{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T06:04:55Z","timestamp":1784181895259,"version":"3.55.0"},"reference-count":30,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T00:00:00Z","timestamp":1770768000000},"content-version":"vor","delay-in-days":10,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000048","name":"American Cancer Society","doi-asserted-by":"publisher","award":["RSG\u201016\u2010161\u201001"],"award-info":[{"award-number":["RSG\u201016\u2010161\u201001"]}],"id":[{"id":"10.13039\/100000048","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJUI Compass"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To identify factors associated with decreased adherence to the national risk\u2010stratified surveillance cystoscopy schedule for non\u2010muscle invasive bladder cancer (NMIBC).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and methods<\/jats:title>\n                    <jats:p>A retrospective, IRB\u2010approved review was conducted at a single academic institution to identify patients diagnosed with NMIBC who underwent cystoscopy. Patient demographics were collected and driving distance to the urology clinic was calculated. Area Deprivation Index (ADI) and Distressed Communities Index (DCI) were used as proxies for socio\u2010economic status (SES). Clinical data included year of diagnosis, cancer stage, risk stratification per national guidelines, pathology results and surveillance cystoscopy dates. The primary outcome was 12\u2010month adherence to surveillance cystoscopy. Stepwise model selection using logistic regression identified factors associated with adherence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 591 patients identified, 351 had a confirmed pathological diagnosis and complete follow\u2010up data. After excluding 57 patients who experienced recurrence, 112\/294 (38.1%) were found to be compliant with the one\u2010year surveillance schedule. Adherence was inversely associated with travel time to the clinic (OR 0.99, 95% CI 0.99\u20131.00;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.015), while ADI and DCI were not statistically significant in relation to adherence. Other significant predictors included diagnosis before the 2016 guideline update where patients diagnosed pre\u20102016 were much more likely to adhere (OR 4.36, 95% CI 2.32\u20138.55;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), risk stratification where patients of intermediate\u2010 and high\u2010risk were much less likely to adhere than those of low\u2010risk (intermediate: OR 0.48, CI 0.26\u20130.88;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.018, high risk: OR 0.14, CI 0.04\u20130.40;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), and smokers were much more likely to adhere than non\u2010smokers (OR 1.91, CI 1.08\u20133.43;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.028).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Travel time emerged as a significant barrier to adherence to NMIBC surveillance guidelines, whereas patients' SES did not appear to influence compliance. These findings suggest that logistical obstacles may play a more prominent role than socio\u2010economic factors. Incorporating telehealth solutions and local partnerships may improve adherence and outcomes for NMIBC patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/bco2.70135","type":"journal-article","created":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T06:00:49Z","timestamp":1770876049000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Predictors of adherence to surveillance cystoscopy for patients with non\u2010muscle invasive bladder cancer"],"prefix":"10.1002","volume":"7","author":[{"given":"Katherina Y.","family":"Chen","sequence":"first","affiliation":[{"name":"Department of Urology University of Virginia  Charlottesville Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marieke K.","family":"Jones","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences, School of Medicine University of Virginia  Charlottesville Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soutik","family":"Ghosal","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences, School of Medicine University of Virginia  Charlottesville Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grace P.","family":"Ignozzi","sequence":"additional","affiliation":[{"name":"Department of Urology University of Virginia  Charlottesville Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen H.","family":"Culp","sequence":"additional","affiliation":[{"name":"Department of Urology University of Virginia  Charlottesville Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tracey L.","family":"Krupski","sequence":"additional","affiliation":[{"name":"Department of Urology University of Virginia  Charlottesville Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8375-2475","authenticated-orcid":false,"given":"Jennifer M.","family":"Lobo","sequence":"additional","affiliation":[{"name":"Department of Urology University of Virginia  Charlottesville Virginia USA"},{"name":"Department of Public Health Sciences, School of Medicine University of Virginia  Charlottesville Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,11]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2012.07.033"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-009-0395-z"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/cancers14133181"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2008.10.034"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2024.42.16_suppl.4583"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000003846"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijcp.14490"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2019.06.021"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.26402"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/95.8.588"},{"key":"e_1_2_8_12_1","unstructured":"Google Maps.Driving time to 500 Ray C. Hunt Drive Charlottesville VA 22903 [Internet]. [cited 2020 Apr 4]. Available from:https:\/\/www.google.com\/maps\/place\/Health+Services+Foundation +500+Ray+C.+Hunt+Dr +Charlottesville +VA+22903\/@38.0237027 -78.5289236 17z\/data=!3m1!4b1!4m6!3m5!1s0x89b3868c75c6f0b9:0x6d94689d2fa9c562!8m2!3d38.0236985!4d-78.5263487!16s%2Fg%2F1tgn5mdr?entry=t"},{"key":"e_1_2_8_13_1","unstructured":"University of Wisconsin School of Medicine and Public Health.Area deprivation index v2.0 [Internet].2015[cited 2023 Jun 11]. Available from:https:\/\/www.neighborhoodatlas.medicine.wisc.edu\/"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1802313"},{"key":"e_1_2_8_15_1","unstructured":"Economic Innovation Group.Distressed communities index (DCI)."},{"key":"e_1_2_8_16_1","unstructured":"National Comprehensive Cancer Network.Bladder cancer (version 2.2023) [Internet]. [cited 2023 May 13]. Available from:https:\/\/www.nccn.org\/professionals\/physician_gls\/pdf\/bladder.pdf"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/cam4.1678"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/1475-6773.13241"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-013059"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.2196\/48150"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2020.12.001"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2018.06.012"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.2147\/PPA.S60927"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.23290"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2004.11.004"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1177\/1357633X15610040"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1089\/tmr.2024.0034"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijun.12197"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2020.0188"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000001092"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-025-02274-9"}],"container-title":["BJUI Compass"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/bco2.70135","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/bco2.70135","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/bco2.70135","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T05:12:27Z","timestamp":1784178747000},"score":1,"resource":{"primary":{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/10.1002\/bco2.70135"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2]]},"references-count":30,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["10.1002\/bco2.70135"],"URL":"https:\/\/doi.org\/10.1002\/bco2.70135","archive":["Portico"],"relation":{},"ISSN":["2688-4526","2688-4526"],"issn-type":[{"value":"2688-4526","type":"print"},{"value":"2688-4526","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2]]},"assertion":[{"value":"2025-10-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-05","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-11","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70135"}}