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Active Surveillance with Delayed Intervention for Recurrent Low Risk Bladder Cancer
Michael A Gorin1, Mark S Soloway2
1James Buchanan Brady Urological Institute and Department of Urology, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Urology Practice
|August 10, 2023
Summary
Active surveillance for low-risk bladder cancer is a safe and cost-effective approach. This strategy minimizes complications and costs associated with immediate treatment for recurrent low grade Ta tumors.
Area of Science:
- Urology
- Oncology
- Medical Management
Background:
- Recurrent low-grade Ta bladder tumors often require management.
- Immediate treatment carries risks of complications, discomfort, and high costs.
Purpose of the Study:
- To review data supporting active surveillance for low-risk bladder cancer.
- To evaluate the safety and cost-effectiveness of delayed intervention.
Main Methods:
- A comprehensive PubMed search was conducted for relevant literature.
- English-language publications on active surveillance for low-risk bladder cancer were reviewed.
Main Results:
- Only 5-10% of patients with low-grade papillary bladder tumors experience progression.
- Active surveillance reduces patient discomfort and treatment complications.
- This approach offers significant cost savings for the healthcare system.
Conclusions:
- Active surveillance with delayed intervention is a safe strategy for recurrent low-risk bladder cancer.
- This management approach is cost-effective for patients and healthcare systems.
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