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A population-based ...
A population-based study of patterns of care for muscle-invasive bladder cancer in Sweden.
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- Jahnson, Staffan (author)
- Östergötlands Läns Landsting,Linköpings universitet,Kirurgi,Hälsouniversitetet,Urologiska kliniken i Östergötland
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- Damm, Ole (author)
- University Hospital, Malmö
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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
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- Holmäng, Sten, 1954 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper,Institute of Clinical Sciences,Sahlgrens University Hospital
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- Liedberg, Fredrik (author)
- Växjö Central Hospital,Växjö County 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,Akad University Hospital
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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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- Strömberg, Fredrik (author)
- Linköpings universitet,Institutionen för klinisk och experimentell medicin,Hälsouniversitetet
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- Wijkstöm, Hans (author)
- Karolinska University Hospital
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(creator_code:org_t)
- 2009-09-09
- 2009
- English.
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In: Scandinavian journal of urology and nephrology. - : Informa UK Limited. - 1651-2065 .- 0036-5599. ; 43:4, s. 271-6
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Abstract
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- OBJECTIVE: To analyse the management of muscle-invasive bladder cancer in a population-based national register, and specifically to investigate the role of curative therapy (i.e. cystectomy or radiotherapy) in relation to patient, tumour and hospital characteristics. MATERIAL AND METHODS: The Swedish Bladder Cancer Register covers more than 90% of all patients in the country who have been diagnosed with such disease since 1997. Results from 1997-2003 were analysed regarding curative-intent treatment given within 3-6 months of diagnosis of muscle-invasive bladder cancer. RESULTS: In total, 3463 patients with clinical T2-T4 bladder cancer were included in the analysis. Of those patients, 1426 (41%) received curative-intent treatment in the form of radiotherapy (285, 20%) or cystectomy (1141, 80%). Male gender, age < 76 years, favourable TNM category and registration at a high-volume hospital were associated with such treatment. Curative-intent treatment was given to significantly more patients registered at high-volume hospitals (1003/2227, 45%) than at low-volume hospitals (423/1235, 34%) (chi(2)=37.7, p<0.00001). Cystectomy was performed more often in those registered at high-volume than at low-volume hospitals (826/2227, 37%, and 316/1235, 26%, respectively, chi(2)=47.3, p<0.00001). CONCLUSIONS: Lower rates of curative-intent treatment were found in patients registered at low-volume than at high-volume facilities, and the same was seen when comparing females with males, and patients aged 76-80 years with younger patients. Since many of these bladder cancer patients were registered at and eventually treated at hospitals handling fewer than 10 such cases annually, it seems desirable to concentrate treatment of this disease at more specialized centres.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Urologi och njurmedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Urology and Nephrology (hsv//eng)
Keyword
- Aged
- Aged
- 80 and over
- Cystectomy
- Female
- Humans
- Logistic Models
- Male
- Patient Care Management
- methods
- statistics & numerical data
- Physician's Practice Patterns
- trends
- Radiotherapy
- Registries
- Retrospective Studies
- Sweden
- epidemiology
- Urinary Bladder Neoplasms
- epidemiology
- radiotherapy
- surgery
- national
- Bladder cancer
- curative treatment
- patterns of care
- register
- MEDICINE
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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Strömberg, Fredr ...
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Wijkstöm, 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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University of Gothenburg
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Lund University
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Umeå University
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Uppsala University
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Linköping University