Impact of a One-Stop Hematuria Clinic on Overall Survival and Bladder Tumor Recurrence.

Autor:	Sánchez Verdes P; Urology Department, Cabueñes Universitary Hospital, 33394 Gijón, Spain., Fernández-Pello Montes S; Urology Department, Cabueñes Universitary Hospital, 33394 Gijón, Spain., González Rodríguez I; Urology Department, Cabueñes Universitary Hospital, 33394 Gijón, Spain., Suárez Sal PJ; Urology Department, Cabueñes Universitary Hospital, 33394 Gijón, Spain., Martín Gómez L; Urology Department, Cabueñes Universitary Hospital, 33394 Gijón, Spain., Rodríguez Villamil L; Urology Department, Cabueñes Universitary Hospital, 33394 Gijón, Spain.
Jazyk:	angličtina
Zdroj:	Archivos espanoles de urologia [Arch Esp Urol] 2023 Mar; Vol. 76 (2), pp. 114-122.
DOI:	10.56434/j.arch.esp.urol.20237602.12
Abstrakt:	Background and Objective: One-stop clinics have emerged as a tool to optimize the therapeutic management of cancer patients. The main purpose of this study was to assess the role of the one-stop hematuria clinic (OSHC), as compared to a conventional clinic (CC), on the overall and disease-free survival of patients with bladder cancer. Methods: A five-year follow-up retrospective and single-center study was conducted in patients with primary bladder tumor diagnosed between 2006 and 2015. The primary outcomes were five-year overall survival and one-year relapse rate. Results: A total of 394 patients (160 in OSHC and 234 in CC) were included. No differences were observed in terms of age, sex, smoking habit or risk group between the OSHC and CC groups. The average times from first symptom to diagnosis (24.9 ± 29.1 vs. 100.7 ± 93.6 days) and from first symptom to treatment (70.2 ± 34.0 vs. 155.0 ± 102.9 days) were significantly lower in the OSHC group than in the CC group ( p < 0.001 each). There was no significant difference in the five-year survival rate between OSHC and CC (103/160 vs. 150/234, respectively; p = 0.951), although the proportion of relapses during the first year was significantly lower in the OSHC group (35/139, 25.2%) than in the CC one (74/195, 38.0%; p = 0.02). Conclusions: OSHC significantly reduced the diagnosis and treatment times. The early-relapse rate was significantly lower in the OSHC group, although the five-year survival rate was similar.
Databáze:	MEDLINE
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