Department of Urology, Icahn School of Medicine at Mount Sinai, 1425 Madison Avenue, New York, NY 10029, USA.
Division of Oncology, Department of Medicine, Icahn School of Medicine at Mount Sinai, 1425 Madison Avenue, New York, NY 10029, USA.
Hematol Oncol Clin North Am. 2021 Jun;35(3):597-612. doi: 10.1016/j.hoc.2021.01.005. Epub 2021 Apr 15.
Bladder cancer remains a common and insidious disease in the United States. There have been several advances in the understanding of the biology of bladder cancer, novel diagnostic tools, improvements in multidisciplinary care pathways, and new therapeutics for advanced disease over the past few decades. Clinical trials have demonstrated efficacy for new treatments in each disease state, but additional work is needed to advance the effectiveness of bladder cancer care. Real world data provide critical information regarding patterns of care, adverse events, and outcomes helping to bridge the efficacy versus effectiveness gap.
在美国,膀胱癌仍然是一种常见且隐匿的疾病。在过去几十年中,人们对膀胱癌的生物学特性、新型诊断工具、多学科护理途径的改进以及晚期疾病的新疗法有了更多的认识。临床试验已经证明了新疗法在每个疾病阶段的疗效,但仍需要进一步研究来提高膀胱癌治疗的效果。真实世界的数据提供了有关护理模式、不良事件和结局的重要信息,有助于弥合疗效与效果之间的差距。