Discrepancy Between European Association of Urology Guidelines and Daily Practice in the Management of Non-muscle-invasive Bladder Cancer: Results of a European Survey

European Urology Focus
Kees HendricksenYoung Academic Urologists Urothelial Carcinoma Group of the European Association of Urology

Abstract

The European Association of Urology (EAU) non-muscle-invasive bladder cancer (NMIBC) guidelines are meant to help minimise morbidity and improve the care of patients with NMIBC. However, there may be underuse of guideline-recommended care in this potentially curable cohort. To assess European physicians' current practice in the management of NMIBC and evaluate its concordance with the EAU 2013 guidelines. Initial 45-min telephone interviews were conducted with 20 urologists to develop a 26-item questionnaire for a 30-min online quantitative interview. A total of 498 physicians with predefined experience in treatment of NMIBC patients, from nine European countries, completed the online interviews. Descriptive statistics of absolute numbers and percentages of the use of diagnostic tools, risk group stratification, treatment options chosen, and follow-up regimens were used. Guidelines are used by ≥87% of physicians, with the EAU guidelines being the most used ones (71-100%). Cystoscopy (60-97%) and ultrasonography (42-95%) are the most used diagnostic techniques. Using EAU risk classification, 40-69% and 88-100% of physicians correctly identify all the prognostic factors for low- and high-risk tumours, respectively. Re-transurethr...Continue Reading

Citations

Oct 17, 2019·Journal of Endourology·Frank WaldbilligManuel Ritter
Apr 29, 2020·Urologia·Tommaso CaiTruls E Bjerklund Johansen
Sep 1, 2018·World Journal of Urology·Morgan Rouprêt
Dec 19, 2020·European Journal of Cancer Care·Morgan RouprêtThibault de la Motte Rouge
May 8, 2021·Hematology/oncology Clinics of North America·John L PfailMatthew D Galsky
Jul 3, 2021·Micromachines·David Angelats LoboJoaquim Ciurana
Nov 12, 2020·European Urology Focus·Nikita R BhattUNKNOWN EAU Guidelines Office Dissemination Committee

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