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Erschienen in: Current Urology Reports 12/2018

01.12.2018 | Urothelial Cancer (S Daneshmand, Section Editor)

Bladder Cancer Survivorship

verfasst von: Sumeet K. Bhanvadia

Erschienen in: Current Urology Reports | Ausgabe 12/2018

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Abstract

Purpose of Review

Bladder cancer (BC) is the second most common genitourinary malignancy, with a growing population of survivors globally. Over the past two decades, there has been a growing awareness of not only the oncologic, but also the quality of life ramifications of a BC diagnosis, treatment, and surveillance. In the current review, the literature surrounding the many domains that encompass bladder cancer survivorship is summarized and analyzed.

Recent Findings

There have been ongoing efforts to decrease perioperative morbidity, particularly in patients undergoing radical cystectomy, with mixed results. There is a growing emphasis on the short and long-term health-related quality of life (HR-QoL) impacts of bladder cancer spanning the domains of physical and mental QoL related to urinary function, sexual function, and financial and psychological burden, with validated measures specific to BC patients. There continue to be disparities in oncologic outcomes by race and gender. The impact of BC is prolonged and there is an unmet need for long term support and survivorship resources to address this.

Summary

There is a growing global population of bladder cancer patients, and their needs are complex and vary by stage, treatment, and certain demographic features. Outcome-centered perioperative strategies show potential to diminish treatment morbidity, and validated BC specific HR-QoL tools have helped to define the impact and burden of BC, but there continue to be large areas of unmet need that warrant greater study and intervention.
Literatur
17.
Zurück zum Zitat Lin-Brande M. et al. Population based assessment of continent diversion utilization and preoperative morbidity in the United States. 2018. Lin-Brande M. et al. Population based assessment of continent diversion utilization and preoperative morbidity in the United States. 2018.
18.
Zurück zum Zitat Hart S, et al. Quality of life after radical cystectomy for bladder cancer in patients with an ileal conduit, cutaneous or urethral Kock pouch. J Urol. 1999;162:77–81.CrossRefPubMed Hart S, et al. Quality of life after radical cystectomy for bladder cancer in patients with an ileal conduit, cutaneous or urethral Kock pouch. J Urol. 1999;162:77–81.CrossRefPubMed
19.
Zurück zum Zitat Dutta SC, Chang SS, Coffey CS, Smith JA Jr, Jack G, Cookson MS. Health related quality of life assessment after radical cystectomy: comparison of ileal conduit with continent orthotopic neobladder. J Urol. 2002;168:164–7.CrossRefPubMed Dutta SC, Chang SS, Coffey CS, Smith JA Jr, Jack G, Cookson MS. Health related quality of life assessment after radical cystectomy: comparison of ileal conduit with continent orthotopic neobladder. J Urol. 2002;168:164–7.CrossRefPubMed
25.
Zurück zum Zitat •• Pederzoli F, Campbell JD, Matsui H, Sopko NA, Bivalacqua TJ. Surgical factors associated with male and female sexual dysfunction after radical cystectomy: what do we know and how can we improve outcomes? Sex Med Rev. 2018;6:469–81. https://doi.org/10.1016/j.sxmr.2017.11.003 A comprehensive review of the sexual dysfunction and its etiologies after RC. CrossRefPubMed •• Pederzoli F, Campbell JD, Matsui H, Sopko NA, Bivalacqua TJ. Surgical factors associated with male and female sexual dysfunction after radical cystectomy: what do we know and how can we improve outcomes? Sex Med Rev. 2018;6:469–81. https://​doi.​org/​10.​1016/​j.​sxmr.​2017.​11.​003 A comprehensive review of the sexual dysfunction and its etiologies after RC. CrossRefPubMed
33.
Zurück zum Zitat Veskimäe E, Neuzillet Y, Rouanne M, MacLennan S, Lam TBL, Yuan Y, et al. Systematic review of the oncological and functional outcomes of pelvic organ-preserving radical cystectomy (RC) compared with standard RC in women who undergo curative surgery and orthotopic neobladder substitution for bladder cancer. BJU Int. 2017;120:12–24. https://doi.org/10.1111/bju.13819.CrossRefPubMed Veskimäe E, Neuzillet Y, Rouanne M, MacLennan S, Lam TBL, Yuan Y, et al. Systematic review of the oncological and functional outcomes of pelvic organ-preserving radical cystectomy (RC) compared with standard RC in women who undergo curative surgery and orthotopic neobladder substitution for bladder cancer. BJU Int. 2017;120:12–24. https://​doi.​org/​10.​1111/​bju.​13819.CrossRefPubMed
44.
Zurück zum Zitat Madeb R, Golijanin D, Noyes K, Fisher S, Stephenson JJ, Long SR, et al. Treatment of nonmuscle invading bladder cancer: do physicians in the United States practice evidence based medicine? The use and economic implications of intravesical chemotherapy after transurethral resection of bladder tumors. Cancer. 2009;115:2660–70. https://doi.org/10.1002/cncr.24311.CrossRefPubMed Madeb R, Golijanin D, Noyes K, Fisher S, Stephenson JJ, Long SR, et al. Treatment of nonmuscle invading bladder cancer: do physicians in the United States practice evidence based medicine? The use and economic implications of intravesical chemotherapy after transurethral resection of bladder tumors. Cancer. 2009;115:2660–70. https://​doi.​org/​10.​1002/​cncr.​24311.CrossRefPubMed
63.
Zurück zum Zitat Chen RC, Shipley WU, Efstathiou JA, Zietman AL. Trimodality bladder preservation therapy for muscle-invasive bladder cancer. J Natl Compr Cancer Netw. 2013;11:952–60.CrossRef Chen RC, Shipley WU, Efstathiou JA, Zietman AL. Trimodality bladder preservation therapy for muscle-invasive bladder cancer. J Natl Compr Cancer Netw. 2013;11:952–60.CrossRef
67.
Zurück zum Zitat Palapattu GS, et al. Assessment of perioperative psychological distress in patients undergoing radical cystectomy for bladder cancer. J Urol. 2004;172:1814–7.CrossRefPubMed Palapattu GS, et al. Assessment of perioperative psychological distress in patients undergoing radical cystectomy for bladder cancer. J Urol. 2004;172:1814–7.CrossRefPubMed
Metadaten
Titel
Bladder Cancer Survivorship
verfasst von
Sumeet K. Bhanvadia
Publikationsdatum
01.12.2018
Verlag
Springer US
Erschienen in
Current Urology Reports / Ausgabe 12/2018
Print ISSN: 1527-2737
Elektronische ISSN: 1534-6285
DOI
https://doi.org/10.1007/s11934-018-0860-6

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