Treatment delay and prognosis in invasive bladder cancer.}},
url = {{http://dx.doi.org/10.1097/01.ju.0000177521.72678.61}},
doi = {{10.1097/01.ju.0000177521.72678.61}},
volume = {{174}},
year = {{2005}},
}