Cystectomy

Bladder Preservation Therapy Linked With Reduced Survival in MIBC

Bladder Preservation Therapy Linked With Reduced Survival in MIBC

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Radical cystectomy is associated with better survival, but findings suggest BPT may produce acceptable oncologic outcomes in appropriately selected patients.

Study: Cystectomy Complication Rate Not Improving

Study: Cystectomy Complication Rate Not Improving

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Researchers find no significant change in overall complication rate from 2010 to 2015, but hospital length of stay and need for transfusion have declined.

Surgery, Combined Modality Offer Similar MIBC Outcomes

Surgery, Combined Modality Offer Similar MIBC Outcomes

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Meta-analysis reveals no significant difference in overall-, disease-specific, and progression-free survival between radical cystectomy and radiation-based, bladder preservation therapy.

MIBC Patients Should Be Followed Long-term After Cystectomy

MIBC Patients Should Be Followed Long-term After Cystectomy

After recurrent disease, 5-year overall survival was worse among patients with late recurrence.

Worse Survival After Robotic Cystectomy Seen at Low-Volume Centers

Worse Survival After Robotic Cystectomy Seen at Low-Volume Centers

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The researchers found lower overall survival among patients undergoing robot-assisted radical cystectomy at hospitals performing 10 or fewer procedures during 2010 to 2012.

Robot-assisted Radical Cystectomy on the Rise

Robot-assisted Radical Cystectomy on the Rise

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By 2014 to 2015, 1 in 3 bladder cancer surgical procedures performed in the United States were robot-assisted.

Radical Cystectomy for Muscle-invasive UCB Offers Better Survival

Radical Cystectomy for Muscle-invasive UCB Offers Better Survival

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Radical cystectomy is associated with better long-term overall survival than trimodal therapy, new study shows.

Pre-Cystectomy Chemo Does Not Up Survival in 'Real World' Setting

Pre-Cystectomy Chemo Does Not Up Survival in 'Real World' Setting

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Finding contrasts with results of randomized clinical trials.

Bladder Surgery Complications Predicted by New Model

Bladder Surgery Complications Predicted by New Model

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Nomograms specific to radical cystectomy currently do not exist to aid stratification of a patient's risks for complications.

Significant Prostate Cancer Found in Advanced Bladder Cancer Patients

Significant Prostate Cancer Found in Advanced Bladder Cancer Patients

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In a study, 53.1% of patients had concomitant prostate cancer in radical cystectomy specimens.

Tumor Features Predict Post-Cystectomy Recurrence

Tumor Features Predict Post-Cystectomy Recurrence

Predictors of distant recurrences after robot-assisted radical cystectomy were mainly dictated by pathological tumor characteristics.

New Study Supports Use of Trimodal Therapy for MIBC

New Study Supports Use of Trimodal Therapy for MIBC

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Researchers find no difference in 5-year disease-specific survival between multi-disciplinary bladder-sparing approach and radical cystectomy.

Early Recurrence After Laparoscopic Radical Cystectomy Explored

Early Recurrence After Laparoscopic Radical Cystectomy Explored

During first 24 months, 8.7% of patients with favorable pathological characteristics had progressed.

Cytoreductive RC Aids Survival of Metastatic Bladder Cancer Patients

Cytoreductive RC Aids Survival of Metastatic Bladder Cancer Patients

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Patients who underwent debulking had significantly longer overall survival compared with those who did not (median 15.7 vs 10 months).

Bladder Preservation Therapy for MIBC Predicts Worse Survival

Bladder Preservation Therapy for MIBC Predicts Worse Survival

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Mortality risk decreases with increasingly stringent BPT compared with radical cystectomy.

Gender Differences Found in Bladder Cancer Treatment, Survival

Gender Differences Found in Bladder Cancer Treatment, Survival

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Cancer-specific survival at 5 years was 76.9% for men and 71.5% for women.

Well-Timed Follow-Up Reduces Post-Cystectomy Readmissions

Well-Timed Follow-Up Reduces Post-Cystectomy Readmissions

The timing of office visits and telephone calls helped identify a patient at risk for readmission post-radical cystectomy.

Cutaneous Ureterostomy a Good Alternative for Elderly RC Patients

Cutaneous Ureterostomy a Good Alternative for Elderly RC Patients

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Shorter operating time is one advantage of cutaneous ureterostomy with a single stoma.

ASCO Endorses European Guideline on Bladder Cancer

ASCO Endorses European Guideline on Bladder Cancer

The guidelines were assessed for developmental rigor, and the ASCO endorsed all but one of the guidelines.

Readmission Due to Infection After Bladder Surgery Linked to Smoking

Readmission Due to Infection After Bladder Surgery Linked to Smoking

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Current smoking is independently associated with a greater than 2-fold increased odds of hospital readmission after radical cystectomy.

Bladder Cancer Patient Frailty Predicts Radical Cystectomy Outcomes

Bladder Cancer Patient Frailty Predicts Radical Cystectomy Outcomes

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The more risk factors patients have, the greater their risk of serious perioperative complications.

Post-Cystectomy VTE Common, Risky

Post-Cystectomy VTE Common, Risky

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Patients with venous thromboembolism tended to die earlier from their bladder cancer.

Adjuvant Chemo Ups Survival in Locally Advanced Bladder Cancer

Adjuvant Chemo Ups Survival in Locally Advanced Bladder Cancer

Improved survival with adjuvant chemotherapy in patients with locally advanced disease compared with cystectomy alone.

Bladder Tumor Resection Key to Cystectomy Outcomes

Bladder Tumor Resection Key to Cystectomy Outcomes

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Researchers estimate that 40% of pathologic response in MIBC patients receiving both neoadjuvant chemo and TURBT is due to TURBT.

Travel Distance to Provider Predicts Post-Cystectomy Readmission

Travel Distance to Provider Predicts Post-Cystectomy Readmission

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A travel distance of more than 30 miles to the provider was associated with greater chances of readmission in one analysis.

Post-Cystectomy Complications Linked to Poor Mental Health

Post-Cystectomy Complications Linked to Poor Mental Health

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Lower patient-reported mental health was statistically associated with an increased incidence of high-grade complications after radical cystectomy.

Robotic Radical Cystectomy Safe, Feasible in the Elderly

Robotic Radical Cystectomy Safe, Feasible in the Elderly

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The procedure takes longer than open radical cystectomy, but is associated with less blood loss, fewer transfusions, and shorter hospital stays.

Culture-Directed Prophylaxis Cuts Post-Cystectomy Infection Rates

Culture-Directed Prophylaxis Cuts Post-Cystectomy Infection Rates

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Researchers report a significant drop in 30-day post-operative infection rate.

Interferon + BCG May Be an Alternative to Radical Cystectomy

Interferon + BCG May Be an Alternative to Radical Cystectomy

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In a small study, 56% of NMIBC patients who received the dual regimen after failing treatment with BCG alone were tumor free.

Bladder Cancer Death Risk Higher in Patients with Blood Type A

Bladder Cancer Death Risk Higher in Patients with Blood Type A

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ABO blood may be useful in risk-stratification of patients who may benefit from more aggressive treatment and/or altered surveillance regimens.

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