Quality assessment of radical cystectomy-opportunities, risks, challenges

Roghmann, Florian and Breyer, J. and Kriegmair, M. and Wezel, F. and Burger, M. and Noldus, J. and Bolenz, C. (2021) Quality assessment of radical cystectomy-opportunities, risks, challenges. UROLOGE, 60 (2). pp. 151-161. ISSN 0340-2592, 1433-0563

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Abstract

Radical cystectomy (RC) is the standard treatment for nonmetastatic muscle-invasive urothelial carcinoma of the urinary bladder. It is associated with relevant morbidity and mortality. After RC, the 5-year overall survival rate is approximately 60%. In the context of the present work, quality parameters of RC divided into oncological/functional criteria and freedom from complications are identified and summarized. A PubMed search was performed. In addition to early criteria such as negative surgical margins, performance of pelvic lymphadenectomy, creation of a continent urinary diversion or preservation of sexual function, long-term criteria were identified such as the absence of higher-grade postoperative complications, recurrence-free survival and the preservation of health-related quality of life. The early criteria are suitable for individualized therapy planning, whereas the long-term criteria can be used for quality monitoring.

Item Type: Article
Uncontrolled Keywords: LYMPH-NODE DISSECTION; INVASIVE BLADDER-CANCER; OF-LIFE; UROTHELIAL CARCINOMA; RECURRENCE; OUTCOMES; IMPACT; COMPLICATIONS; INCREASES; MORTALITY; Bladder cancer; Urinary diversion; Quality assessment; Treatment outcome; Quality of life
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Urologie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 13 Sep 2022 13:36
Last Modified: 13 Sep 2022 13:36
URI: https://pred.uni-regensburg.de/id/eprint/47335

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