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Follow‐up surveillance strategies for genitourinary malignancies
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Titel: |
Follow‐up surveillance strategies for genitourinary malignancies |
In: | Cancer, 94, 2002, 11, S. 2892-2905 |
veröffentlicht: |
Wiley
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Umfang: | 2892-2905 |
ISSN: |
0008-543X 1097-0142 |
DOI: | 10.1002/cncr.10525 |
Zusammenfassung: | <jats:title>Abstract</jats:title><jats:sec><jats:title>BACKGROUND</jats:title><jats:p>Genitourinary cancers account for more than 20% of all malignancies in the United States. These cancers do not usually yield rapid mortality, thereby necessitating longer‐term surveillance strategies.</jats:p></jats:sec><jats:sec><jats:title>METHODS</jats:title><jats:p>A review and analysis of relevant studies were performed. Follow‐up strategies are proposed to reflect effective methods to detect recurrent prostate, bladder, renal, and testicular cancers. Cost analysis was performed using Medicare reimbursement rates.</jats:p></jats:sec><jats:sec><jats:title>RESULTS</jats:title><jats:p>For genitourinary tumors, follow‐up tests can be planned rationally based on detection rates and patterns. Tumor grade and stage drive follow‐up strategies, along with therapeutic implications of detecting a recurrence. Symptomatic recurrences often obviate the need for radiographic tests and can minimize costs. Stage‐ specific plans for these four urologic malignancies are outlined specifically.</jats:p></jats:sec><jats:sec><jats:title>CONCLUSIONS</jats:title><jats:p>Not all surveillance approaches have been critically tested for follow‐up of genitourinary tumors, but ample data are available to propose sound medical and economic strategies. Cancer 2002;94:2892–905. © 2002 American Cancer Society.</jats:p><jats:p>DOI 10.1002/cncr.10525</jats:p></jats:sec> |
Format: | E-Article |
Quelle: | Wiley (CrossRef) |
Sprache: | Englisch |