2020
DOI: 10.1590/s1677-5538.ibju.2020.s107
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Bladder Cancer at the time of COVID-19 Outbreak

Abstract: The COVID-19 outbreak has led to the deferral of a great number of surgeries in an attempt to reduce transmission of infection, free up hospital beds, intensive care and anaesthetists, and limit aerosol-generating procedures. Guidelines and suggestions have been provided to categorize Urological diseases into risk groups and recommendations are available on procedures that can be or cannot be deferred. We aim to summarise updates on diagnosis, treatment and follow up of bladder cancer during the COVID-19 outbr… Show more

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Cited by 9 publications
(4 citation statements)
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“…In patients with T3-4 and/or lymph node involvement, cisplatin-based adjuvant chemotherapy can be applied if neoadjuvant chemotherapy (NAC) is not given. Radiotherapy for hemostasis should be considered for MIBC with active bleeding who cannot undergo radical cystectomy (17,18).…”
Section: Discussionmentioning
confidence: 99%
“…In patients with T3-4 and/or lymph node involvement, cisplatin-based adjuvant chemotherapy can be applied if neoadjuvant chemotherapy (NAC) is not given. Radiotherapy for hemostasis should be considered for MIBC with active bleeding who cannot undergo radical cystectomy (17,18).…”
Section: Discussionmentioning
confidence: 99%
“…In Brazil, many health care institutions had their non-urgent procedures and elective surgeries suspended for months to concentrate economic and human resources to respond to the COVID-19 outbreak waves (10). With that, guidelines and suggestions have been provided to categorize urological diseases into risk groups and recommendations for follow-up during the COVID-19 outbreak in the management of numerous neoplasms (11,12).…”
Section: Commentmentioning
confidence: 99%
“… 35 High priority cases should be treated within <6 weeks and include: TURBT for suspicious invasive tumor identified on imaging; consider alternatives such as radiotherapy ± chemotherapy to palliative radical cystectomy; neoadjuvant chemotherapy (NAC) for individualize risk in high burden T3–4 N0M0 patients while they are on the waiting list; offer adjuvant cisplatin-based combination chemotherapy to patients with T3–4 and/or pN+ disease if no NAC was given. 36 High-risk nonmuscle-invasive bladder cancer (NMIBC) progression and worse prognosis are also characterized by a higher incidence in patients with risk factors similar to COVID-19. Immune system response and inflammation have been found as a common hallmark of both diseases.…”
Section: Uro-oncological Surgeries During Covid-19 Pandemicmentioning
confidence: 99%