ArticleJCO global oncology2021
Dramatic Impact of Centralization and a Multidisciplinary Bladder Cancer Program in Reducing Mortality: The CABEM Project.
Article in JCO global oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Sub specialization and centralization of pediatric neuro-oncology services: a strategy to improve outcomes in low-resource settings.Frontiers in oncology · 2025Review
- Mini nutritional assessment as a screening tool for muscle-invasive bladder cancer patients: A cross-sectional study in a high-volume center.Bladder (San Francisco, Calif.) · 2024Article
- Evidence-Based Analysis of the Critical Steps of Radical Cystectomy for Bladder Cancer.Journal of clinical medicine · 2023Review
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Authors and funding
13 authors.
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Abstract
purposeMuscle-invasive bladder cancer (MIBC) is an aggressive disease with a complex treatment. In Brazil, as in most developing countries, data are scarce, but mortality seems exceedingly high. We have created a centralization program involving a multidisciplinary clinic in a region comprising seven municipalities. The aim of this study is to evaluate the impact of a multidisciplinary clinic and a centralization-of-care program (CABEM program) on MIBC treatment in Brazil. PATIENTS AND
methodsA total of 116 consecutive patients were evaluated. In group 1, 58 patients treated for MIBC before establishing a bladder cancer program from 2011 to 2017 were retrospectively evaluated. Group 2 represented 58 patients treated for MIBC after the implementation of the CABEM centralization program. Age, sex, staging, comorbidity indexes, mortality rates, type of treatment, and perioperative outcomes were compared.
resultsPatients from group 2 versus 1 were older (68
conclusionOur data support that a centralization program, a structured bladder clinic associated with protocols, a multidisciplinary team, and inclusion of chemotherapy and radiotherapy treatments can pleasingly improve outcomes for patients with MIBC.
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