How Octogenarians with Bladder Cancer Are Treated in a Maximum-Care Hospital: The Real-Life Experience
Sikic D, Wach S, Taubert H, Richterstetter M, Kunath F, Lieb V, Krause FS, Merten R, Ott O, Fietkau R, Wullich B, Keck B (2016)
Publication Type: Journal article
Publication year: 2016
Journal
DOI: 10.1159/000447361
Abstract
With increasing life expectancy, curative treatment of octogenarians with urothelial carcinoma of the bladder (UCB) becomes more important.The treatment modalities of 276 octogenarians with UCB who were treated at the University Hospital of Erlangen between 1982 and 2011 were assessed retrospectively.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).By offering a wide range of treatment options, over 43% of octogenarians with MIBC received a curative therapy at a maximum care hospital.
Authors with CRIS profile
Helge Taubert
Professur für Molekulare Urologie
Frank Kunath
Urologische Klinik
Ricarda Merten
Department of Radiation Oncology
Rainer Fietkau
Lehrstuhl für Strahlentherapie
Bernd Wullich
Lehrstuhl für Urologie
Bastian Keck
Medizinische Fakultät
Involved external institutions
Austria (AT)How to cite
APA:
Sikic, D., Wach, S., Taubert, H., Richterstetter, M., Kunath, F., Lieb, V.,... Keck, B. (2016). How Octogenarians with Bladder Cancer Are Treated in a Maximum-Care Hospital: The Real-Life Experience. Urologia Internationalis. https://dx.doi.org/10.1159/000447361
MLA:
Sikic, Danijel, et al. "How Octogenarians with Bladder Cancer Are Treated in a Maximum-Care Hospital: The Real-Life Experience." Urologia Internationalis (2016).
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