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Bladder Cancer Survivorship

Abstract

Purpose of Review

Bladder cancer (BC) is the second most common genitourinary malignancy, with a growing population of survivors globally. Over the past two decades, there has been a growing awareness of not only the oncologic, but also the quality of life ramifications of a BC diagnosis, treatment, and surveillance. In the current review, the literature surrounding the many domains that encompass bladder cancer survivorship is summarized and analyzed.

Recent Findings

There have been ongoing efforts to decrease perioperative morbidity, particularly in patients undergoing radical cystectomy, with mixed results. There is a growing emphasis on the short and long-term health-related quality of life (HR-QoL) impacts of bladder cancer spanning the domains of physical and mental QoL related to urinary function, sexual function, and financial and psychological burden, with validated measures specific to BC patients. There continue to be disparities in oncologic outcomes by race and gender. The impact of BC is prolonged and there is an unmet need for long term support and survivorship resources to address this.

Summary

There is a growing global population of bladder cancer patients, and their needs are complex and vary by stage, treatment, and certain demographic features. Outcome-centered perioperative strategies show potential to diminish treatment morbidity, and validated BC specific HR-QoL tools have helped to define the impact and burden of BC, but there continue to be large areas of unmet need that warrant greater study and intervention.

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Papers of particular interest, published recently, have been highlighted as: •• Of major importance

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This article is part of the Topical Collection on Urothelial Cancer

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Bhanvadia, S.K. Bladder Cancer Survivorship. Curr Urol Rep 19, 111 (2018). https://doi.org/10.1007/s11934-018-0860-6

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Keywords

  • Bladder cancer
  • Bladder cancer survivorship
  • Urothelial carcinoma
  • Cancer survivorship
  • Bladder cancer quality of life
  • Bladder cancer disparities
  • Bladder cancer urinary diversion
  • Sexual dysfunction
  • Survivorship programs