{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T01:43:15Z","timestamp":1791250995363,"version":"4.1.0"},"reference-count":41,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,2,7]],"date-time":"2023-02-07T00:00:00Z","timestamp":1675728000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>We report NHS England data for patients with bladder cancer (BC), upper tract urothelial cancer (UTUC: renal pelvic and ureteric), and urethral cancers from 2013 to 2019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>Hospital episode statistics, waiting times, and cancer registrations were extracted from NHS Digital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Registrations included 128\u2009823 individuals with BC, 16\u2009018 with UTUC, and 2533 with urethral cancer. In 2019, 150\u2009816 persons were living with a diagnosis of BC, of whom 113\u2009067 (75.0%) were men, 85\u2009117 (56.5%) were aged &gt;75\u2009years, and 95\u2009553 (91.7%) were Caucasian. Incidence rates were stable (32.7\u201334.3 for BC, 3.9\u20134.2 for UTUC and 0.6\u20130.7 for urethral cancer per 100\u2009000 population). Most patients 52\u2009097 (mean [range] 41.3% [40.7\u201342.0%]) were referred outside the 2\u2010week\u2010wait pathway and 15\u2009340 (mean [range] 12.2% [11.7\u201312.6%]) presented as emergencies. Surgery, radiotherapy, chemotherapy, or multimodal treatment use varied with disease stage, patient factors and Cancer Alliance. Between 27% and 29% (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u20096616) of muscle\u2010invasive BCs did not receive radical treatment. Survival rates reflected stage, grade, location, and tumour histology. Overall survival rates did not improve over time (relative change: 0.97, 95% confidence interval 0.97\u20130.97) at 2\u2009years in contrast to other cancers.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The diagnostic pathway for BC needs improvement. Increases in survival might be delivered through greater use of radical treatment. NHS Digital data offers a population\u2010wide picture of this disease but does not allow individual outcomes to be matched with disease or patient features and key parameters can be missing or incomplete.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.15970","type":"journal-article","created":{"date-parts":[[2023,1,21]],"date-time":"2023-01-21T01:02:45Z","timestamp":1674262965000},"page":"734-744","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":31,"title":["Diagnosis, treatment and survival from bladder, upper urinary tract, and urethral cancers: real\u2010world findings from\n                    <scp>NHS<\/scp>\n                    England between 2013 and 2019"],"prefix":"10.1111","volume":"131","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2787-8828","authenticated-orcid":false,"given":"James W.F.","family":"Catto","sequence":"first","affiliation":[{"name":"Department of Oncology and Metabolism 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Sciences, Beatson West of Scotland Cancer Centre University of Glasgow  Glasgow UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8221-4640","authenticated-orcid":false,"given":"Paramananthan","family":"Mariappan","sequence":"additional","affiliation":[{"name":"Department of Urology, Edinburgh Bladder Cancer Surgery Western General Hospital  Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7381-5743","authenticated-orcid":false,"given":"Lydia E.","family":"Makaroff","sequence":"additional","affiliation":[{"name":"Fight Bladder Cancer  Oxfordshire UK"},{"name":"World Bladder Cancer Patient Coalition  Brussels Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allen","family":"Knight","sequence":"additional","affiliation":[{"name":"Patient and Trustee Action Bladder Cancer UK  Guildford 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