Medizinische Universität Graz - Research portal
Selected Publication:
SHR Neuro Cancer Cardio Lipid Metab Microb
Rink, M; Chun, FK; Chromecki, TF; Fajkovic, H; Dahlem, R; Fisch, M; Shariat, SF.
Advanced bladder cancer in elderly patients : Prognostic outcomes and therapeutic strategies.
Urologe A. 2012; 51(6):820-828
Doi: 10.1007/s00120-011-2769-2
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- Co-authors Med Uni Graz
- Chromecki Thomas
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- Abstract:
- Age is suggested to be the greatest single risk factor for developing urothelial carcinoma of the bladder (UCB). This review presents an overview of the incidence, prognosis, surgical and medical therapy of UCB in elderly patients (> 65 years). Elderly patients have an approximate 11-fold increase in the incidence and a 15-fold increase in UCB mortality when compared to younger individuals. However, adequate surgical or medical treatment is less often or delayed offered to elderly patients. In properly selected cases, similar surgical outcomes and complication rates are reported in elderly patients, regardless of the type of urinary diversion. Application of perioperative systemic chemotherapy is dependent on physiologic deterioration and comorbidities. An adequate, restrictive case selection and early proactive postoperative rehabilitation are important factors to achieve good results. In adequately selected elderly patients, radical cystectomy and urinary diversion as well as systemic chemotherapy are feasible, safe and efficacious treatment options for advanced UCB.
- Find related publications in this database (using NLM MeSH Indexing)
- Antineoplastic Agents - therapeutic use
- Combined Modality Therapy -
- Cystectomy - mortality
- Humans -
- Patient Selection -
- Prevalence -
- Prognosis -
- Risk Assessment -
- Survival Analysis -
- Survival Rate -
- Treatment Outcome -
- Urinary Bladder Neoplasms - diagnosis Urinary Bladder Neoplasms - mortality Urinary Bladder Neoplasms - therapy
- Urinary Diversion - mortality
- Find related publications in this database (Keywords)
- Age
- Bladder cancer
- Radical cystectomy
- Prognosis
- Survival