We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Closing the Gender Gap: Can We Improve Bladder Cancer Survival in Women? - A Systematic Review of Diagnosis, Treatment and Outcomes.
- Authors
Burge, Frances; Kockelbergh, Roger
- Abstract
Introduction: Despite recent attention, there are no gender specific guidelines to address the disparity in bladder cancer survival between the sexes. The focus of this review was to identify areas of clinical practice that may influence bladder cancer outcomes and to provide evidence-based recommendations to improve bladder cancer survival in women. Method: A systematic search of MEDLINE was conducted to identify studies related to referral, diagnosis, treatment and outcomes of patients with bladder cancer with particular reference to gender differences. Results: Patients' knowledge of key signs and symptoms of bladder cancer is poor. There is evidence that there is a gender difference in referral patterns both at patient and primary care level. The presence of cystits, in particular, delays referral. Treatment and surveillance of high-risk non-muscle invasive cancers is variable and non-urothelial bladder cancer, which has higher incidence in women is more likely to be treated non-operatively than urothelial bladder cancer. Conclusion: We have offered recommendations to improve patient education and streamline referrals and suggested considerations for treatment of high-risk cancers to help improve survival in female bladder cancer patients.
- Subjects
BLADDER cancer diagnosis; BLADDER cancer treatment; SURVIVAL analysis (Biometry); CANCER in women; HEALTH outcome assessment; SYSTEMATIC reviews; SEX differences (Biology)
- Publication
Urologia Internationalis, 2016, Vol 97, Issue 4, p373
- ISSN
0042-1138
- Publication type
Article
- DOI
10.1159/000449256