Patterns of care in patients with muscle-invasive bladder cancer – a retrospective cohort study

Sławomir Poletajew; Radosław Biernacki; Paweł Buraczyński; Jarosław Chojnacki; Stefan Czarniecki; Dominika Gajewska; Tomasz Pohaba; Joanna Sondka; Michał Skrzypczyk; Tomasz Suchojad; Dominik Wojtkowiak; Bogusław Zaforemski; Łukasz Zapała; Aleksandra Zemła; Piotr Radziszewski; Residents Section of the Polish Urologic Association

doi:10.5114/wo.2016.61857

eISSN: 1897-4309
ISSN: 1428-2526

Contemporary Oncology/Współczesna Onkologia

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4/2016
vol. 20

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abstract:

Short communication

Patterns of care in patients with muscle-invasive bladder cancer – a retrospective cohort study

Sławomir Poletajew

,

Radosław Biernacki

,

Paweł Buraczyński

,

Jarosław Chojnacki

,

Stefan Czarniecki

,

Dominika Gajewska

,

Tomasz Pohaba

,

Joanna Sondka

,

Michał Skrzypczyk

,

Tomasz Suchojad

,

Dominik Wojtkowiak

,

Bogusław Zaforemski

,

Łukasz Zapała

,

Aleksandra Zemła

,

Piotr Radziszewski

,

Residents Section of the Polish Urologic Association

Contemp Oncol (Pozn) 2016; 20 (4): 341-343

DOI: https://doi.org/10.5114/wo.2016.61857

Online publish date: 2016/09/05

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AMA

Poletajew S, Biernacki R, Buraczyński P, et al. Patterns of care in patients with muscle-invasive bladder cancer – a retrospective cohort study. Contemporary Oncology/Współczesna Onkologia. 2016;20(4):341-343. doi:10.5114/wo.2016.61857.

APA

Poletajew, S., Biernacki, R., Buraczyński, P., Chojnacki, J., Czarniecki, S.,  & Gajewska, D. et al. (2016). Patterns of care in patients with muscle-invasive bladder cancer – a retrospective cohort study. Contemporary Oncology/Współczesna Onkologia, 20(4), 341-343. https://doi.org/10.5114/wo.2016.61857

Chicago

Poletajew, Sławomir, Radosław Biernacki, Paweł Buraczyński, Jarosław Chojnacki, Stefan Czarniecki, Dominika Gajewska,  and Tomasz Pohaba et al. 2016. "Patterns of care in patients with muscle-invasive bladder cancer – a retrospective cohort study". Contemporary Oncology/Współczesna Onkologia 20 (4): 341-343. doi:10.5114/wo.2016.61857.

Harvard

Poletajew, S., Biernacki, R., Buraczyński, P., Chojnacki, J., Czarniecki, S., Gajewska, D., Pohaba, T., Sondka, J., Skrzypczyk, M., Suchojad, T., Wojtkowiak, D., Zaforemski, B., Zapała, Ł., Zemła, A., Radziszewski, P.,  and Association, R. (2016). Patterns of care in patients with muscle-invasive bladder cancer – a retrospective cohort study. Contemporary Oncology/Współczesna Onkologia, 20(4), pp.341-343. https://doi.org/10.5114/wo.2016.61857

MLA

Poletajew, Sławomir et al. "Patterns of care in patients with muscle-invasive bladder cancer – a retrospective cohort study." Contemporary Oncology/Współczesna Onkologia, vol. 20, no. 4, 2016, pp. 341-343. doi:10.5114/wo.2016.61857.

Vancouver

Poletajew S, Biernacki R, Buraczyński P, Chojnacki J, Czarniecki S, Gajewska D et al. Patterns of care in patients with muscle-invasive bladder cancer – a retrospective cohort study. Contemporary Oncology/Współczesna Onkologia. 2016;20(4):341-343. doi:10.5114/wo.2016.61857.

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A potential reason for poor survival among patients with muscle-invasive bladder cancer (MIBC) in Poland is initial disqualification from curative treatment due to advanced stage of the disease or low performance status. The aim of this study was to describe patterns of care in patients with newly diagnosed MIBC.

This is a multicentre retrospective cohort study involving 296 consecutive patients with primary histologically diagnosed MIBC. Therapeutic decisions and potentially underlying clinical factors were analysed.

Full clinical data was available for 285 patients. One hundred and sixty-four (57.5%) patients were qualified for radical cystectomy (RC), 32 (11.2%) patients for a second step of transurethral resection of the bladder tumour (TURBT) intentionally followed by systemic chemotherapy, four (1.4%) patients after complete TURBT were qualified for adjuvant intravesical chemotherapy only, while the remaining 85 (29.8%) patients were qualified for palliative treatment in the form of chemotherapy and/or radiotherapy and/or best supportive care. Patients disqualified from curative treatment were older (78 vs. 69 years, p < 0.02), had lower BMI values (24.5 vs. 25.7 kg/m², p < 0.02), lower haemoglobin concentration (11.6 vs. 12.9 mg/l, p < 0.02), declared lower rate of nicotine abuse (50.5% vs. 72.1%, p < 0.02), and had a shorter time interval between first symptom and diagnosis (30 vs. 60 days, p = 0.02).

As the majority of Polish patients with primary MIBC receive curative treatment, the stage of the disease alone seems not to be the leading cause of poor survival. However, appropriateness of qualification for RC and treatment quality needs to be assessed for final conclusion on the factors influencing outcomes of treatment in Poland.

keywords:

Patterns of care in patients with muscle-invasive bladder cancer – a retrospective cohort study

bladder cancer, cystectomy, treatment, patterns of care