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Urinary diversion a...
Urinary diversion after cystectomy for bladder cancer: A population-based study in Sweden
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- Jahnson, Staffan (author)
- Östergötlands Läns Landsting,Linköpings universitet,Avdelningen för kirurgi,Hälsouniversitetet,Urologiska kliniken i Östergötland
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- Damm, Ole (author)
- Östergötlands Läns Landsting,Linköpings universitet,Urologi,Hälsouniversitetet,Urologiska kliniken i Östergötland
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- Hellsten, Sverker (author)
- Lund University,Lunds universitet,Institutionen för kliniska vetenskaper, Malmö,Medicinska fakulteten,Department of Clinical Sciences, Malmö,Faculty of Medicine,Malmö University Hospital
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- Holmäng, Sten, 1954 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för urologi,Institute of Clinical Sciences, Department of Urology,Gothenburg University Hospital
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- Liedberg, Fredrik (author)
- Vaxjö County Hospital,Växjö Central Hospital
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- Ljungberg, Börje (author)
- Umeå universitet,Urologi och andrologi,Umeå University Hospital
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- Malmström, Per-Uno (author)
- Uppsala universitet,Urologkirurgi
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- Månsson, Wiking (author)
- Lund University,Lunds universitet,Urologi,Forskargrupper vid Lunds universitet,Urology,Lund University Research Groups,Lund University Hospital
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- Rosell, Johan (author)
- Östergötlands Läns Landsting,Linköpings universitet,Onkologi,Hälsouniversitetet,Onkologiska kliniken US
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- Wijkstom, Hans (author)
- Karolinska University Hospital
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(creator_code:org_t)
- 2009-12-11
- 2010
- English.
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In: SCANDINAVIAN JOURNAL OF UROLOGY AND NEPHROLOGY. - : Informa UK Limited. - 0036-5599 .- 1651-2065. ; 44:2, s. 69-75
- Related links:
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http://dx.doi.org/10...
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https://urn.kb.se/re...
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https://doi.org/10.3...
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https://lup.lub.lu.s...
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https://gup.ub.gu.se...
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https://urn.kb.se/re...
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https://urn.kb.se/re...
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Abstract
Subject headings
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- Objective. To investigate the type of urinary diversion performed after cystectomy in patients with muscle-invasive bladder cancer in Sweden, using data from a population-based national register. Material and methods. Since 1997, the Swedish Bladder Cancer Register has included more than 90% of all patients with newly diagnosed bladder cancer. The different types of urinary diversion performed in 1997-2003 were analysed, comparing non-continent diversion (ileal conduit) with continent reconstruction (bladder substitution or continent cutaneous diversion). Results. During the study period, 3463 patients were registered with clinical T2-T4 non-metastatic bladder cancer. Cystectomy was performed in 1141 patients with ileal conduit in 732 (64%) and continent reconstruction in 409 (36%). Ileal conduit was used more frequently in females than males (p = 0.019), in patients older than 75 years (p andlt; 0.00001), and in those with less favourable TNM classification. Continent reconstruction was done more often at university hospitals than at county hospitals (p andlt; 0.00001), but rarely in the northern and western healthcare regions compared with other regions (p andlt; 0.00001). Nationwide, the proportion of registered continent reconstructions decreased, although the absolute number was relatively stable (50-60 per year). Conclusions. Continent reconstruction after cystectomy for muscle-invasive bladder cancer is performed more often in some healthcare regions and in patients at university hospitals than in county hospitals, indicating a substantial provider influence on the choice of urinary diversion. Over time, the proportion of these procedures has decreased, while the absolute number has remained low and stable; therefore, concentration in high-volume hospitals specialized in bladder cancer and continent reconstruction seems appropriate.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Urologi och njurmedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Urology and Nephrology (hsv//eng)
Keyword
- Bladder cancer
- nationwide register
- urinary diversion
- MEDICINE
- MEDICIN
- urinary diversion
- Bladder cancer
- nationwide register
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Jahnson, Staffan
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Damm, Ole
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Hellsten, Sverke ...
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Holmäng, Sten, 1 ...
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Liedberg, Fredri ...
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Ljungberg, Börje
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Malmström, Per-U ...
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Månsson, Wiking
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Rosell, Johan
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Wijkstom, Hans
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Urology and Neph ...
- Articles in the publication
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SCANDINAVIAN JOU ...
- By the university
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Linköping University
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Lund University
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University of Gothenburg
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Umeå University
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Uppsala University