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How Octogenarians with Bladder Cancer Are Treated in a Maximum-Care Hospital: The Real-Life Experience.
- Source :
-
Urologia internationalis [Urol Int] 2017; Vol. 98 (3), pp. 262-267. Date of Electronic Publication: 2016 Jul 05. - Publication Year :
- 2017
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Abstract
- Introduction: With increasing life expectancy, curative treatment of octogenarians with urothelial carcinoma of the bladder (UCB) becomes more important.<br />Materials and Methods: The treatment modalities of 276 octogenarians with UCB who were treated at the University Hospital of Erlangen between 1982 and 2011 were assessed retrospectively.<br />Results: One hundred forty-six patients had non-muscle invasive bladder cancer (NMIBC) while 71 had muscle invasive bladder cancer (MIBC). No data was available for 59 patients. Eighty-five (58.2%) of the 146 patients with NMIBC received transurethral resection of the bladder tumor (TURBT) only, another 38 patients (26%) underwent additional intravesical therapy; and 8.9% were treated with radiochemotherapy (RCT), 4.1% with radiotherapy (RT), 1.4% with systemic chemotherapy and 1.4% with radical cystectomy (RC). Of the 71 patients suffering from MIBC, 39 (54.9%) received TURBT alone. A potentially curative therapy was performed on 31 of the 71 patients with MIBC (43.7%). Of these, 16 patients (51.6%) received RCT, 9 patients (29.0%) RT and 6 patients (19.4%) RC. In Kaplan-Meier analysis, patients with MIBC had better median overall survival with curative treatment compared to TURBT alone (28 vs. 9 months; p < 0.001, log-rank test).<br />Conclusions: By offering a wide range of treatment options, over 43% of octogenarians with MIBC received a curative therapy at a maximum care hospital.<br /> (© 2016 S. Karger AG, Basel.)
- Subjects :
- Aged, 80 and over
Cystectomy adverse effects
Follow-Up Studies
Geriatrics methods
Hospitals
Humans
Kaplan-Meier Estimate
Life Expectancy
Muscles pathology
Neoplasm Invasiveness
Neoplasm Staging
Retrospective Studies
Risk
Surgical Oncology methods
Treatment Outcome
Urothelium pathology
Carcinoma surgery
Cystectomy methods
Urinary Bladder Neoplasms surgery
Urinary Bladder Neoplasms therapy
Urothelium surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1423-0399
- Volume :
- 98
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Urologia internationalis
- Publication Type :
- Academic Journal
- Accession number :
- 27376673
- Full Text :
- https://doi.org/10.1159/000447361