Lessons from a population‐based bladder cancer registry: exploring why survival is not improving Article Swipe
Jake Tempo
,
Samuel Sii
,
Joseph Ischia
,
Damien Bolton
,
Katina D’Onise
,
Xingqiong Meng
,
David I. Watson
,
Michael O’Callaghan
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1111/bju.16286
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1111/bju.16286
Objective To explore the causes of the decrease in bladder cancer survival that has occurred over the past four decades. Methods We extracted data from the South Australian Cancer Registry. Data from the period 1 January 1977 to 31 December 2020 were extracted to explore changes in incidence and survival among a total of 8356 patients diagnosed with ≥pT1 disease. Invasive bladder cancer was defined as ≥pT1 in this study. Results Invasive bladder cancer age‐standardized incidence decreased from 7.20 cases per 100 000 people in 1977 to 5.85 cases per 100 000 in 2020. The mean age at diagnosis increased from 68 years to 76 years. The crude incidence for patients aged 80 years and over increased by 3.3% per year (95% confidence interval [CI] 2.1 to 4.6). Overall survival decreased over the study period (hazard ratio [HR] 1.22 [95% CI 1.09 to 1.35]), however, survival increased after adjusting for age at diagnosis (HR 0.80 [95% CI 0.76 to 0.94]). Despite a decrease in non‐bladder cancer‐specific deaths in older people, there was no change in the bladder cancer‐specific death rate in older people (HR 0.94 [95% CI 0.70 to 1.26]). Male sex was associated with higher survival (HR 0.87 [95% CI 0.83 to 0.92]), whereas socioeconomic advantage was not. Conclusions Invasive bladder cancer survival has decreased over the past 40 years, with the age structure of the population being a significant contributing factor. Patient summary We looked at why bladder cancer survival is decreasing using a large cancer registry with information from 1977 to 2020. We found that people are now more likely to be diagnosed at an older age. Older people often live for a shorter time with bladder cancer compared to younger people. Bladder cancer survival has decreased because there are more older people with the disease than previously.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1111/bju.16286
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/bju.16286
- OA Status
- hybrid
- Cited By
- 4
- References
- 25
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4392196985
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4392196985Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1111/bju.16286Digital Object Identifier
- Title
-
Lessons from a population‐based bladder cancer registry: exploring why survival is not improvingWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-02-26Full publication date if available
- Authors
-
Jake Tempo, Samuel Sii, Joseph Ischia, Damien Bolton, Katina D’Onise, Xingqiong Meng, David I. Watson, Michael O’CallaghanList of authors in order
- Landing page
-
https://doi.org/10.1111/bju.16286Publisher landing page
- PDF URL
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/bju.16286Direct link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
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hybridOpen access status per OpenAlex
- OA URL
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/bju.16286Direct OA link when available
- Concepts
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Bladder cancer, Cancer registry, Cancer survival, Population, Medicine, Oncology, Cancer, Internal medicine, Environmental healthTop concepts (fields/topics) attached by OpenAlex
- Cited by
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4Total citation count in OpenAlex
- Citations by year (recent)
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2025: 4Per-year citation counts (last 5 years)
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25Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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