Impact of rural residence on the presentation, management and survival of patients with non-metastatic muscle-invasive bladder carcinoma
| Autor: | Furkan Dursun, Ahmed Elshabrawy, Hanzhang Wang, Dharam Kaushik, Michael A. Liss, Robert S. Svatek, John L. Gore, Ahmed M. Mansour |
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| Jazyk: | angličtina |
| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | Investigative and Clinical Urology, Vol 64, Iss 6, Pp 561-571 (2023) |
| Druh dokumentu: | article |
| ISSN: | 20230125 2466-0493 2466-054X |
| DOI: | 10.4111/icu.20230125 |
| Popis: | Purpose: To assess the impact of rural and remote residence on the receipt of guidelines-recommended treatment, quality of treatment and overall survival (OS) in patients with non-metastatic muscle-invasive bladder cancer (MIBC). Materials and Methods: Patients with MIBC were identified using National Cancer Database. Patients were classified into three residential areas. Logistic regression models were used to assess associations between geographic residence and receipt of radical cystectomy (RC) or chemoradiation therapy (CRT). Models were fitted to assess quality benchmarks of RC and CRT. Results: We identified 71,395 patients. Of those 58,874 (82.5%) were living in Metro areas, 8,534 (11.9%) in urban-rural adjacent (URA), and 3,987 (5.6%) in urban-rural remote to metro area (URR). URR residence was significantly associated with poor OS compared to URA and Metro residence (HR 0.87, 95% CI 0.81–0.94 and HR 0.90, 95% CI 0.87–0.93, p |
| Databáze: | Directory of Open Access Journals |
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