Treatment of non-metastatic muscle-invasive bladder cancer: AUA/ASCO/ASTRO/SUO guideline Journal Article


Authors: Chang, S. S.; Bochner, B. H.; Chou, R.; Dreicer, R.; Kamat, A. M.; Lerner, S. P.; Lotan, Y.; Meeks, J. J.; Michalski, J. M.; Morgan, T. M.; Quale, D. Z.; Rosenberg, J. E.; Zietman, A. L.; Holzbeierlein, J. M.
Article Title: Treatment of non-metastatic muscle-invasive bladder cancer: AUA/ASCO/ASTRO/SUO guideline
Abstract: Purpose: This multidisciplinary, evidence-based guideline for clinically non-metastatic muscle-invasive bladder cancer focuses on the evaluation, treatment and surveillance of muscle-invasive bladder cancer guided toward curative intent. Materials and Methods: A systematic review utilizing research from the Agency for Healthcare Research and Quality as well as additional supplementation by the authors and consultant methodologists was used to develop the guideline. Evidence-based statements were based on body of evidence strengths Grade A, B or C and were designated as Strong, Moderate and Conditional Recommendations with additional statements presented in the form of Clinical Principles or Expert Opinions. Results: For the first time for any type of malignancy, the American Urological Association, American Society of Clinical Oncology, American Society for Radiation Oncology and Society of Urologic Oncology have formulated an evidence-based guideline based on a risk-stratified clinical framework for the management of muscle-invasive urothelial bladder cancer. This document is designed to be used in conjunction with the associated treatment algorithm. Conclusions: The intensity and scope of care for muscle-invasive bladder cancer should focus on the patient, disease and treatment response characteristics. This guideline attempts to improve a clinician's ability to evaluate and treat each patient, but higher quality evidence in future trials will be essential to improve level of care for these patients.
Keywords: survival; patient selection; radiotherapy; urinary bladder neoplasms; radical cystectomy; cystectomy; carcinoma; neoadjuvant chemotherapy; drug therapy; recovery; lymph-node dissection; urinary-diversion; enhanced; data-base; definitive radiation
Journal Title: Journal of Urology
Volume: 198
Issue: 3
ISSN: 0022-5347
Publisher: Elsevier Science, Inc.  
Date Published: 2017-09-01
Start Page: 552
End Page: 559
Language: English
ACCESSION: WOS:000407448300074
DOI: 10.1016/j.juro.2017.04.086
PROVIDER: Clarivate Analytics Web of Science
PROVIDER: wos
PMCID: PMC5626446
PUBMED: 28456635
Notes: Article -- Erratum issued, see DOI: 10.1016/j.juro.2017.09.002 -- Source: Wos
Altmetric
Citation Impact
BMJ Impact Analytics
MSK Authors
  1. Bernard Bochner
    468 Bochner
  2. Jonathan Eric Rosenberg
    512 Rosenberg