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Bladder cancer: diagnosis and management

  • NICE guideline
  • Reference number: NG2
  • Published:  25 February 2015
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Research recommendations coming out of this guidance

  • What are the causative and contributory factors underlying the persistently very low levels of reported patient satisfaction for bladder cancer?

  • Is primary radical cystectomy more effective than primary intravesical BCG (Bacille Calmette-Guérin) in high risk non-muscle-invasive bladder cancer, in terms of quality of life and cancer-specific outcomes?

  • In people with high-risk non-muscle-invasive bladder cancer, are these follow-up regimens equally
    effective in terms of identification of progression, cost effectiveness and health-related quality of
    life?
    - Cystoscopic follow-up at 3, 6, 12, 18, 24, 36 and 48 months, and then annually, interspersed
    with non-invasive urinary tests.
    - Cystoscopic follow-up at 3, 6, 9, 12, 15, 18, 21, 24, 30, 36, 42 and 48 months, and then annually
    thereafter.

  • In patients with muscle-invasive bladder cancer suitable for radical treatment, does the use of
    biomarkers enable patients to select more effective treatment, and improve their outcomes,
    compared with treatment selected without biomarkers?

  • Is symptom-based review as effective as scheduled follow-up for people treated with radical
    cystectomy or radical radiotherapy for organ-confined, muscle-invasive bladder cancer? Outcomes
    of interest are overall survival, health-related quality of life, resource use and cost.

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