{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T15:24:43Z","timestamp":1792682683320,"version":"4.5.0"},"reference-count":54,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T00:00:00Z","timestamp":1778112000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000056","name":"National Institute of Nursing Research","doi-asserted-by":"crossref","award":["R21NR018942"],"award-info":[{"award-number":["R21NR018942"]}],"id":[{"id":"10.13039\/100000056","id-type":"DOI","asserted-by":"crossref"}]},{"award":["R21NR018942"],"award-info":[{"award-number":["R21NR018942"]}],"id":[{"id":"https:\/\/ror.org\/01y3zfr79","id-type":"ROR","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["T32AG066598"],"award-info":[{"award-number":["T32AG066598"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"award":["T32AG066598"],"award-info":[{"award-number":["T32AG066598"]}],"id":[{"id":"https:\/\/ror.org\/049v75w11","id-type":"ROR","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cancers"],"abstract":"<jats:p>Background\/Objectives: Radical cystectomy with urinary diversion is the standard treatment for patients with muscle-invasive bladder cancer, which represents a complex, preference-sensitive decision about the diversion options. To facilitate patient-clinician shared decision-making, we developed and evaluated the feasibility and acceptability of the Personal Patient Profile\u2013Bladder Cancer (P3-BC), a web-based decision support system for patients considering urinary diversion options. Materials and Methods: We employed an iterative development approach following an established framework, including qualitative assessments of radical cystectomy patients\u2019 (n = 30) needs to inform content development, followed by usability testing with 10 key stakeholders. We then conducted a feasibility study with patients newly diagnosed with bladder cancer undergoing cystectomy. Feasibility was assessed through P3-BC completion rates among patients randomized to the intervention and study retention rates. Acceptability was measured using a program-based 12-item questionnaire integrating the six-item Acceptability E-Scale. Secondary outcomes included decisional conflict, shared decision-making, psychological distress, and decisional regret. Results: Of 114 eligible patients, 24 provided consent (21% consent rate), and 15 were randomized to receive the P3-BC intervention (n = 10) or usual care (n = 5). Retention was 93% at 1 month and 73% at 3 months. Among intervention participants, P3-BC achieved high feasibility (100% accessed the program) and acceptability, with 86% reporting overall satisfaction and 86% reporting ease of use. No statistically significant between-group differences were observed in secondary outcomes. Although the study was not powered to examine group differences, numerical trends suggest improvements in decisional conflict and symptom burden over time, particularly in the intervention group. Conclusions: P3-BC demonstrated feasibility and acceptability as a web-based decision support intervention for patients with bladder cancer considering cystectomy and urinary diversion. Primary barriers to enrollment included treatment burden, limited diagnosis-treatment time, and technology concerns. Findings support progression to an adequately powered randomized controlled trial to evaluate clinical effectiveness.<\/jats:p>","DOI":"10.3390\/cancers18101501","type":"journal-article","created":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T12:15:07Z","timestamp":1778156107000},"page":"1501","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Development and Evaluation of the Personal Patient Profile\u2013Bladder Cancer (P3-BC): A Web-Based Decision Support System for Patients Considering Cystectomy and Urinary Diversion"],"prefix":"10.3390","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0509-6833","authenticated-orcid":false,"given":"Nihal E.","family":"Mohamed","sequence":"first","affiliation":[{"name":"Department of Urology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7935-2807","authenticated-orcid":false,"given":"Donna L.","family":"Berry","sequence":"additional","affiliation":[{"name":"School of Nursing, University of Washington, Seattle, WA 98195, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6150-3523","authenticated-orcid":false,"given":"Justin","family":"McReynolds","sequence":"additional","affiliation":[{"name":"School of Nursing, University of Washington, Seattle, WA 98195, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Talia","family":"Korn","sequence":"additional","affiliation":[{"name":"Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8387-9975","authenticated-orcid":false,"given":"Holden","family":"Kata","sequence":"additional","affiliation":[{"name":"Department of Urology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7051-5841","authenticated-orcid":false,"given":"Emma","family":"Benn","sequence":"additional","affiliation":[{"name":"Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3265-6667","authenticated-orcid":false,"given":"Danielle","family":"Scharp","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Sfakianos","sequence":"additional","affiliation":[{"name":"Department of Urology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reza","family":"Mehrazin","sequence":"additional","affiliation":[{"name":"Department of Urology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Wiklund","sequence":"additional","affiliation":[{"name":"Department of Urology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William B.","family":"Lober","sequence":"additional","affiliation":[{"name":"School of Nursing, University of Washington, Seattle, WA 98195, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,5,7]]},"reference":[{"key":"ref_1","first-page":"10","article-title":"Cancer statistics","volume":"75","author":"Siegel","year":"2025","journal-title":"CA Cancer J. Clin."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"582","DOI":"10.1016\/j.eururo.2025.02.019","article-title":"European Association of Urology Guidelines on Muscle-invasive and Metastatic Bladder Cancer: Summary of the 2025 Guidelines","volume":"87","author":"Bruins","year":"2025","journal-title":"Eur. Urol."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"2796","DOI":"10.1016\/S0140-6736(16)30512-8","article-title":"Bladder cancer","volume":"388","author":"Kamat","year":"2016","journal-title":"Lancet"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1016\/j.urology.2022.08.020","article-title":"Ileal conduit versus continent urinary diversion in radical cystectomy: A retrospective cohort study of 30-day complications, readmissions, and mortality","volume":"170","author":"Rezaee","year":"2022","journal-title":"Urology"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"17562872221109022","DOI":"10.1177\/17562872221109022","article-title":"Updates on Enhanced Recovery After Surgery for Radical Cystectomy","volume":"14","author":"Lee","year":"2022","journal-title":"Ther. Adv. Urol."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"5785","DOI":"10.1245\/s10434-024-15396-5","article-title":"Long-Term Outcomes of Orthotopic Neobladder Versus Ileal Conduit Urinary Diversion in Robot-Assisted Radical Cystectomy (RARC): Multicenter Results from the Asian RARC Consortium","volume":"31","author":"Wong","year":"2024","journal-title":"Ann. Surg. Oncol."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"346","DOI":"10.1159\/000487644","article-title":"Health-Related Quality of Life after Radical Cystectomy for Bladder Cancer in Elderly Patients with Ileal Orthotopic Neobladder or Ileal Conduit: Results from a Multicentre Cross-Sectional Study Using Validated Questionnaires","volume":"100","author":"Cerruto","year":"2018","journal-title":"Urol. Int."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1111\/bju.70018","article-title":"Temporal trends and clinical determinants of urinary diversion after radical cystectomy","volume":"137","author":"Pellegrino","year":"2026","journal-title":"BJU Int."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"751","DOI":"10.1007\/s40273-023-01273-8","article-title":"Cost-Effectiveness and Economic Impact of Bladder Cancer Management: An Updated Review of the Literature","volume":"41","author":"Joyce","year":"2023","journal-title":"Pharmacoeconomics"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1016\/j.eururo.2021.08.010","article-title":"European Association of Urology Guidelines on Non-muscle-invasive Bladder Cancer (Ta, T1, and Carcinoma in Situ)","volume":"81","author":"Babjuk","year":"2022","journal-title":"Eur. Urol."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"422","DOI":"10.1016\/j.eururo.2024.01.018","article-title":"Robot-assisted Radical Cystectomy with Totally Intracorporeal Urinary Diversion Versus Open Radical Cystectomy: 3-Year Outcomes from a Randomised Controlled Trial","volume":"85","author":"Mastroianni","year":"2024","journal-title":"Eur. Urol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1302","DOI":"10.1016\/j.juro.2017.12.045","article-title":"Outcomes of Intracorporeal Urinary Diversion after Robot-Assisted Radical Cystectomy: Results from the International Robotic Cystectomy Consortium","volume":"199","author":"Hussein","year":"2018","journal-title":"J. Urol."},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Altunkol, A., Alma, E., Vuru\u015fkan, E., \u00c7etink\u00f6k\u00fc, G., Karkin, K., Aydamirov, M., Aksay, B., Yelsel, K., and Akg\u00fcn, \u00d6.F. (2025). Health-related quality of life after radical cystectomy for bladder cancer in elderly patients with ileal orthotopic neobladder, ureterocutaneostomy or ileal conduit: Cross-sectional study using validated questionnaires. BMC Urol., 25.","DOI":"10.1186\/s12894-025-01730-w"},{"key":"ref_14","first-page":"2","article-title":"Perioperative outcomes following open radical cystectomy in the setting of locally advanced bladder cancer","volume":"46","author":"Russo","year":"2026","journal-title":"Int. Urol. Nephrol."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"721","DOI":"10.1016\/S0022-5347(01)62767-8","article-title":"Comparison of studer ileal neobladder and ileal conduit urinary diversion with respect to perioperative outcome and late complications","volume":"160","author":"Gburek","year":"1998","journal-title":"J. Urol."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1016\/S0022-5347(06)00573-8","article-title":"Twenty years experience with an ileal orthotopic low pressure bladder substitute\u2013lessons to be learned","volume":"176","author":"Studer","year":"2006","journal-title":"J. Urol."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1097\/JU.0000000000003981","article-title":"Treatment of Non-Metastatic Muscle-Invasive Bladder Cancer: AUA\/ASCO\/SUO Guideline (2017; Amended 2020, 2024)","volume":"212","author":"Holzbeierlein","year":"2024","journal-title":"J. Urol."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"216","DOI":"10.6004\/jnccn.2024.0024","article-title":"NCCN Guidelines\u00ae Insights: Bladder Cancer, Version 3.2024","volume":"22","author":"Flaig","year":"2024","journal-title":"J. Natl. Compr. Canc Netw."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1177\/0825859718810723","article-title":"Engaging Multidisciplinary Stakeholders to Drive Shared Decision-Making in Oncology","volume":"34","author":"Rocque","year":"2019","journal-title":"J. Palliat. Care."},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Mohamed, N.E., Pisipati, S., Lee, C.T., Goltz, H.H., Latini, D.M., Gilbert, F.S., Wittmann, D., Knauer, C.J., Mehrazin, R., and Sfakianos, J.P. (2016). Unmet informational and supportive care needs of patients following cystectomy for bladder cancer based on age, sex, and treatment choices. Urol. Oncol., 34.","DOI":"10.1016\/j.urolonc.2016.06.010"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"374","DOI":"10.1016\/j.euf.2024.11.003","article-title":"Trimodality Therapy Versus Radical Cystectomy for Muscle-invasive Bladder Cancer: A Systematic Review and Meta-analysis of Matched Cohort Studies","volume":"11","author":"Matsukawa","year":"2025","journal-title":"Eur. Urol. Focus."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1016\/j.juro.2013.07.062","article-title":"Muscle invasive bladder cancer: Examining survivor burden and unmet needs","volume":"191","author":"Mohamed","year":"2014","journal-title":"J. Urol."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"574","DOI":"10.1097\/MOU.0000000000000906","article-title":"Patient-reported outcomes and health-related quality of life after urinary diversions","volume":"31","author":"Nuijens","year":"2021","journal-title":"Curr. Opin. Urol."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"1059","DOI":"10.1002\/bco2.443","article-title":"Treatment preferences of patients with muscle invasive bladder cancer: A discrete choice experiment","volume":"5","author":"Mannion","year":"2024","journal-title":"BJUI Compass"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"145","DOI":"10.3233\/BLC-240002","article-title":"Factors Influencing Patient Decision-Making in the Treatment of Muscle-Invasive Bladder Cancer","volume":"10","author":"Desai","year":"2024","journal-title":"Bladder Cancer"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"151226","DOI":"10.1016\/j.soncn.2021.151226","article-title":"Supportive roles of the health care team throughout the illness trajectory of bladder cancer patients undergoing radical cystectomy: A qualitative study exploring the patients\u2019 perspectives","volume":"37","author":"Rammant","year":"2021","journal-title":"Semin. Oncol. Nurs."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"e70049","DOI":"10.1002\/bco2.70049","article-title":"Life after radical cystectomy: A mixed-methods targeted review of patient-reported quality of life following bladder removal","volume":"6","author":"Griebsch","year":"2025","journal-title":"BJUI Compass"},{"key":"ref_28","first-page":"CD001431","article-title":"Decision aids for people facing health treatment or screening decisions","volume":"1","author":"Stacey","year":"2024","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Coulter, A., Stilwell, D., Kryworuchko, J., Mullen, P.D., Ng, C.J., and van der Weijden, T. (2013). A systematic development process for patient decision aids. BMC Med. Inform. Decis. Mak., 13.","DOI":"10.1186\/1472-6947-13-S2-S2"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"437","DOI":"10.1177\/0272989X251318640","article-title":"The Effect of Patient Decision Aid Attributes on Patient Outcomes: A Network Meta-Analysis of a Systematic Review","volume":"45","author":"Stacey","year":"2025","journal-title":"Med. Decis. Mak."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"1001","DOI":"10.1097\/JU.0000000000000341","article-title":"Development and Acceptability Testing of a Patient Decision Aid for Urinary Diversion with Radical Cystectomy","volume":"202","author":"McAlpine","year":"2019","journal-title":"J. Urol."},{"key":"ref_32","doi-asserted-by":"crossref","unstructured":"Si, J., Guo, R., Lu, X., Han, C., Xue, L., Xing, D., and Chen, C. (2020). Decision aids on breast conserving surgery for early stage breast cancer patients: A systematic review. BMC Med. Inform. Decis. Mak., 20.","DOI":"10.1186\/s12911-020-01295-8"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"2255","DOI":"10.1007\/s10389-023-01962-w","article-title":"Impact of shared decision making on healthcare in recent literature: A scoping review using a novel taxonomy","volume":"32","author":"Wehking","year":"2024","journal-title":"J. Public. Health"},{"key":"ref_34","unstructured":"Pew Research Center (2026, February 10). 7% of Americans Don\u2019t Use the Internet. Who Are They?. Available online: https:\/\/www.pewresearch.org\/short-reads\/2021\/04\/02\/7-of-americans-dont-use-the-internet-who-are-they\/."},{"key":"ref_35","unstructured":"O\u2019Connor, A.M., and Jacobsen, M.J. (2003). Workbook on Developing and Evaluating Patient Decision Aids, Ottawa Hospital Research Institute."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1097\/QAI.0b013e3181605df1","article-title":"The ADAPT-ITT model: A novel method of adapting evidence-based HIV Interventions","volume":"47","author":"Wingood","year":"2008","journal-title":"J. Acquir. Immune. Defic. Syndr."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"1012","DOI":"10.1016\/j.urolonc.2011.10.004","article-title":"The Personal Patient Profile-Prostate decision support for men with localized prostate cancer: A multi-center randomized trial","volume":"31","author":"Berry","year":"2013","journal-title":"Urol. Oncol."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1016\/j.juro.2017.07.076","article-title":"Decision support with the Personal Patient Profile-Prostate: A multicenter randomized trial","volume":"199","author":"Berry","year":"2018","journal-title":"J. Urol."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"729","DOI":"10.1177\/0272989X211035681","article-title":"The International Patient Decision Aid Standards (IPDAS) Collaboration: Evidence update 2.0","volume":"41","author":"Stacey","year":"2021","journal-title":"Med. Decis. Mak."},{"key":"ref_40","doi-asserted-by":"crossref","unstructured":"Jordan, P.W., Thomas, B., Weerdmeester, B.A., and McClelland, I.L. (1996). System Usability Scale: A \u201cquick and dirty\u201d usability scale. Usability Evaluation in Industry, Taylor & Francis.","DOI":"10.1201\/9781498710411"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1016\/j.apnr.2009.04.003","article-title":"Validation and testing of the Acceptability E-Scale for Web-based patient-reported outcomes in cancer care","volume":"24","author":"Tariman","year":"2011","journal-title":"Appl. Nurs. Res."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1177\/0272989X9501500105","article-title":"Validation of a decisional conflict scale","volume":"15","year":"1995","journal-title":"Med. Decis. Mak."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1177\/0272989X03256005","article-title":"Validation of a decision regret scale","volume":"23","author":"Brehaut","year":"2003","journal-title":"Med. Decis. Mak."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1016\/j.pec.2009.09.034","article-title":"The 9-item Shared Decision Making Questionnaire (SDM-Q-9): Development and psychometric properties in a primary care sample","volume":"80","author":"Kriston","year":"2010","journal-title":"Patient Educ. Couns."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1093\/jnci\/djy221","article-title":"Systematic Review and Meta-Analysis of the Magnitude of Structural, Clinical, and Physician and Patient Barriers to Cancer Clinical Trial Participation","volume":"111","author":"Unger","year":"2019","journal-title":"J. Natl. Cancer Inst."},{"key":"ref_46","first-page":"308","article-title":"Cancer treatment and survivorship statistics, 2025","volume":"75","author":"Wagle","year":"2025","journal-title":"CA Cancer J. Clin."},{"key":"ref_47","first-page":"758","article-title":"Exploring factors affecting the adoption and use of digital health technologies among older adults with cancer: A qualitative study","volume":"33","author":"Hwang","year":"2025","journal-title":"Support. Care Cancer."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"e28724","DOI":"10.2196\/28724","article-title":"Telemedicine Acceptance Among Older Adult Patients with Cancer: Scoping Review","volume":"24","author":"Pang","year":"2022","journal-title":"J. Med. Internet Res."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"2586","DOI":"10.1007\/s11606-019-04860-8","article-title":"Communicating Uncertainty: A Narrative Review and Framework for Future Research","volume":"34","author":"Simpkin","year":"2019","journal-title":"J. Gen. Intern. Med."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"240","DOI":"10.1016\/j.critrevonc.2006.12.006","article-title":"Is there a role for decision aids in cancer-related decisions?","volume":"62","author":"Neuman","year":"2007","journal-title":"Crit. Rev. Oncol. Hematol."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"108706","DOI":"10.1016\/j.pec.2025.108706","article-title":"Web-based educational tools and decision aids for patients with advanced cancer: A systematic review","volume":"134","author":"Ullrich","year":"2025","journal-title":"Patient Educ. Couns."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1177\/13634615231202091","article-title":"The adaptation of a youth mental health intervention to a peer-delivery model utilizing CBPR methods and the ADAPT-ITT framework in Sierra Leone","volume":"61","author":"Freeman","year":"2024","journal-title":"Transcult. Psychiatry"},{"key":"ref_53","first-page":"CD013385","article-title":"Decision coaching for people making healthcare decisions","volume":"11","author":"Jull","year":"2021","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"640","DOI":"10.1002\/cam4.4917","article-title":"Racial inequity and other social disparities in the diagnosis and management of bladder cancer","volume":"12","author":"Hasan","year":"2023","journal-title":"Cancer Med."}],"container-title":["Cancers"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2072-6694\/18\/10\/1501\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T12:21:47Z","timestamp":1778502107000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2072-6694\/18\/10\/1501"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,7]]},"references-count":54,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2026,5]]}},"alternative-id":["cancers18101501"],"URL":"https:\/\/doi.org\/10.3390\/cancers18101501","relation":{},"ISSN":["2072-6694"],"issn-type":[{"value":"2072-6694","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,7]]}}}