Intracorporeal versus extracorporeal urinary diversion following robot-assisted radical cystectomy: a meta-analysis, cumulative analysis, and systematic review

原文： 2021 年发布于 Qual Life Res 127 卷第 11 期 171-179  浏览量：221次

作者： Tanneru K. Jazayeri S. B. Kumar J. Alam M. U. Norez D. Nguyen S. Bazargani S. Ganapathi H. P. Bandyk M. Marino R. Koochekpour S. Gautam S. Balaji K. C. Costa J.

作者单位： Quality of Life Office, Psycho-oncology Co-operative Research Group, School of Psychology, University of Sydney, Level 6 North, Chris O'Brien Lifehouse C39Z, Sydney, NSW, 2006, Australia. claudia.rutherford@sydney.edu.au. Discipline of Surgery, Sydney Medical School, University of Sydney, Sydney, Australia. Department of Urology, Westmead Hospital, Sydney, Australia. Quality of Life Office, Psycho-oncology Co-operative Research Group, School of Psychology, University of Sydney, Level 6 North, Chris O'Brien Lifehouse C39Z, Sydney, NSW, 2006, Australia. Cancer Research Division, Cancer Council New South Wales, Kings Cross, NSW, Australia. Sydney School of Public Health, University of Sydney, Sydney, NSW, Australia. Menzies Health Institute Queensland, Griffith University, Nathan, Queensland, Australia. Pain Management Research Institute, Royal North Shore Hospital, St Leonards, Sydney, NSW, Australia. Sydney Medical School, University of Sydney, Sydney, NSW, Australia.

归属分类：膀胱肿瘤治疗及预后证据

DOI： 10.1097/mou.0000000000000752

关键词： cohort study intravesical recurrence meta-analysis nomogram preoperative urine cytology upper urinary tract urothelial carcinoma commercial or financial relationships that could be construed as a potential conflict of interest.

BACKGROUND: The aim of this systematic review was to identify the current endoscopic surveillance strategies in use across the world and to determine whether these were sufficient or if any recommendations for changes in the guidelines could be made. This review focused on the cystoscopic follow-up of non-muscle invasive bladder cancer (NMIBC) patients and muscle invasive bladder cancer (MIBC) patients who had undergone bladder sparing treatments. METHODS: A literature search was carried out on Medline and Embase using OVID gateway according to a pre-defined protocol. Systematic screening of the identified studies was carried out by two authors. Quality assessment was performed using the Joanna Briggs critical appraisal tools. Data was extracted on various aspects including the follow-up regime utilised, patients included, outcomes investigated and a summary of the results. The studies were compared in a narrative nature. RESULTS: A total of 2,604 studies were identified from the search strategy, of which 14 were deemed suitable for inclusion following the screening process. The studies identified were from nine countries and were mainly observational or qualitative. There was a huge variation in the follow-up regimes utilised within the studies with no clear consensus as to which regime was the most suitable. However, all studies utilised an initial cystoscopy at three months post-TURBT. No studies were identified which investigated the endoscopic follow-up strategies for MIBC patients who opted for bladder conservation with chemoradiation. CONCLUSIONS: There is no universally accepted protocol for endoscopic follow-up of patients with NMIBC bladder cancer. Guidance on cystoscopic monitoring of bladder in patients who have undergone chemoradiation for MIBC is also lacking.