Longer Wait Times Increase Overall Mortality in Patients With Bladder Cancer

Kulkarni, Girish S.; Urbach, David R.; Austin, Peter C.; Fleshner, Neil E.; Laupacis, Andreas

doi:10.1016/j.juro.2009.06.041

Cited by 123Bladder and Urothelial Cancer TreatmentsUrinary and Genital Oncology StudiesUrinary Bladder and Prostate Research

Longer Wait Times Increase Overall Mortality in Patients With Bladder Cancer

Kulkarni, Girish S., Urbach, David R., Austin, Peter C., Fleshner, Neil E., Laupacis, Andreas·2009·Journal of Urology

DOI 10.1016/j.juro.2009.06.041

Open this paper in CoChat — free account

Abstract

PURPOSE: We used population level data to determine the impact of extended wait times on the survival of patients who underwent radical cystectomy for bladder cancer. MATERIALS AND METHODS: We identified 2,535 patients who underwent cystectomy for bladder cancer in Ontario, Canada between 1992 and 2004 using administrative databases. A Cox proportional hazards model accounting for patient, pathological and health services variables that could affect wait times was created to assess the impact of wait time on survival. The tumor stage specific impact of waiting for cystectomy was also assessed. Cox regression analysis that modeled wait time using cubic splines was used to determine a maximum wait time within which optimal care can be provided. RESULTS: Median wait time from transurethral bladder resection to cystectomy was 50 days. Unadjusted and adjusted analyses demonstrated that prolonged wait times were significantly associated with a lower overall survival rate. The relative hazard of death with increasing wait times appeared greater for low stage vs high stage cancers. The cubic splines regression analysis revealed that the risk of death began to increase after 40 days. CONCLUSIONS: Treatment delay between transurethral bladder tumor resection and radical cystectomy resulted in worse overall survival. The effect of wait time was greatest in lower stage lesions. The suggested maximum wait time from transurethral bladder tumor resection to cystectomy was 40 days. Further studies assessing disease-free survival are required to corroborate these findings.

Integrity signals

Registry

Crossref · 10.1016/j.juro.2009.06.041

Cites

19 of 19 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

In the Canadian setting, disparity of access to care and inappropriately long wait times are the most concerning issues that threaten patient safety.
“In our own Canadian setting, disparity of access to care and inappropriately long wait times are the most concerning issues that threaten patient safety [23–26].”
From Key factors for national spread and scale-up of an eConsult innovation (2020) · cites this paper as [25]

Regression Modeling Strategies
Harrell, F. E. (2001) · Springer series in statistics · doi:10.1007/978-1-4757-3462-1 · Cited by 9,270 · see citing works
Survival analysis using sas®: a practical guide
Allison, P. D. (1995) · International Linear Collider · Cited by 3,570 · see citing works
Radical Cystectomy in the Treatment of Invasive Bladder Cancer: Long-Term Results in 1,054 Patients
Stein, J. P., Lieskovsky, G., Cote, R., Groshen, S. G., Feng, A., Boyd, S. D., Skinner, E. C., Bochner, B. H., Thangathurai, D., Mikhail, M., et al. (2001) · Journal of Clinical Oncology · doi:10.1200/jco.2001.19.3.666 · Cited by 3,527 · see citing works
Users' guides to the medical literature
Guyatt, G. H. (1993) · JAMA · doi:10.1001/jama.270.17.2096 · Cited by 2,970 · see citing works
AJCC Cancer Staging Manual. 6th ed
Greene, F., Page, D., Id, F., Fritz, J., Balch, C., & Haller, D. (2002) · Cited by 2,324 · see citing works
An Interval Longer than 12 Weeks Between the Diagnosis of Muscle Invasion and Cystectomy is Associated with Worse Outcome in Bladder Carcinoma
Sánchez‐Ortiz, R. F., Huang, W. C. W., Mick, R., Arsdalen, K. N. V., Wein, A. J., & Malkowicz, S. B. (2003) · The Journal of Urology · doi:10.1016/s0022-5347(05)64047-5 · Cited by 261 · see citing works
Charlson scores based on ICD-10 administrative data were valid in assessing comorbidity in patients undergoing urological cancer surgery
Nuttall, M., van der Meulen, J., & Emberton, M. (2006) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2005.07.015 · Cited by 219 · see citing works
Cystectomy Delay More Than 3 Months From Initial Bladder Cancer Diagnosis Results in Decreased Disease Specific and Overall Survival
Lee, C. T., Madii, R., Daignault, S. D., Dunn, R. L., Zhang, Y., Montie, J. E., & Wood, D. P. (2006) · The Journal of Urology · doi:10.1016/s0022-5347(05)00644-0 · Cited by 190 · see citing works
Delaying Radical Cystectomy for Muscle Invasive Bladder Cancer Results in Worse Pathological Stage
Chang, S. S., HASSAN, J. M., Cookson, M. S., Wells, N. L., & Smith, J. A. J. (2003) · The Journal of Urology · doi:10.1097/01.ju.0000086828.26001.ca · Cited by 179 · see citing works
Diagnostic delay causes more psychological distress in female than in male cancer patients.
Risberg, T., Sørbye, S. W., Norum, J., & Wist, E. A. (1996) · PubMed · Cited by 147 · see citing works
Users' Guides to the Medical Literature
Naylor, C. D. (1996) · JAMA · doi:10.1001/jama.1996.03530310060034 · Cited by 109 · see citing works
Effect of Preoperative Delay on Survival in Patients With Bladder Cancer Undergoing Cystectomy in Quebec: A Population Based Study
Mahmud, S. M., Fong, B. C., Fahmy, N. M., Tanguay, S., & Aprikian, A. G. (2005) · The Journal of Urology · doi:10.1016/s0022-5347(05)00070-4 · Cited by 91 · see citing works
Users' guides to the medical literature. X. How to use an article reporting variations in the outcomes of health services. The Evidence-Based Medicine Working Group
Naylor, C. D. (1996) · JAMA · doi:10.1001/jama.275.7.554 · Cited by 88 · see citing works
Significance of the time period between diagnosis of muscle invasion and radical cystectomy with regard to the prognosis of transitional cell carcinoma of the urothelium in the bladder
May, M., Nitzke, T., Helke, C., Vogler, H., & Hoschke, B. (2004) · Scandinavian Journal of Urology and Nephrology · doi:10.1080/00365590410029141 · Cited by 79 · see citing works
Using administrative databases to measure waiting times for patients undergoing major cancer surgery in Ontario, 1993-2000.
Simunovic, M. R. I., Thériault, M. E., Paszat, L. F., Coates, A. J., Whelan, T. J., Holowaty, E. J., & Levine, M. N. (2005) · PubMed Central · Cited by 67 · see citing works
A delay in radical cystectomy of >3 months is not associated with a worse clinical outcome
Nielsen, M. E., Palapattu, G. S., Karakiewicz, P. I., Lotan, Y., Bastian, P. J., Lerner, S. P., Sagalowsky, A. I., Schoenberg, M., & Shariat, S. F. (2007) · British Journal of Urology · doi:10.1111/j.1464-410x.2007.07132.x · Cited by 65 · see citing works
Diagnostic delay and prognosis in invasive bladder cancer
Liedberg, F., Anderson, H., Månsson, Å., & Månsson, W. (2003) · Scandinavian Journal of Urology and Nephrology · doi:10.1080/00365590310006246 · Cited by 31 · see citing works
Optimal Timing of Radical Cystectomy for Patients with Invasive Transitional Cell Carcinoma of the Bladder
Hara, I. (2002) · Japanese Journal of Clinical Oncology · doi:10.1093/jjco/hyf002 · Cited by 27 · see citing works
Statistical Analysis of Clustered Data using SAS ® System
Ying, G., & Liu, C. (2006) · Cited by 21 · see citing works

Flagged first, then by citations

1 of the 20 references couldn’t be matched to a known paper.

Sorted by citations

Mortality due to cancer treatment delay: systematic review and meta-analysis
Hanna, T. P., King, W. D., Thibodeau, S., Jalink, M., Paulin, G. A., Harvey-Jones, E., O’Sullivan, D. E., Booth, C. M., Sullivan, R., & Aggarwal, A. (2020) · BMJ · doi:10.1136/bmj.m4087 · Cited by 1,742 · see citing works
Metformin Use and All-Cause and Prostate Cancer–Specific Mortality Among Men With Diabetes
Margel, D., Urbach, D. R., Lipscombe, L. L., Bell, C. M., Kulkarni, G. S., Austin, P. C., & Fleshner, N. E. (2013) · Journal of Clinical Oncology · doi:10.1200/jco.2012.46.7043 · Cited by 271 · see citing works
Self-citation
In Vivo Bladder Cancer Diagnosis by High-Volume Raman Spectroscopy
Draga, R. O. P., Grimbergen, M. C. M., Vijverberg, P. L. M., van Swol, C. F. P., Jonges, T. G. N., Kummer, J. A., & Bosch, J. L. H. R. (2010) · Analytical Chemistry · doi:10.1021/ac100448p · Cited by 194 · see citing works
Delay to Curative Surgery Greater than 12 Weeks Is Associated with Increased Mortality in Patients with Colorectal and Breast Cancer but Not Lung or Thyroid Cancer
Shin, D. W., Cho, J., Kim, S. Y., Güallar, E., Hwang, S.-S., Cho, B., Oh, J. H., Jung, K. W., Seo, H. G., & Park, J. H. (2013) · Annals of Surgical Oncology · doi:10.1245/s10434-013-2957-y · Cited by 190 · see citing works
Current Evidence of Transurethral En-bloc Resection of Nonmuscle Invasive Bladder Cancer
Kramer, M. W., Altieri, V. M., Hurle, R. F., Lusuardi, L., Merseburger, A. S., Rassweiler, J. J., Struck, J. P., & Herrmann, T. R. W. (2017) · European Urology Focus · doi:10.1016/j.euf.2016.12.004 · Cited by 142 · see citing works
Risks from Deferring Treatment for Genitourinary Cancers: A Collaborative Review to Aid Triage and Management During the COVID-19 Pandemic
Wallis, C. J. D., Novara, G., Marandino, L., Bex, A., Kamat, A. M., Karnes, R. J., Morgan, T. M., Mottet, N., Gillessen, S., Bossi, A., et al. (2020) · European Urology · doi:10.1016/j.eururo.2020.04.063 · Cited by 136 · see citing works
Timing of Curative Treatment for Prostate Cancer: A Systematic Review
van den Bergh, R. C. N., Albertsen, P. C., Bangma, C. H., Freedland, S. J., Graefen, M., Vickers, A. J., & van der Poel, H. G. (2013) · European Urology · doi:10.1016/j.eururo.2013.02.024 · Cited by 123 · see citing works
Current evidence for transurethral en bloc resection of non-muscle-invasive bladder cancer
Kramer, M. W., Abdelkawi, I. F., Wolters, M., Bach, T., Gross, A. J., Nagele, U., Conort, P., Merseburger, A. S., Kuczyk, M. A., & Herrmann, T. R. W. (2014) · Minimally Invasive Therapy & Allied Technologies · doi:10.3109/13645706.2014.880065 · Cited by 122 · see citing works
Impact of Wait Times on Survival for Women With Uterine Cancer
Elit, L., O’Leary, E. M., Pond, G. R., & Seow, H. Y. (2013) · Journal of Clinical Oncology · doi:10.1200/jco.2013.51.3671 · Cited by 115 · see citing works
An evaluation of morphological and functional multi-parametric MRI sequences in classifying non-muscle and muscle invasive bladder cancer
Panebianco, V., BERARDINIS, E. D., Barchetti, G., Simone, G., Leonardo, C., Grompone, M. D., Monte, M. D., Carano, D., Gallucci, M., Catto, J. W. F., et al. (2017) · European Radiology · doi:10.1007/s00330-017-4758-3 · Cited by 112 · see citing works
A Systematic Review and Meta-analysis of Delay in Radical Cystectomy and the Effect on Survival in Bladder Cancer Patients
Russell, B. A., Liedberg, F., Khan, M. S., Nair, R., Thurairaja, R., Malde, S., Kumar, P., Bryan, R. T., & Hemelrijck, M. V. (2019) · European Urology Oncology · doi:10.1016/j.euo.2019.09.008 · Cited by 107 · see citing works
The association of treatment delay and prognosis in head and neck squamous cell carcinoma (HNSCC) patients in a Dutch comprehensive cancer center
van Harten, M. C., de Ridder, M., Hamming‐Vrieze, O., Smeele, L. E., Balm, A. J. M., & van den Brekel, M. W. M. (2014) · Oral Oncology · doi:10.1016/j.oraloncology.2013.12.018 · Cited by 103 · see citing works
Association Between Metformin Use and Risk of Prostate Cancer and Its Grade
Margel, D., Urbach, D. R., Lipscombe, L. L., Bell, C. M., Kulkarni, G. S., Austin, P. C., & Fleshner, N. E. (2013) · JNCI Journal of the National Cancer Institute · doi:10.1093/jnci/djt170 · Cited by 91 · see citing works
Self-citation
Time to Surgery and Colon Cancer Survival in the United States
Kaltenmeier, C., Shen, C., Medich, D., Geller, D. A., Bartlett, D. L., Tsung, A., & Tohme, S. T. (2019) · Annals of Surgery · doi:10.1097/sla.0000000000003745 · Cited by 76 · see citing works
Management of bladder cancer in older patients: Position paper of a SIOG Task Force
Mottet, N., Ribal, M. J., Boyle, H. J., Santis, M. D., Caillet, P., Choudhury, A., Garg, T. K., Nielsen, M. E., Wüthrich, P., Gust, K. M., et al. (2020) · Journal of Geriatric Oncology · doi:10.1016/j.jgo.2020.02.001 · Cited by 68 · see citing works
Impact of the length of time between diagnosis and surgical removal of urologic neoplasms on survival
Bourgade, V., Drouin, S., Yates, D. R., Parra, J., Bitker, M., Cussenot, O., & Morgan Rouprêt, A. (2013) · World Journal of Urology · doi:10.1007/s00345-013-1045-z · Cited by 65 · see citing works
Association between the time to surgery and survival among patients with colon cancer: A population-based study
Flemming, J. A., Nanji, S. A., Wei, X. S., Webber, C., Groome, P. A., & Booth, C. M. (2017) · European Journal of Surgical Oncology · doi:10.1016/j.ejso.2017.04.014 · Cited by 65 · see citing works
Canadian Urological Association guideline: Muscle-invasive bladder cancer
Kulkarni, G. S., Black, P. C., Sridhar, S. S., Kapoor, A., Zlotta, A. R., Shayegan, B., Rendon, R. A., Chung, P. W. M., van der Kwast, T., Alimohamed, N. S., et al. (2019) · Canadian Urological Association Journal · doi:10.5489/cuaj.5902 · Cited by 57 · see citing works
Self-citation
Nutritional predictors of complications following radical cystectomy
Johnson, D. C., Riggs, S. B., Nielsen, M. E., Matthews, J., Woods, M. E., Wallen, E., Pruthi, R. S., & Smith, A. B. (2014) · World Journal of Urology · doi:10.1007/s00345-014-1409-z · Cited by 56 · see citing works
Recommendations for the improvement of bladder cancer quality of care in Canada: A consensus document reviewed and endorsed by Bladder Cancer Canada (BCC), Canadian Urologic Oncology Group (CUOG), and Canadian Urological Association (CUA), December 2015
Kassouf, W., Aprikian, A. G., Black, P. C., Kulkarni, G. S., Izawa, J. I., Eapen, L. J., Fairey, A., So, A., North, S. A., Rendon, R. A., et al. (2016) · Canadian Urological Association Journal · doi:10.5489/cuaj.3583 · Cited by 56 · see citing works
Self-citation
The Culture is Prevention Project: measuring cultural connectedness and providing evidence that culture is a social determinant of health for Native Americans
Masotti, P. J., Dennem, J., Bañuelos, K., Seneca, C., Valerio-Leonce, G., Inong, C. T., & King, J. C. (2023) · BMC Public Health · doi:10.1186/s12889-023-15587-x · Cited by 55 · see citing works
Survival impact of waiting time for radical radiotherapy in nasopharyngeal carcinoma: A large institution-based cohort study from an endemic area
Hu, L., Xiang, Y., Lv, X., Xie, C.-Q., Cao, S., Wang, L., Qian, C.-N., Yang, J., Ye, Y.-F., Gan, F., et al. (2017) · European Journal of Cancer · doi:10.1016/j.ejca.2016.12.009 · Cited by 52 · see citing works
Effect of delaying surgery on radical prostatectomy outcomes: a contemporary analysis
Korets, R., Seager, C. M., Pitman, M. S., Hruby, G. W., Benson, M. C., & McKiernan, J. M. (2011) · British Journal of Urology · doi:10.1111/j.1464-410x.2011.10666.x · Cited by 51 · see citing works
Wait times from diagnosis to treatment in cancer
Elit, L. (2015) · Journal of Gynecologic Oncology · doi:10.3802/jgo.2015.26.4.246 · Cited by 49 · see citing works
Impact of surgical wait time on oncologic outcomes in upper urinary tract urothelial carcinoma
Lee, J. N., Kwon, S. Y., Choi, G., Kim, H. T., Kim, T., Kwon, T. G., & Kim, B. W. (2014) · Journal of Surgical Oncology · doi:10.1002/jso.23589 · Cited by 45 · see citing works
A delay ≥8 weeks to neoadjuvant chemotherapy before radical cystectomy increases the risk of upstaging
Audenet, F., Sfakianos, J. P., Waingankar, N., Ruel, N. H., Galsky, M. D., Yuh, B. E., & Gin, G. E. (2018) · Urologic Oncology Seminars and Original Investigations · doi:10.1016/j.urolonc.2018.11.011 · Cited by 42 · see citing works
Care Transitions between Hospitals are Associated with Treatment Delay for Patients with Muscle Invasive Bladder Cancer
Tomaszewski, J. J., Handorf, E. A., Corcoran, A. T., Wong, Y., Mehrazin, R., Bekelman, J. E., Canter, D. J., Kutikov, A., Chen, D. Y. T., Uzzo, R. G., et al. (2014) · The Journal of Urology · doi:10.1016/j.juro.2014.05.027 · Cited by 39 · see citing works
The effect of delaying nephrectomy on oncologic outcomes in patients with renal tumors greater than 4 cm
Mano, R., Vertosick, E., Hakimi, A. A., Sternberg, I. A., Sjoberg, D. D., Bernstein, M. L., Dalbagni, G. M., Coleman, J., & Russo, P. (2016) · Urologic Oncology Seminars and Original Investigations · doi:10.1016/j.urolonc.2015.12.001 · Cited by 35 · see citing works
Does the surgical waiting list affect pathological and survival outcome in resectable pancreatic ductal adenocarcinoma?
Marchegiani, G., Andrianello, S., Perri, G., Secchettin, E., Maggino, L., Malleo, G., Bassi, C., & Salvia, R. (2017) · HPB · doi:10.1016/j.hpb.2017.10.017 · Cited by 35 · see citing works
A Phase II Trial of Neoadjuvant nab-paclitaxel, Carboplatin, and Gemcitabine (ACaG) in Patients With Locally Advanced Carcinoma of the Bladder
Grivas, P. D., Hussain, M., Hafez, K., Daignault‐Newton, S., Wood, D. P., Lee, C. T., Weizer, A. Z., Montie, J. E., Hollenbeck, B. K., Montgomery, J. S., et al. (2013) · Urology · doi:10.1016/j.urology.2013.03.044 · Cited by 33 · see citing works
Referral processes and wait times in primary care.
Neimanis, I., Gaebel, K., Dickson, R., Levy, R., Goebel, C., Zizzo, A., Woods, A., & Corsini, J. (2017) · PubMed Central · Cited by 33 · see citing works
The Effect of Wait Times on Oncological Outcomes From Periampullary Adenocarcinomas
McLean, S. R., Karsanji, D. J., WILSON, J., Dixon, E., Sutherland, F. R., Pasieka, J. L., Ball, C. G., & Bathe, O. F. (2013) · Journal of Surgical Oncology · doi:10.1002/jso.23338 · Cited by 32 · see citing works
Challenges and impacts from wait times for specialist care identified by primary care providers: Results from the MAAP study cross-sectional survey
Marshall, E. G., Miller, L., & Moritz, L. R. (2023) · Healthcare Management Forum · doi:10.1177/08404704231182671 · Cited by 37 · see citing works
Sex differences in bladder cancer outcomes among smokers with advanced bladder cancer
Boström, P. J., Alkhateeb, S., Trottier, G., Athanasopoulos, P., Mirtti, T. K., Kortekangas, H., Laato, M. K., van Rhijn, B., van der Kwast, T., Fleshner, N. E., et al. (2011) · British Journal of Urology · doi:10.1111/j.1464-410x.2011.10371.x · Cited by 31 · see citing works
Self-citation
Impact of surgical waiting time on survival in patients with upper tract urothelial carcinoma: A national cancer database study
Xia, L., Taylor, B. L., Pulido, J. E., & Guzzo, T. J. (2017) · Urologic Oncology Seminars and Original Investigations · doi:10.1016/j.urolonc.2017.09.013 · Cited by 30 · see citing works
Bladder cancer
Morgan, T. M., & Clark, P. E. (2010) · Current Opinion in Oncology · doi:10.1097/cco.0b013e3283378c6b · Cited by 29 · see citing works
A patient-centred approach toward surgical wait times for colon cancer: a population-based analysis
Gillis, A. E., Dixon, M. E. B., Smith, A., Law, C. H. L., & Coburn, N. G. (2014) · Canadian Journal of Surgery · doi:10.1503/cjs.026512 · Cited by 28 · see citing works
A Checklist for Ascertaining Study Cohorts in Oncology Health Services Research Using Secondary Data: Report of the ISPOR Oncology Good Outcomes Research Practices Working Group
Schulman, K. L., Berenson, K., Shih, Y. T., Foley, K. A., Ganguli, A. X., de Souza, J., Yaghmour, N. A., & Shteynshlyuger, A. (2013) · Value in Health · doi:10.1016/j.jval.2013.02.006 · Cited by 27 · see citing works
Urologic oncology practice during COVID-19 pandemic: A systematic review on what can be deferrable vs. nondeferrable
Katims, A., Razdan, S., Eilender, B. M., Wiklund, P. N., Tewari, A. K., Kyprianou, N., Badani, K. K., & Mehrazin, R. (2020) · Urologic Oncology Seminars and Original Investigations · doi:10.1016/j.urolonc.2020.06.028 · Cited by 27 · see citing works
Waiting for a Specialist Consultation for a New Condition in Ontario: Impacts on Patients' Lives
Harrington, D. W., Wilson, K., & Rosenberg, M. W. (2014) · Healthcare policy · doi:10.12927/hcpol.2014.23810 · Cited by 25 · see citing works
Key factors for national spread and scale-up of an eConsult innovation
Moroz, I., Archibald, D., Breton, M., Cote-Boileau, E., Crowe, L., Horsley, T., Hyseni, L., Johar, G., Keely, E., Burns, K. K., et al. (2020) · Health Research Policy and Systems · doi:10.1186/s12961-020-00574-0 · Cited by 24 · see citing works
Immediate radical cystectomy vs conservative management for high grade cT1 bladder cancer: is there a survival difference?
Badalato, G. M., Gaya, J. M., Hruby, G. W., Patel, T., Kates, M. R., Sadeghi, N., Benson, M. C., & McKiernan, J. M. (2012) · British Journal of Urology · doi:10.1111/j.1464-410x.2012.11116.x · Cited by 24 · see citing works
EORTC Progression Score Identifies Patients at High Risk of Cancer-Specific Mortality After Radical Cystectomy for Secondary Muscle-Invasive Bladder Cancer
May, M., Burger, M., Brookman-May, S. D., Stief, C. G., Fritsche, H., Roigas, J., Zacharias, M., Bader, M. J., Mandel, P. C., Gilfrich, C. P., et al. (2013) · Clinical Genitourinary Cancer · doi:10.1016/j.clgc.2013.11.014 · Cited by 23 · see citing works
Improving access to urologists through an electronic consultation service
Witherspoon, L., Liddy, C. E., Afkham, A., Keely, E., & Mahoney, J. (2017) · Canadian Urological Association Journal · doi:10.5489/cuaj.4314 · Cited by 22 · see citing works
Extent of Risk-Aligned Surveillance for Cancer Recurrence Among Patients With Early-Stage Bladder Cancer
Schroeck, F. R., Lynch, K. E., Chang, J., MacKenzie, T. A., Seigne, J. D., Robertson, D. J., Goodney, P. P., & Sirovich, B. (2018) · JAMA Network Open · doi:10.1001/jamanetworkopen.2018.3442 · Cited by 22 · see citing works
Implementing risk-aligned bladder cancer surveillance care
Schroeck, F. R., Smith, N., & Shelton, J. B. (2018) · Urologic Oncology Seminars and Original Investigations · doi:10.1016/j.urolonc.2017.12.016 · Cited by 21 · see citing works
Demographic disparities in delay of definitive chemoradiation for anal squamous cell carcinoma: a nationwide analysis
Ramey, S. J., Rich, B. J., Kwon, D., Mellon, E. A., Wolfson, A. H., Portelance, L., & Yechieli, R. L. (2018) · Journal of Gastrointestinal Oncology · doi:10.21037/jgo.2018.08.07 · Cited by 19 · see citing works
Predictors of preoperative delays before radical cystectomy for bladder cancer in Q uebec, C anada: a population‐based study
dos Santos, F. F. T., Dragomir, A., Kassouf, W., Franco, E. L., & Aprikian, A. G. (2014) · British Journal of Urology · doi:10.1111/bju.12742 · Cited by 18 · see citing works
Effect of time to surgery in resectable pancreatic cancer: a systematic review and meta-analysis
Müller, P. C., Hodson, J. A., Kuemmerli, C., Kalisvaart, M., Pandé, R., & Roberts, K. J. (2020) · Langenbeck s Archives of Surgery · doi:10.1007/s00423-020-01893-0 · Cited by 17 · see citing works
Randomized Comparison of Magnetic Resonance Imaging Versus Transurethral Resection for Staging New Bladder Cancers: Results From the Prospective BladderPath Trial
Bryan, R. T., Liu, W., Pirrie, S. J., Amir, R., Gallagher, J., Hughes, A. I., Jefferson, K. P., Knight, A., Nanton, V., Mintz, H. P., et al. (2025) · Journal of Clinical Oncology · doi:10.1200/jco.23.02398 · Cited by 16 · see citing works
Neoadjuvant chemotherapy administration and time to cystectomy for muscle-invasive bladder cancer: An evaluation of transitions between academic and community settings
Rose, T. L., Deal, A. M., Basch, E., Godley, P. A., Rathmell, W. K., Kim, W. Y., Whang, Y. E., Dunn, M. W., Wang, A. Z., Chen, R. C., et al. (2015) · Urologic Oncology Seminars and Original Investigations · doi:10.1016/j.urolonc.2015.05.028 · Cited by 16 · see citing works
Association of the neoadjuvant chemotherapy cycle with survival outcomes in patients with locoregionally advanced nasopharyngeal carcinoma: a propensity-matched analysis
Wang, F., Chuner, J., Zhimin, Y., Sun, Q., Liu, T., Xu, M., Wu, P., Bin, L., Sakamoto, M., Yuezhen, W., et al. (2017) · Oncotarget · doi:10.18632/oncotarget.21587 · Cited by 15 · see citing works
Does surgical delay for radical prostatectomy affect patient pathological outcome? A retrospective analysis from a Canadian cohort
Zanaty, M., Alnazari, M. M., Lawson, K., Azizi, M., Rajih, E. S., Alenizi, A., Hueber, P., Meskawi, M., Lebacle, C. M., Lebeau, T., et al. (2017) · Canadian Urological Association Journal · doi:10.5489/cuaj.4149 · Cited by 14 · see citing works
Assessing the Impact of Time to Cystectomy for Variant Histology of Urothelial Bladder Cancer
Lin‐Brande, M., Pearce, S. M., Ashrafi, A. N., Nazemi, A., Burg, M., Ghodoussipour, S. B., Miranda, G., Djaladat, H., Schuckman, A. K., & Daneshmand, S. (2019) · Urology · doi:10.1016/j.urology.2019.07.034 · Cited by 14 · see citing works
Impact of COVID-19 pandemic on the oncologic care continuum: urgent need to restore patients care to pre-COVID-19 era
Osei, E. K., Francis, R., Mohamed, A., Sheraz, L., & Soltani-Mayvan, F. (2021) · Journal of Radiotherapy in Practice · doi:10.1017/s1460396921000303 · Cited by 14 · see citing works
Regional differences in practice patterns and associated outcomes for upper tract urothelial carcinoma in Canada.
Metcalfe, M., Kassouf, W., Rendon, R. A., Bell, D., Izawa, J. I., Chin, J. L., Kapoor, A., Matsumoto, E. D., Lattouf, J., Fred Saad, C., et al. (2012) · Europe PMC (PubMed Central) · doi:10.5489/cuaj.12146 · Cited by 13 · see citing works
The Impact of Seasonal Operating Room Closures on Wait Times for Oral Cancer Surgery
Mundi, N., Theurer, J., Warner, A., Yoo, J. J., Fung, K., MacNeil, S. D., Dhaliwal, S. S., Winquist, E., Palma, D. A., & Nichols, A. C. (2018) · Current Oncology · doi:10.3747/co.25.3726 · Cited by 12 · see citing works
Bladder Cancer at the time of COVID-19 Outbreak
Esperto, F., Pang, K. H., Albisinni, S., Papalia, R., & Scarpa, R. M. (2020) · International braz j urol · doi:10.1590/s1677-5538.ibju.2020.s107 · Cited by 12 · see citing works
Improving patient journey and quality of care: Summary from the second Bladder Cancer Canada-Canadian Urological Association- Canadian Urologic Oncology Group (BCC-CUA-CUOG) bladder cancer quality of care consensus meeting
Kassouf, W., Aprikian, A. G., Fred Saad, C., Breau, R. H., Kulkarni, G. S., Guttman, D. M., Bagshaw, K., Izawa, J. I., Eapen, L. J., Fairey, A., et al. (2018) · Canadian Urological Association Journal · doi:10.5489/cuaj.5246 · Cited by 11 · see citing works
Self-citation
Does the presence of muscularis propria on transurethral resection of bladder tumour specimens affect the rate of upstaging in cT1 bladder cancer?
Badalato, G. M., Patel, T., Hruby, G. W., & McKiernan, J. (2010) · British Journal of Urology · doi:10.1111/j.1464-410x.2010.09893.x · Cited by 11 · see citing works
A systematic review and meta-analysis on delaying surgery for urothelial carcinoma of bladder and upper tract urothelial carcinoma: Implications for the COVID19 pandemic and beyond
Leow, J. J. J., Tan, W. S., Tan, W. S., Tan, T. W., Chan, V. W., Tikkinen, K. A. O., Kamat, A. M., Sengupta, S., Meng, M. V., Shariat, S. F., et al. (2022) · Frontiers in Surgery · doi:10.3389/fsurg.2022.879774 · Cited by 11 · see citing works
How long can patients with renal cell carcinoma wait for surgery without compromising pathological outcomes?
Martínez, C. H., Martin, P., Chalasani, V., Williams, A. K., Luke, P. P. W., Izawa, J. I., Chin, J. L., Stitt, L., & Pautler, S. E. (2011) · Canadian Urological Association Journal · doi:10.5489/cuaj.10035 · Cited by 11 · see citing works
Surgical waiting times and all-cause mortality in patients with non-metastatic renal cell carcinoma
Rosenblad, A., Sundqvist, P., Harmenberg, U., Hellström, M., Hofmann, F., Kjellman, A., Dahlin, B.-I. K., Lindblad, P., Lindskog, M., Lundstam, S., et al. (2022) · Scandinavian Journal of Urology · doi:10.1080/21681805.2022.2107067 · Cited by 10 · see citing works
Optimize the number of cycles of induction chemotherapy for locoregionally advanced nasopharyngeal carcinoma: a propensity score matching analysis
Jiang, Y., Chen, K., Yang, J., Liang, Z., Qu, S., Li, L., & Zhu, X. (2021) · Journal of Cancer · doi:10.7150/jca.65315 · Cited by 10 · see citing works
2025 Canadian Urological Association Expert Report: Muscle-invasive bladder cancer
Kulkarni, G. S., Black, P. C., Sridhar, S. S., Zlotta, A. R., Shayegan, B., Rendon, R. A., Chung, P. W. M., van der Kwast, T., Alimohamed, N. S., Fradet, Y., et al. (2025) · Canadian Urological Association Journal · doi:10.5489/cuaj.9096 · Cited by 10 · see citing works
Self-citation
The effect of a treatment delay on outcome in metastatic renal cell carcinoma
Iacovelli, R., Galli, L., Giorgi, U. D., Porta, C., Nolè, F., Zucali, P. A., Sabbatini, R., Mosca, A., Atzori, F., Santini, D., et al. (2019) · Urologic Oncology Seminars and Original Investigations · doi:10.1016/j.urolonc.2019.03.005 · Cited by 9 · see citing works
Impact of the time of surgical delay on survival in patients with muscle-invasive bladder cancer
Li, S., Chen, R., Raj, A., Xue, N., Zhao, F., Shen, X., Peng, Y., & Zhu, H. (2022) · Frontiers in Oncology · doi:10.3389/fonc.2022.1001843 · Cited by 8 · see citing works
Image directed redesign of bladder cancer treatment pathways: the BladderPath RCT
James, N. D., Pirrie, S. J., Liu, W., Catto, J. W. F., Jefferson, K. P., Patel, P., Hughes, A. I., Pope, A., Nanton, V., Mintz, H. P., et al. (2024) · Health Technology Assessment · doi:10.3310/deht5407 · Cited by 8 · see citing works
Impact of surgical wait times during summer months on the oncological outcomes following robotic-assisted radical prostatectomy: 10 years’ experience from a large Canadian academic center
Zakaria, A. S., Couture, F., Nguyen, D., Tholomier, C., Shahine, H., Stolzenbach, L. F., Meskawi, M., Karakiewicz, P. I., El‐Hakim, A., & Zorn, K. C. (2020) · World Journal of Urology · doi:10.1007/s00345-020-03496-2 · Cited by 8 · see citing works
Prognostic role of delay before radical cystectomy: retrospective analysis of a single-centre cohort with 376 patients
Antonelli, A., Zamboni, S., Palumbo, C., Belotti, S., Lattarulo, M., Furlan, M., Marconi, M. C., Cristinelli, L., & Simeone, C. (2018) · Minerva Urologica e Nefrologica · doi:10.23736/s0393-2249.18.02995-8 · Cited by 8 · see citing works
Determinants of Risk-Aligned Bladder Cancer Surveillance—Mixed-Methods Evaluation Using the Tailored Implementation for Chronic Diseases Framework
Schroeck, F. R., Ismail, A. A. O., Perry, G. N., Haggstrom, D. A., Sanchez, S. L., Walker, D. R., Young, J., Zickmund, S., & Zubkoff, L. (2021) · JCO Oncology Practice · doi:10.1200/op.21.00226 · Cited by 8 · see citing works
The value of extended good quality transurethral resection of bladder tumour in the treatment of the newly diagnosed bladder cancer
Atta, M. A., Kotb, A. F., Sharafeldeen, M., Elabbady, A. A., & Hashad, M. M. (2016) · Arab Journal of Urology · doi:10.1016/j.aju.2016.10.003 · Cited by 7 · see citing works
The Evolving Clinical Management of Genitourinary Cancers Amid the COVID-19 Pandemic
Izadmehr, S., Lundon, D., Mohamed, N., Katims, A., Patel, V. G., Eilender, B. M., Mehrazin, R., Badani, K. K., Sfakianos, J. P., Tsao, C., et al. (2021) · Frontiers in Oncology · doi:10.3389/fonc.2021.734963 · Cited by 7 · see citing works
New Agents for Bacillus Calmette-Guérin–Refractory Bladder Cancer
Ahn, J. J., & McKiernan, J. M. (2013) · Urologic Clinics of North America · doi:10.1016/j.ucl.2013.01.008 · Cited by 7 · see citing works
Diagnostic and treatment delays among patients with primary bladder cancer in Poland: a survey study
Mielczarek, Ł., Zapała, P., Krajewski, W. R., Nowak, Ł., Bajkowski, M., Szost, P., Szabłoński, W., Zapała, Ł., Poletajew, S., Dybowski, B. A., et al. (2020) · Editor-in-Chief s Voice List of Authors is an Important Element in a Scientific Publication · doi:10.5173/ceju.2020.0158 · Cited by 7 · see citing works
Regional differences in practice patterns and associated outcomes for upper tract urothelial carcinoma in Canada
Melcalfe, M., Kassouf, W., Rendon, R. A., Bell, D., Izawa, J. I., Chin, J., Kapoor, A., Matsumoto, E. D., Lattouf, J., Fred Saad, C., et al. (2012) · Canadian Urological Association Journal · doi:10.5489/cuaj.116 · Cited by 7 · see citing works
Effects of neoadjuvant chemotherapy on pathological parameters and survival in patients undergoing radical cystectomy for muscle-invasive bladder cancer
Çağlayan, A., Akbulut, Z., Atmaca, A. F., Altınova, S., Kılıç, M., & Balbay, M. D. (2012) · TURKISH JOURNAL OF MEDICAL SCIENCES · doi:10.3906/sag-1103-20 · Cited by 6 · see citing works
Influence of the time interval between biopsy and surgery on the biochemical recurrence after robot-assisted radical prostatectomy in Japanese patients
Hikita, K., Honda, M., Shimizu, R., Teraoka, S., Kimura, Y., Yumioka, T., Tsounapi, P., Iwamoto, H., Morizane, S., & Takenaka, A. (2021) · Asian Journal of Surgery · doi:10.1016/j.asjsur.2021.10.022 · Cited by 6 · see citing works
While women await surgery for type I endometrial cancer, depot medroxyprogesterone acetate reduces tumor glandular cellularity
Fiascone, S. J., Danilack, V. A., Kao, M. J., Cohen, M., Singh, K., Kalife, E. T., Luis, C., Lokich, E., DiSilvestro, P., & Robison, K. M. (2018) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2018.07.024 · Cited by 6 · see citing works
Restaging Transurethral Resection for Non-Muscle Invasive Bladder Cancer
Ritch, C. R., Clark, P. E., & Morgan, T. M. (2013) · Urologic Clinics of North America · doi:10.1016/j.ucl.2013.01.009 · Cited by 5 · see citing works
Time from first presentation of symptoms in primary care until diagnosis of cancer: Association with mortality
Tørring, M. L. (2011) · Cited by 5 · see citing works
Delay in diagnosis of cancer as a patient safety issue - a root cause analysis based on a representative case report
Vaidyanathan, S., Soni, B. M., Singh, G., Hughes, P. L., Mansour, P., & Oo, T. (2011) · Patient Safety in Surgery · doi:10.1186/1754-9493-5-19 · Cited by 4 · see citing works
Primary care physicians’ views of standardised care pathways in cancer care: A Swedish qualitative study on implementation experiences
Wells, M. B., Delilovic, S., Gunnarsson, M., Dervish, J., von Knorring, M., & Hasson, H. (2021) · European Journal of Cancer Care · doi:10.1111/ecc.13426 · Cited by 4 · see citing works
The impact of COVID-19 on surgical volume and surgical training at a high-volume pelvic oncology centre
Abou-Chedid, W., Nason, G. J., Evans, A. T., Yamada, K., Moschonas, D., Patil, K., Langely, S. E., & Perry, M. J. A. (2021) · Urologia Journal · doi:10.1177/03915603211062827 · Cited by 4 · see citing works
Effects of delayed diagnosis on tumor size, stage and grade in bladder cancer
Gerçek, O., Ulusoy, K. G., Yazar, V. M., & Topal, K. (2023) · International Urology and Nephrology · doi:10.1007/s11255-023-03829-1 · Cited by 4 · see citing works
Surgical waiting time for radical cystectomy: a N ew Z ealand experience
Kahokehr, A. A., Glasson, J., & Studd, R. C. (2015) · ANZ Journal of Surgery · doi:10.1111/ans.13282 · Cited by 4 · see citing works
Time to treatment of esophageal cancer in Ontario: A population-level cross-sectional study
Hanna, N., Nguyen, P., Chung, W., & Groome, P. A. (2022) · JTCVS Open · doi:10.1016/j.xjon.2022.08.004 · Cited by 3 · see citing works
Unconventional Bladder Preservation: Factors Predicting Failure to Receive Definitive Surgery following Chemotherapy for Nonmetastatic Muscle Invasive Bladder Cancer in the National Cancer Database
Kapadia, A. A., Acevedo, A. C. M., Liu, J., Garzotto, M. G., Conlin, M. J., Amling, C. L., & Kopp, R. P. (2018) · The Journal of Urology · doi:10.1016/j.juro.2018.03.075 · Cited by 3 · see citing works
Bladder Cancer Overview and Staging
Morgan, T. M., Cookson, M. S., Netto, G. J., & Epstein, J. I. (2012) · Springer eBooks · doi:10.1007/978-1-4614-5320-8_5 · Cited by 3 · see citing works
Administration of neoadjuvant chemotherapy for muscle-invasive bladder cancer in real life: Are urologists still too cautious?
Such, M., Lavollé, A., Popelin, M., Thibault, C., Fontaine, E., Dariane, C., Oudard, S. M., Méjean, A., Timsit, M., & Audenet, F. (2021) · The French Journal of Urology · doi:10.1016/j.purol.2020.12.004 · Cited by 2 · see citing works
The effect of health literacy on patient compliance in patients to whom prostate biopsies were recommended
Gerçek, O., Demirbaş, A., Topal, K., Eren, B., & Yazar, V. M. (2024) · BMC Urology · doi:10.1186/s12894-024-01562-0 · Cited by 2 · see citing works
The association of Medicaid expansion and parathyroidectomy for benign disease: Insurance status remains an important factor in access to high-volume centers
Kheng, M., Ko, T. M., Manzella, A., Chao, J. C., Laird, A. M., & Beninato, T. (2024) · Surgery · doi:10.1016/j.surg.2024.07.072 · Cited by 2 · see citing works
Consequences of delaying non-urgent surgeries during COVID-19: a population-based retrospective cohort study in Alberta, Canada
Sauro, K. M., Vatanpour, S., Thomas, A., D’Souza, A. G., Southern, D. A., Eastwood, C. A., Ibadin, S., Ademola, A., & Brindle, M. E. (2024) · BMJ Open · doi:10.1136/bmjopen-2024-085247 · Cited by 2 · see citing works
Musculoskeletal Tumor Care Disparities Prior to Initiation of Treatment Among Newly Diagnosed Adult Patients
Li, L. J., Bui, N. Q., Moding, E. J., Steffner, R. J., Mohler, D. G., Ganjoo, K. N., & Pan, M. (2025) · Cancers · doi:10.3390/cancers17091519 · Cited by 2 · see citing works
Transurethrale En-bloc-Resektion nicht muskelinvasiver Harnblasenkarzinome
Kramer, M. W., Wolters, M., Abdelkawi, I. F., Merseburger, A. S., Nagele, U., Gross, A. J., Bach, T., Kuczyk, M. A., & Herrmann, T. R. W. (2012) · Der Urologe · doi:10.1007/s00120-012-2876-8 · Cited by 2 · see citing works
A hybrid model using LSTM and decision tree for mortality prediction and its application in provider performance evaluation
Shi, P., Gangopadhyay, A., Carolyn, O., Blunt, B., & Christine, G. (2019) · IEEE International Conference on Big Data (BigData) · doi:10.1109/bigdata47090.2019.9005958 · Cited by 2 · see citing works
Optimal timing of endoscopic submucosal dissection for gastric epithelial neoplasms: impact of preoperative waiting time on clinical outcomes
Hoki, S., Yoshizaki, T., Ashizaki, R., Higasa, Y., Tanabe, H., Nishikawa, E., Ishida, R., Hori, H., Nakai, T., Ueda, C., et al. (2026) · Surgical Endoscopy · doi:10.1007/s00464-026-12854-x · Cited by 1 · see citing works
Targeting Chemotherapy to Advanced Bladder Cancer Patients Most Likely to Benefit
Catto, J. W. F., & Hamdy, F. C. (2010) · Future Oncology · doi:10.2217/fon.09.178 · Cited by 1 · see citing works
A NLP-based semi-automatic identification system for delays in follow-up examinations: an Italian case study on clinical referrals
Torri, V., Ercolanoni, M., Bortolan, F., Leoni, O., & Ieva, F. (2024) · BMC Medical Informatics and Decision Making · doi:10.1186/s12911-024-02506-2 · Cited by 1 · see citing works
Factors Affecting Waiting Time of Patients Referred to Specialty Clinics from a Family Medicine Clinic in a Tertiary Government Hospital: A Retrospective Chart Review
Bontia, A. A. I., & Babsa-ay, J. D. (2024) · Acta Medica Philippina · doi:10.47895/amp.v58i13.8098 · Cited by 1 · see citing works

Mortality increases when radical cystectomy is delayed more than 12 weeks
Gore, J. L., Lai, J., Setodji, C. M., Litwin, M. S., & Saigal, C. S. (2009) · Cancer · doi:10.1002/cncr.24052 · Cited by 239 · see citing works
An analysis of preoperative delays prior to radical cystectomy forbladder cancer in Quebec
Fahmy, N. M., Kassouf, W., Jeyaganth, S., Amin, M., Mahmud, S. M., Steinberg, J. R., Tanguay, S., & Aprikian, A. G. (2013) · Canadian Urological Association Journal · doi:10.5489/cuaj.482 · Cited by 13 · see citing works
A systematic review and meta-analysis of delay to radical cystectomy and the effect on survival in bladder cancer patients
Russell, B. A., Liedberg, F., Khan, M. B., Nair, R., Thurairaja, R., Malde, S., Kumar, P., & Bryan, R. T. (2019) · Frontiers in Oncology · doi:10.3389/conf.fonc.2019.01.00007 · Cited by 17 · see citing works
A Systematic Review and Meta-analysis of Delay in Radical Cystectomy and the Effect on Survival in Bladder Cancer Patients
Russell, B. A., Liedberg, F., Khan, M. S., Nair, R., Thurairaja, R., Malde, S., Kumar, P., Bryan, R. T., & Hemelrijck, M. V. (2019) · European Urology Oncology · doi:10.1016/j.euo.2019.09.008 · Cited by 107 · see citing works
Cystectomy Delay More Than 3 Months From Initial Bladder Cancer Diagnosis Results in Decreased Disease Specific and Overall Survival
Lee, C. T., Madii, R., Daignault, S. D., Dunn, R. L., Zhang, Y., Montie, J. E., & Wood, D. P. (2006) · The Journal of Urology · doi:10.1016/s0022-5347(05)00644-0 · Cited by 190 · see citing works

Authors: Kulkarni, G. S., Urbach, D. R., Austin, P. C., Fleshner, N. E., & Laupacis, A.
Affiliations: University Health Network (CA)
St. Michael's Hospital (CA)
ORCID: Kulkarni, Girish S.
Urbach, David R.
Austin, Peter C.
Fleshner, Neil E.
Laupacis, Andreas
Venue: Journal of Urology
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2009-10
Volume: 182
Issue: 4
Pages: 1318-1324
ISSN: 0022-5347 (ISSN-L)
1527-3792
DOI: 10.1016/j.juro.2009.06.041
OpenAlex: W2031571951
Cited by: 123
References: 20
Citations by year: 2026: 6 · 2025: 4 · 2024: 9 · 2023: 4 · 2022: 5 · 2021: 8 · 2020: 11 · 2019: 7 · 2018: 10 · 2017: 12 · 2016: 3 · 2015: 4 · 2014: 11 · 2013: 14 · 2012: 6
FWCI: 5.06
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: The Journal of Urology (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Surgery › Bladder and Urothelial Cancer Treatments
Health Sciences › Medicine › Surgery › Urinary and Genital Oncology Studies
Health Sciences › Medicine › Urology › Urinary Bladder and Prostate Research
Keywords: bladder cancer, radical cystectomy, treatment delay, waiting time, overall survival, transurethral resection, tumor stage, health care access
MeSH terms: Aged, Urinary Bladder Neoplasms, Female, Humans, Male, Retrospective Studies, Time Factors, Waiting Lists, Cystectomy, Survival Rate, Survival Analysis

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review

Longer Wait Times Increase Overall Mortality in Patients With Bladder Cancer

Abstract

Integrity signals

Claims the paper makes

Claims other papers make about this one

Cites

Cited by

Related

Record

About these checks