Current Standards in the Endoscopic Management of Bladder Cancer : A Survey Evaluation among Urologists in German-Speaking Countries
© 2020 S. Karger AG, Basel..
INTRODUCTION: To assess the current diagnostic, treatment, and documentation strategies for bladder cancer (BC) in German-speaking countries.
MATERIALS AND METHODS: A 14-item web-based survey was distributed among members of the German, Austrian, and Swiss Associations of Urology, addressing physicians who perform cystoscopies and transurethral resection of bladder tumors (TURB).
RESULTS: The survey was responded to by 308 of 5,564 urologists with a mean age of 49.5 years (response rate: 5.5%). The majority of participants (57.3%) practice in an outpatient setting. White light cystoscopy only is used by 60.2%, with additional photodynamic diagnosis and narrow band imaging by 36.8 and 12.5%, respectively. Endoscopic findings are documented in written form by 93.5%, followed by image capture (33.7%) and a central data archive (20.8%). Inpatient hospital urologists document cystoscopic findings by freehand drawing (21.4 vs. 11.4%, p = 0.017), and with a fixed bladder scheme (31.3 vs. 7.4%, <0.05) significantly more frequently. Cystoscopic findings are mainly conveyed to other health professionals in written form (77.4%), and significantly more often by inpatient urologists (p < 0.05).
CONCLUSIONS: Significant differences exist in the approach to documenting and communicating cystoscopic BC findings. Accurate graphic documentation of lesions, visualization of the mucosa's totality, and meticulous consultation of previous surgical reports require improvements to reduce recurrence and progression rates.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2020 |
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| Erschienen: |
2020 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:104 |
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| Enthalten in: |
Urologia internationalis - 104(2020), 5-6 vom: 15., Seite 410-416 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Suarez-Ibarrola, Rodrigo [VerfasserIn] |
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| Links: |
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| Themen: |
Bladder cancer |
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| Anmerkungen: |
Date Completed 04.03.2021 Date Revised 04.03.2021 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1159/000506653 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM307957446 |
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| 500 | |a Date Revised 04.03.2021 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2020 S. Karger AG, Basel. | ||
| 520 | |a INTRODUCTION: To assess the current diagnostic, treatment, and documentation strategies for bladder cancer (BC) in German-speaking countries | ||
| 520 | |a MATERIALS AND METHODS: A 14-item web-based survey was distributed among members of the German, Austrian, and Swiss Associations of Urology, addressing physicians who perform cystoscopies and transurethral resection of bladder tumors (TURB) | ||
| 520 | |a RESULTS: The survey was responded to by 308 of 5,564 urologists with a mean age of 49.5 years (response rate: 5.5%). The majority of participants (57.3%) practice in an outpatient setting. White light cystoscopy only is used by 60.2%, with additional photodynamic diagnosis and narrow band imaging by 36.8 and 12.5%, respectively. Endoscopic findings are documented in written form by 93.5%, followed by image capture (33.7%) and a central data archive (20.8%). Inpatient hospital urologists document cystoscopic findings by freehand drawing (21.4 vs. 11.4%, p = 0.017), and with a fixed bladder scheme (31.3 vs. 7.4%, <0.05) significantly more frequently. Cystoscopic findings are mainly conveyed to other health professionals in written form (77.4%), and significantly more often by inpatient urologists (p < 0.05) | ||
| 520 | |a CONCLUSIONS: Significant differences exist in the approach to documenting and communicating cystoscopic BC findings. Accurate graphic documentation of lesions, visualization of the mucosa's totality, and meticulous consultation of previous surgical reports require improvements to reduce recurrence and progression rates | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Bladder cancer | |
| 650 | 4 | |a Bladder tumor | |
| 650 | 4 | |a Cystoscopy | |
| 650 | 4 | |a Endoscopic documentation | |
| 650 | 4 | |a Nonmuscle-invasive bladder cancer | |
| 650 | 4 | |a Transurethral resection of bladder tumors | |
| 700 | 1 | |a Hein, Simon |e verfasserin |4 aut | |
| 700 | 1 | |a Farin, Erik |e verfasserin |4 aut | |
| 700 | 1 | |a Waldbillig, Frank |e verfasserin |4 aut | |
| 700 | 1 | |a Kriegmair, Maximilian C |e verfasserin |4 aut | |
| 700 | 1 | |a Ritter, Manuel |e verfasserin |4 aut | |
| 700 | 1 | |a Klingler, Hans C |e verfasserin |4 aut | |
| 700 | 1 | |a Herrmann, Thomas R W |e verfasserin |4 aut | |
| 700 | 1 | |a Gratzke, Christian |e verfasserin |4 aut | |
| 700 | 1 | |a Miernik, Arkadiusz |e verfasserin |4 aut | |
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