By Anne Craig, Communications Officer

A Queen카지노 게임 컬렉션�s professor has found that chemotherapy before or after surgery for high-risk bladder cancer is not commonly used in routine clinical practice despite the fact that it is shown to improve long-term survival by five per cent.

Christopher Booth (Queen카지노 게임 컬렉션�s Department of Oncology and Kingston General Hospital) is now using those findings to better understand the barriers to using chemotherapy, with the goal of implementing a plan to improve treatment rates.

Christopher Booth.

카지노 게임 컬렉션�Results from our study demonstrate that chemotherapy given after surgery improves patient survival카지노 게임 컬렉션�probably on the same order of magnitude as chemotherapy before surgery,카지노 게임 컬렉션� says Dr. Booth. 카지노 게임 컬렉션�Patients having surgery for bladder cancer should have chemotherapy, either before or after surgery. Efforts are needed to improve uptake of this treatment, which appears to be vastly underutilized.카지노 게임 컬렉션�

To investigate, Dr. Booth, a member of the Cancer Research Institute at Queen카지노 게임 컬렉션�s 카지노게임사이트, examined treatment records of all 2,944 patients who had surgery for high-risk bladder cancer in Ontario between 1994 and 2008.

Use of chemotherapy before surgery remained stable (an average of 4 per cent of patients) over the study period despite international guidelines recommending its use. Despite more limited evidence supporting its use, chemotherapy after surgery increased over time: 16 per cent of patients between 1994 and 1998, 18 per cent between 1999 and 2003, and 22 per cent between 2004 and 2008. Study results showed that use of chemotherapy after surgery improved long-term survival by five per cent.

카지노 게임 컬렉션�The reasons for underutilization of chemotherapy in high-risk bladder cancer are not well understood. This problem is not unique to Ontario and has been identified by researchers in the United States and Europe,카지노 게임 컬렉션� says Dr. Booth. 카지노 게임 컬렉션�It likely relates to a complex interaction between physician knowledge, beliefs, and attitudes and patient preferences.

카지노 게임 컬렉션�More work is needed to understand what is driving this gap in care so that interventions to improve treatment delivery may be implemented in Ontario and beyond.카지노 게임 컬렉션�

The findings are published online in , a peer-reviewed journal of the American Cancer Society.