{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T15:33:39Z","timestamp":1786635219023,"version":"build-2736575974"},"reference-count":29,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T00:00:00Z","timestamp":1768867200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T00:00:00Z","timestamp":1768867200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To evaluate whether neighbourhood socioeconomic deprivation, measured by the Area Deprivation Index (ADI), is associated with cancer\u2010specific mortality (CSM) in patients with non\u2010muscle\u2010invasive bladder cancer (NMIBC).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods<\/jats:title>\n                    <jats:p>We retrospectively reviewed patients with NMIBC (T stage &lt;2, node\u2010negative, non\u2010metastatic) from Michigan Cancer Surveillance Program (2004\u20132019). ADI national percentiles were assigned based on residential census block groups and stratified into quartiles, with the fourth quartile (ADI 75\u2013100) being the most deprived. Cumulative incidence functions compared CSM between quartiles, and competing\u2010risk regression analysis assessed the association between ADI and CSM after adjusting for covariates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 19\u2009722 patients (92.2% non\u2010Hispanic White; median [interquartile range] age 72\u2009[64\u201380]\u2009years; 76.7% male), most resided in metropolitan areas (81%) and 61% were married. Overall, 8.5%, 26.4%, 34.9%, and 30.2% of patients were in the first, second, third, and fourth ADI quartile, respectively. At 10\u2009years, the cumulative incidence of CSM was 7.3%, 7.9%, 8.7%, and 9.7% across the first\u2013fourth quartiles, respectively (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.002). At the competing risk analysis, each 25\u2010point increase in ADI was associated with a 6% higher hazard of CSM (95% confidence interval 1.01\u20131.12;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.032). Older age, higher T stage, unmarried status, and Medicaid insurance were independently associated with greater CSM.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Higher ADI was associated with increased CSM in our cohort. Evaluating socioeconomic context in NMIBC care may inform follow\u2010up and therapy and, potentially, influence progression and mortality.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.70151","type":"journal-article","created":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T10:01:12Z","timestamp":1768903272000},"page":"677-683","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Area deprivation and cancer\u2010specific mortality in non\u2010muscle\u2010invasive bladder cancer: a statewide analysis"],"prefix":"10.1111","volume":"137","author":[{"given":"Carlo","family":"Silvani","sequence":"first","affiliation":[{"name":"Vattikuti Urology Institute (VUI) Center for Outcomes Research, Analysis, and Evaluation Henry Ford Health System  Detroit MI USA"},{"name":"Urology Unit Fondazione IRCCS Istituto Nazionale dei Tumori  Milan Italy"},{"name":"Department of Clinical Sciences and Community Health University of Milan  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alfonso","family":"Santangelo","sequence":"additional","affiliation":[{"name":"Vattikuti Urology Institute (VUI) Center for Outcomes Research, Analysis, and Evaluation Henry Ford Health System  Detroit MI USA"},{"name":"Division of Oncology, Unit of Urology IRCCS Ospedale San Raffaele, Vita\u2010Salute San Raffaele University  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jack","family":"Considine","sequence":"additional","affiliation":[{"name":"Vattikuti Urology Institute (VUI) Center for Outcomes Research, Analysis, and Evaluation Henry Ford Health System  Detroit MI USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Tylecki","sequence":"additional","affiliation":[{"name":"Public Health Sciences Henry Ford Health System  Detroit MI 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