{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T23:02:45Z","timestamp":1773270165705,"version":"3.50.1"},"reference-count":23,"publisher":"Springer Science and Business Media LLC","issue":"3","license":[{"start":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T00:00:00Z","timestamp":1772236800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T00:00:00Z","timestamp":1772236800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Zonguldak Bulent Ecevit University"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Support Care Cancer"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the knowledge level of Turkish urologists regarding the lifestyle changes related to bladder cancer and to what extent they question patients\u2019 lifestyles and guide them in making recommended changes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A 14-question online survey, based on a questionnaire prepared by Beeren et al. (Bladder Cancer 10(3):215-220, 2024), was sent to Turkish urologists. The survey included demographics, familiarity with guidelines, lifestyle assessment and advice, and perceived barriers during care for BC patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The mean age of the 252 participants was (44.8\u2009\u00b1\u20099.3), approximately 40% were affiliated with an academic hospital, and approximately 50% had more than 10\u00a0years of experience. Almost all were interested in uro-oncology, with 30% devoting more than half of their daily practice to uro-oncology. Smoking was reported as the most frequently questioned issue, for which advice was given and referrals to a lifestyle specialist provided when necessary. Asking about and giving advice regarding fluid intake came second, with approximately 50% mentioning this issue. Referral rates were low for lifestyle factors other than smoking. The most frequently reported barriers were a lack of information about where patients should be referred, insufficient motivation of patients, and concern about blaming patients.<\/jats:p>\n                    <jats:p>\n                      There is a positive correlation between knowledge on ideal body weight and physical activity with asking about lifestyle changes (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.004,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.000), and giving lifestyle advice (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.014,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.003) and between knowledge on ideal body weight with referring for lifestyle advice and perception in lifestyle factors (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.035,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.016).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Lifestyle changes in bladder cancer patients are not sufficiently integrated into routine clinical practice by urologists. Although lifestyle changes are perceived as important by most urologists, they encounter some barriers in making these recommendations to their patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00520-026-10496-2","type":"journal-article","created":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T22:32:55Z","timestamp":1772317975000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Turkish urologists\u2019 knowledge and attitudes on lifestyle advice for bladder cancer: a national survey"],"prefix":"10.1007","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1132-8629","authenticated-orcid":false,"given":"Reha","family":"Girgin","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Necmettin Ayd\u0131n","family":"Mungan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2026,2,28]]},"reference":[{"key":"10496_CR1","unstructured":"International Agency for Research on Cancer (2021) Estimated number of new cases in 2020, worldwide, both sexes, all ages. 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