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UICC World Cancer Congress 2006
Bridging the Gap: Transforming Knowledge into Action
July 8-12, 2006, Washington, DC, USA
Methods: To avoid issues related to geographical barriers to care, the research focused on IUBT patients diagnosed in NYC and counties adjacent to NYC. Localized IUBT cases diagnosed between 2001-2002 were selected from the New York State Cancer Registry. The registry provided data on the first course of treatment (surgical procedure type, lymph node surgery, radiation treatment) and sociodemographic characteristics (age, sex, race, Hispanic origin, birthplace).
Results: Treatment data were available for over 99% of cases. The proportion of patients with standard surgical treatment was 94.4%. Of those with standard surgical treatment, 7.2% received radical cystectomy. Pelvic lymph node dissection was done for either staging or treatment in less than 7% of cases. External beam irradiation following surgery was reported for approximately 3% of surgical cases. Age (over 75 years), sex (female) and race (non-white) were associated with less frequent standard surgical treatment and more frequent radiation therapy. Radical cystectomy and pelvic lymph node dissection was less frequent in older people and in whites.