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Bladder

Cancer

Prognostic Model

for

Predicting

Survival

in

Patients with Disease

Recurrence

Following

Radical

Cystectomy

Luis

A.

Kluth

a , b , y

,

Evanguelos

Xylinas

a , c , y

, Malte

Rieken

a , d ,

Matthew

Kent

e ,

Masaomi

Ikeda

f ,

Kazumasa Matsumoto

f ,

Masayuki Hagiwara

g ,

Eiji Kikuchi

g ,

Megan

T.

Bing

h ,

Amit

Gupta

h ,

Joseph M.

Sewell

i ,

Badrinath

R. Konety

i ,

Tilman

Todenho¨fer

j ,

Christian

Schwentner

j ,

Alexandra Masson-Lecomte

k ,

Dimitri

Vordos

k ,

Florian

Roghmann

l ,

Joachim Noldus

l ,

Aria

A.

Razmaria

m ,

Norm D.

Smith

m ,

Evi

Comploj

n ,

Armin

Pycha

n ,

Michael

Rink

b ,

Jack

Baniel

o ,

Roy Mano

o ,

Giacomo Novara

p ,

Atiqullah

Aziz

q ,

Hans-Martin

Fritsche

q ,

Antonin

Brisuda

r ,

Trinity

Bivalacqua

s ,

Paolo

Gontero

t ,

Stephen

A.

Boorjian

u ,

Andrew

J.

Vickers

e ,

Shahrokh

F.

Shariat

a , v , w , *

a

Department

of Urology, Weill

Cornell Medical

College, New

York

Presbyterian Hospital, New

York, NY, USA;

b

Department

of Urology, University Medical-

Center

Hamburg-Eppendorf,

Hamburg,

Germany;

c

Department

of

Urology,

Cochin

Hospital,

Assistance

Publique-Hoˆpitaux

de

Paris,

Paris

Descartes

University,

Paris,

France;

d

Department

of Urology, University Hospital

Basel,

Basel,

Switzerland;

e

Department

of

Epidemiology

and

Biostatistics, Memorial

Sloan-Kettering

Cancer

Center,

New

York,

NY,

USA;

f

Department

of

Urology,

Kitasato

University

School

of Medicine, Minami-ku,

Sagamihara,

Kanagawa,

Japan;

g

Department

of Urology,

Keio University

School

of Medicine,

Shinjuku-ku,

Tokyo,

Japan;

h

Department

of Urology, University

of

Iowa Hospitals

and

Clinics,

Iowa

City,

IA, USA;

i

Department

of Urology, University

of Minnesota

School

of Medicine, Minneapolis, MN, USA;

j

Department

of Urology, University

Medical Hospital

of

Tuebingen,

Tuebingen, Germany;

k

Department

of Urology, Hoˆpital Henri Mondor

Cre´teil,

Cre´teil,

France;

l

Department

of Urology,

Ruhr

University

Bochum, Marienhospital, Herne, Germany;

m

Department

of

Surgery,

Section

of Urology, University

of

Chicago Medicine

and

Biological

Sciences,

Chicago,

IL, USA;

n

Department

of Urology,

General Hospital

of

Bolzano,

Bolzano,

Italy;

o

Department

of Urology,

Rabin Medical

Center,

Petah-Tikva,

Israel;

p

Department

of

Surgical, Oncological

and Gastroenterologic

Sciences, Urology

Clinic, University

of

Padua,

Padua,

Italy;

q

Department

of Urology,

Caritas

St.

Josef Medical

Centre, University

of

Regensburg,

Regensburg, Germany;

r

Department

of Urology,

2nd

Faculty

of Medicine, Hospital Motol,

Charles University

of Praha, Praha, Czech Republic;

s

Department of Urology, The

James Buchanan Brady Urological

Institute,

Johns Hopkins Medical

Institutions, Baltimore, MD,

USA;

t

Department

of Urology, Molinette University Hospital,

Torino,

Italy;

u

Department

of Urology, Mayo Medical

School

and Mayo

Clinic,

Rochester, MN,

USA;

v

Division

of Medical Oncology, Weill

Cornell Medical

College, New

York

Presbyterian Hospital, New

York, NY, USA;

w

Department

of Urology, Medical

University

of

Vienna,

Vienna,

Austria

E U R O P E A N U R O L O G Y F O C U S 1 ( 2 0 1 5 ) 7 5 – 8 1

ava il abl e

at

www.sc iencedirect.com

journa l

homepage:

www.europeanurology.com

Article

info

Article

history:

Accepted October

21,

2014

Associate

Editor

Alberto

Briganti

Keywords:

Urothelial

carcinoma

of

the

bladder

Abstract

Background:

Although

the natural history of urothelial

carcinoma of

the bladder

(UCB)

from

radical

cystectomy

(RC)

to

disease

recurrence

(DR)

has

been

investigated

inten-

sively,

the

course of patients who have experienced DR after RC

for UCB

remains poorly

understood.

Objective:

To

evaluate

the

prognostic

value

of

the

Bajorin

criteria

that

consists

of

two

risk

factors: Karnofsky performance status

(KPS) and

the presence of visceral metastases

(VMs)

in

patients with DR

after RC

for UCB.

Furthermore,

to

identify

additional

factors

associated with cancer-specific mortality

(CSM) and

thus build a multivariable model

to

predict

survival

after DR.

y

Contributed

equally.

* Corresponding

author. Department

of Urology, Medical University

of Vienna, Wa¨hringer Gu¨ rtel

18-20,

1090 Vienna, Austria.

Tel.

+43

1

404

00

2616;

Fax:

+43

1

404

002332.

E-mail

address:

sfshariat@gmail.com

(S.F.

Shariat).

http://dx.doi.org/10.1016/j.euf.2014.10.003

2405-4569/

#

2015

European

Association

of Urology.

Published

by

Elsevier

B.V.

All

rights

reserved.