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Comparative Analysis of Gender-Related Differences in Symptoms and Referral Patterns prior to Initial Diagnosis of Urothelial Carcinoma of the Bladder: A Prospective Cohort Study

Aziz, Atiqullah ; Madersbacher, Stephan ; Otto, Wolfgang ; Mayr, Roman ; Comploj, Evi ; Pycha, Armin ; Denzinger, Stefan ; Fritsche, Hans-Martin ; Burger, Maximilian ; Gierth, Michael

Urologia internationalis, 2015-01, Vol.94 (1), p.37-44 [Periódico revisado por pares]

Basel, Switzerland

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Título:
Comparative Analysis of Gender-Related Differences in Symptoms and Referral Patterns prior to Initial Diagnosis of Urothelial Carcinoma of the Bladder: A Prospective Cohort Study
Autor: Aziz, Atiqullah ; Madersbacher, Stephan ; Otto, Wolfgang ; Mayr, Roman ; Comploj, Evi ; Pycha, Armin ; Denzinger, Stefan ; Fritsche, Hans-Martin ; Burger, Maximilian ; Gierth, Michael
Assuntos: Aged ; Austria ; Carcinoma - complications ; Carcinoma - diagnosis ; Carcinoma - surgery ; Cystoscopy - trends ; Dysuria - diagnosis ; Dysuria - etiology ; Female ; General Practitioners - trends ; Healthcare Disparities - trends ; Humans ; Italy ; Male ; Middle Aged ; Original Paper ; Predictive Value of Tests ; Primary Health Care - trends ; Prognosis ; Prospective Studies ; Referral and Consultation - trends ; Risk Factors ; Sex Factors ; Specialization - trends ; Surveys and Questionnaires ; Time Factors ; Urinary Bladder Neoplasms - complications ; Urinary Bladder Neoplasms - diagnosis ; Urinary Bladder Neoplasms - surgery ; Urothelium - pathology ; Urothelium - surgery
É parte de: Urologia internationalis, 2015-01, Vol.94 (1), p.37-44
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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Descrição: Objective: To analyze gender-specific differences regarding clinical symptoms, referral patterns and tumor biology prior to initial diagnosis of urothelial carcinoma of the bladder (UCB). Methods: A consecutive series of patients with an initial diagnosis of UCB was included. All patients completed a questionnaire on demographics, clinical symptoms and referral patterns. Results: In total, 68 patients (50 men, 18 women) with newly diagnosed UCB at admission for transurethral resection of bladder tumors were recruited. Dysuria was more often observed in women (55.6 vs. 38.0%, p = 0.001). Direct consultation of the urologist was conducted by 84.0% of males and 66.7% of females (p = 0.120). One third of the women saw their general practitioner and/or gynecologist once or twice (p = 0.120) before referral to the urologist. Furthermore, women were significantly more often treated for urinary tract infections than men (61.1 vs. 20.0%, p = 0.005). Cystoscopy at first presentation to the urologist was more often performed in men than women (88.0 vs. 66.7%, p = 0.068), with a more favorable tumor detection rate at first cystoscopy in men (96.0 vs. 50.0%, p < 0.001). Conclusions: Delayed referral patterns might lead to deferred diagnosis of UCB and consequently to adverse outcome. Thus, primary care physicians might consider referring patients with bladder complaints to specialized care earlier.
Editor: Basel, Switzerland
Idioma: Inglês

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Comparative Analysis of Gender-Related Differences in Symptoms and Referral Patterns prior to Initial Diagnosis of Urothelial Carcinoma of the Bladder: A Prospective Cohort Study

Aziz, Atiqullah ; Madersbacher, Stephan ; Otto, Wolfgang ; Mayr, Roman ; Comploj, Evi ; Pycha, Armin ; Denzinger, Stefan ; Fritsche, Hans-Martin ; Burger, Maximilian ; Gierth, Michael

Basel, Switzerland

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