Follow-up care of 12 months of patients with bladder cancer in Spain: A multicenter prospective cohort study

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• dc.contributor.author Bonfill, Xavier
• dc.contributor.author Martinez-Zapata, María José
• dc.contributor.author Barrionuevo Rosas, Leslie Margaret, 1977-
• dc.contributor.author Vernooij, Robin W. M.
• dc.contributor.author Sánchez, María José
• dc.contributor.author Morales Suárez-Varela, María
• dc.contributor.author de la Cruz, Javier
• dc.contributor.author Emparanza, José Ignacio
• dc.contributor.author Ferrer Forés, Maria Montserrat
• dc.contributor.author Pijoán, José Ignacio
• dc.contributor.author Palou, Joan
• dc.contributor.author Frances, Albert
• dc.contributor.author Madrid, Eva
• dc.contributor.author Coscia, Claudia
• dc.contributor.author Zamora, Javier
• dc.contributor.author EMPARO-CU Study Group
• dc.date.accessioned 2023-02-07T13:06:54Z
• dc.date.available 2023-02-07T13:06:54Z
• dc.date.issued 2022
• dc.description.abstract The therapeutic approach of bladder cancer strongly determines its prognosis. We describe the treatments and outcomes for a Spanish cohort of patients with bladder cancer for the first 12 months after diagnosis and identify the factors that influenced the decision to undergo the treatment received. We conducted a multicenter, prospective, cohort study including primary bladder cancer patients during the first 12 months after diagnosis. The clinical outcomes were performance status (ECOG), adverse events and any cause of mortality. We stratified the analysis by factors that might influence the treatments received. We conducted univariate and multivariable logistic regression models to assess which patient and tumor characteristics were associated with receiving adjuvant treatment in the subgroup of noninvasive bladder cancer patients. In total, 314 patients were included (85% men; 53.8% >70 years) in 7 tertiary Spanish hospitals; 82.2% had a noninvasive urothelial bladder cancer (NMIBC). Patients received mostly surgery plus adjuvant therapy (67.7%). BCG (32.8% patients) was the most frequently administered adjuvant therapy, followed by intravesical chemotherapy (17.8% patients) and radiotherapy (10.8%). The variability of administered treatments among hospitals was low. Patients with NMIBC were more likely to receive adjuvant therapy if they had a higher educational level, some comorbidities and a high-grade tumor. The number of fully active patients (ECOG 0) significantly decreased during the first year of follow-up from 58% to 36 % (OR: 2.41, 95%CI 1.82-3.20); at 12-month follow-up 10.8% patients had died from any cause. In conclusion, most of the patients had a NMIBC. Surgery alone or plus adjuvant therapy were the commonest curative options of bladder cancer. BCG therapy was the adjuvant therapy most frequently administered. Higher educational level, presence of comorbidities and a high-grade tumor were associated with adjuvant therapy. Patient performance status was worsening over time. Almost 1 of 10 patients died during the first year of follow-up.
• dc.format.mimetype application/pdf
• dc.identifier.citation Bonfill X, Martinez-Zapata MJ, Barrionuevo-Rosas L, Vernooij RW, Sánchez MJ, Morales-Suárez-Varela M, De la Cruz J, Emparanza JI, Ferrer M, Pijoan JI, Palou J, Frances A, Madrid E, Coscia C, Zamora J; EMPARO-CU study group. Follow-up care of 12 months of patients with bladder cancer in Spain: A multicenter prospective cohort study. Medicine (Baltimore). 2022 Oct 21;101(42):e31175. DOI: 10.1097/MD.0000000000031175
• dc.identifier.doi http://dx.doi.org/10.1097/MD.0000000000031175
• dc.identifier.issn 0025-7974
• dc.identifier.uri http://hdl.handle.net/10230/55660
• dc.language.iso eng
• dc.publisher Lippincott Williams & Wilkins
• dc.relation.ispartof Medicine (Baltimore). 2022 Oct 21;101(42):e31175
• dc.rights © 2022 the Author(s). Published by Wolters Kluwer Health, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal.
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by-nc/4.0/
• dc.subject.keyword Bladder neoplasms
• dc.subject.keyword Cohort study
• dc.subject.keyword Male urogenital diseases
• dc.subject.keyword Multicenter study
• dc.subject.keyword Multivariable analysis
• dc.title Follow-up care of 12 months of patients with bladder cancer in Spain: A multicenter prospective cohort study
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion