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Treatment and progn...
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Aljabery, FirasDepartment of Clinical and Experimental Medicine, Division of Urology, Linköping University, Linköping, Sweden
(author)
Treatment and prognosis of bladder cancer patients with other primary cancers : A nationwide population-based study in the Bladder Cancer Data Base Sweden (BladderBaSe)
- Article/chapterEnglish2020
Publisher, publication year, extent ...
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2020-08-31
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Blackwell Publishing,2020
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printrdacarrier
Numbers
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LIBRIS-ID:oai:DiVA.org:oru-84752
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https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-84752URI
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https://doi.org/10.1111/bju.15198DOI
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https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-174088URI
Supplementary language notes
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Language:English
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Summary in:English
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
Notes
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Objective: To study how patients with urinary bladder cancer (UBC) with previous or concomitant other primary cancers (OPCs) were treated, and to investigate their prognosis.Patients And Methods: Using nationwide population-based data in the Bladder Cancer Data Base Sweden (BladderBaSe), we analysed the probability of treatment with curative intent, and UBC-specific and overall survival (OS) in patients with UBC diagnosed in the period 1997-2014 with or without OPC. The analyses considered the patient's characteristics, UBC tumour stage at diagnosis, and site of OPC.Results: There were 38 689 patients, of which 9804 (25%) had OPCs. Those with synchronous OPCs more often had T2 and T3 tumours and clinically distant disease at diagnosis than those with UBC only. Patients with synchronous prostate cancer, female genital cancer and lower gastro-intestinal cancer were more often treated with curative intent than patients with UBC only. When models of survival were adjusted for age at diagnosis, marital status, education, year of diagnosis, Charlson Comorbidity Index and T-stage, UBC-specific survival was similar to patients with UBC only, but OS was lower for patients with synchronous OPC, explained mainly by deaths in OPC primaries with a bad prognosis.Conclusions: OPC is common in patients with UBC. Treatment for UBC, after or in conjunction with an OPC, should not be neglected and carries just as high a probability of success as treatment in patients with UBC only. The needs of patients with UBC and OPC, and optimisation of their treatment considering their complicated disease trajectory are important areas of research.
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Liedberg, FredrikDepartment of Urology, Skåne University Hospital, Malmö, Sweden; Department of Translational Medicine, Lund University, Malmö, Sweden
(author)
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Häggström, ChristelUmeå universitet,Enheten för biobanksforskning,Department of Surgical Sciences, Uppsala University, Uppsala, Sweden(Swepub:umu)chlham02
(author)
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Ströck, VivekaDepartment of Urology, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden; Region Västra Götaland, Sahlgrenska University Hospital, Department of Urology, Gothenburg, Sweden
(author)
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Hosseini, AbolfazlDepartment of Pelvic Cancer, Karolinska University Hospital, Stockholm, Sweden
(author)
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Gårdmark, TrulsDepartment of Clinical Sciences, Danderyd Hospital, Karolinska Institute, Stockholm, Sweden
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Sherif, AmirUmeå universitet,Urologi och andrologi(Swepub:umu)amsh0008
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Jerlström, Tomas,1969-Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department of Urology(Swepub:oru)tjm
(author)
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MalmströmMalmström, Per-UnoDepartment ofSurgical Sciences, Uppsala University, Uppsala, Sweden
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Hagberg, OskarDepartment of Translational Medicine, Lund University, Malmö, Sweden
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Holmberg, LarsDepartment of Surgical Sciences, Uppsala University, Uppsala, Sweden; School of Medicine, King´s College London, London, UK
(author)
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Malmström, Per-Uno
(author)
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Department of Clinical and Experimental Medicine, Division of Urology, Linköping University, Linköping, SwedenDepartment of Urology, Skåne University Hospital, Malmö, Sweden; Department of Translational Medicine, Lund University, Malmö, Sweden
(creator_code:org_t)
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In:BJU International: Blackwell Publishing126:5, s. 625-6321464-40961464-410X
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