Examining the management of muscle-invasive bladder cancer by medical oncologists in the United States

Andrea B. Apolo, Joseph W. Kim, Bernard H. Bochner, Seth M. Steinberg, Dean F. Bajorin, Wm Kevin Kelly, Piyush K. Agarwal, Theresa Koppie, Matthew G. Kaag, David I. Quinn, Nicholas J. Vogelzang, Srikala S. Sridhar

Research output: Contribution to journalArticle

34 Scopus citations

Abstract

Background: Neoadjuvant chemotherapy (NACT) for the treatment of muscle-invasive bladder cancer (MIBC) remains underutilized in the United States despite evidence supporting its use. Objectives: To examine the perioperative chemotherapy management of patients with MIBC by medical oncologists (MedOncs) to move toward standardization of practice. Participants and methods: A 26-question survey was emailed to 92 MedOncs belonging to the Bladder Cancer Advocacy Network or the American Society of Clinical Oncology for completion from May to October 2011. Results: A total of 83 MedOncs completed the survey: 52% were based in academic centers. Most referrals were from urologists (79%). NACT for treatment of MIBC and high-grade upper-tract urothelial carcinoma is offered by 80% and 46% of respondents, respectively. Adjuvant chemotherapy for treatment of MIBC and upper-tract urothelial carcinoma is offered by 46% and 42% of respondents, respectively. NACT was not offered by 49%, 29%, and 35% of respondents if Eastern Cooperative Oncology Group performance status was 3 or greater, if patients had T2 lesions without lymphovascular invasion, and if the glomerular filtration rate was

Original languageEnglish (US)
Pages (from-to)637-644
Number of pages8
JournalUrologic Oncology: Seminars and Original Investigations
Volume32
Issue number5
DOIs
Publication statusPublished - 2014

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Keywords

  • Adjuvant chemotherapy
  • Medical oncologist
  • Muscle-invasive bladder cancer
  • Neoadjuvant chemotherapy
  • Survey

ASJC Scopus subject areas

  • Oncology
  • Urology
  • Medicine(all)

Cite this

Apolo, A. B., Kim, J. W., Bochner, B. H., Steinberg, S. M., Bajorin, D. F., Kevin Kelly, W., ... Sridhar, S. S. (2014). Examining the management of muscle-invasive bladder cancer by medical oncologists in the United States. Urologic Oncology: Seminars and Original Investigations, 32(5), 637-644. https://doi.org/10.1016/j.urolonc.2013.12.012