Variation in Follow-Up after Radical Cystectomy for Bladder Cancer-An Inventory Roundtable and Literature Review
Contieri, Roberto (The Netherlands Cancer Institute (NKI) (Netherlands))
Pichler, Renate (Medical University of Innsbruck)
Del Giudice, Francesco (Policlinico Umberto I Hospital)
Marcq, Gautier (CHU Lille)
Gallioli, Andrea (Institut de Recerca Sant Pau)
Albisinni, Simone (University of Rome Tor Vergata)
Soria, Francesco (Torino School of Medicine)
D'Andrea, David (Medical University of Vienna)
Krajewski, Wojciech (Wrocław Medical University)
Carrion, Diego M. (Torrejon University Hospital)
Mari, Andrea (Università degli Studi di Firenze)
van Rhijn, Bas W.G. (The Netherlands Cancer Institute (NKI) (Netherlands))
Moschini, Marco (Vita-Salute San Raffaele University)
Pradere, Benjamin (UROSUD)
Mertens, Laura S. (The Netherlands Cancer Institute (NKI) (Netherlands))
Universitat Autònoma de Barcelona

Fecha:	2024
Resumen:	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. 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. 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. 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.
Derechos:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Materia:	Bladder cancer ; Follow-up ; Radical cystectomy
Publicado en:	Journal of clinical medicine, Vol. 13 Núm. 9 (may 2024) , p. 2637, ISSN 2077-0383

DOI: 10.3390/jcm13092637
PMID: 38731165

8 p, 619.3 KB

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