Mortality increases when radical cystectomy is delayed more than 12 weeks
Open Access
- 13 January 2009
- Vol. 115 (5), 988-996
- https://doi.org/10.1002/cncr.24052
Abstract
BACKGROUND: Single‐institution series have documented the adverse impact of a 12‐week delay between resection of muscle‐invasive bladder cancer and radical cystectomy. These data are derived from tertiary centers, in which referral populations may confound outcomes. The authors sought to examine the survival impact of a delay in radical cystectomy using nationally representative data. METHODS: From the linked Surveillance, Epidemiology, and End Results–Medicare dataset, the authors identified subjects with stage II transitional cell carcinoma (TCC) of the bladder who underwent radical cystectomy between 1992 and 2001. They examined delays of 8, 12, and 24 weeks and incorporated these delay cutoffs into multivariate Cox proportional hazards survival models. Covariates included age, race/ethnicity, marital status, Charlson comorbidity index, and cancer grade. RESULTS: The authors identified 441 subjects with stage II TCC who underwent cystectomy during the study period. Compared with immediate surgery (ie, within 4‐8 weeks of transurethral resection), longer time to cystectomy increased the risk of both disease‐specific and overall mortality (hazard ratio [HR], 2.0; P < .01 and HR, 1.6; P < .01, respectively, for those delayed 12‐24 weeks; HR, 2.0; P < .01 for disease‐specific and overall death among those delayed beyond 24 weeks 1 year after diagnosis). Covariates associated with overall mortality included older age (HR, 1.04; P < .01) and comorbidity (HR, 2.0 for Charlson ≥3 vs Charlson 0‐1; P < .01). CONCLUSIONS: Delay in definitive surgical treatment beyond 12 weeks conferred an increased risk of disease‐specific and all‐cause mortality among subjects with stage II bladder cancer. Cancer 2009. © 2009 American Cancer Society.This publication has 19 references indexed in Scilit:
- Volume-Based Referral for Cancer Surgery: Informing the DebateJournal of Clinical Oncology, 2007
- Variations in reconstruction after radical cystectomyCancer, 2006
- Cystectomy Delay More Than 3 Months From Initial Bladder Cancer Diagnosis Results in Decreased Disease Specific and Overall SurvivalJournal of Urology, 2006
- Cancer Statistics, 2005CA: A Cancer Journal for Clinicians, 2005
- Factors Influencing Aggressive Therapy for Bladder Cancer: An Analysis of Data From the SEER ProgramJournal of Urology, 2003
- Delaying Radical Cystectomy for Muscle Invasive Bladder Cancer Results in Worse Pathological StageJournal of Urology, 2003
- Neoadjuvant Chemotherapy plus Cystectomy Compared with Cystectomy Alone for Locally Advanced Bladder CancerThe New England Journal of Medicine, 2003
- An Interval Longer than 12 Weeks Between the Diagnosis of Muscle Invasion and Cystectomy is Associated with Worse Outcome in Bladder CarcinomaJournal of Urology, 2003
- Adapting a clinical comorbidity index for use with ICD-9-CM administrative databasesJournal of Clinical Epidemiology, 1992
- A new method of classifying prognostic comorbidity in longitudinal studies: Development and validationJournal of Chronic Diseases, 1987