Examines how initial tumor stage affects survival in radical cystectomy patients, suggesting implications for treatment decisions.
Key Points
The study aims to assess whether the initial transurethral resection staging impacts the survival outcomes of patients treated with radical cystectomy for bladder cancer.
Retrospective analysis of a multi-institutional database with 3,258 radical cystectomy patients.
Evaluated 68 variables including initial TURBT pathology and final outcomes.
Categorized patients into four groups based on initial T stage: pTa, pT1, pT2, and Tis.
Overall survival rates significantly varied among the four initial stage groups (p=0.017).
The Tis group had the most favorable long-term outcomes, with over 60% survival at 150 months.
No significant survival differences were found among the pTa, pT1, and pT2 groups.