Neoadjuvant chemotherapy in patients with muscle-invasive bladder cancer: which patients benefit?

Eur Urol. 2013 Sep;64(3):355-7. doi: 10.1016/j.eururo.2013.06.002. Epub 2013 Jun 12.

Abstract

Level I evidence supports neoadjuvant chemotherapy in the treatment of advanced bladder cancer. For the most benefit, it is suggested that neoadjuvant chemotherapy be restricted to patients with clinical T3 disease and/or clinical N+ disease.

MeSH terms

  • Chemotherapy, Adjuvant
  • Cystectomy* / adverse effects
  • Cystectomy* / mortality
  • Cystectomy* / standards
  • Evidence-Based Medicine
  • Humans
  • Neoadjuvant Therapy* / adverse effects
  • Neoadjuvant Therapy* / mortality
  • Neoadjuvant Therapy* / standards
  • Neoplasm Invasiveness
  • Neoplasm Staging
  • Patient Selection*
  • Practice Guidelines as Topic
  • Risk Assessment
  • Risk Factors
  • Time Factors
  • Treatment Outcome
  • Urinary Bladder Neoplasms / mortality
  • Urinary Bladder Neoplasms / pathology
  • Urinary Bladder Neoplasms / therapy*