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Computerisation of Urothelial Carcinoma Records: 16 Years' Experience with the TNM System
Author(s) -
HENDRY W. F.,
RAWSON N. S. B.,
TURNEY L.,
DUNLOP A.,
WHITFIELD H. N.
Publication year - 1990
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1990.tb14825.x
Subject(s) - urothelial carcinoma , urothelial cancer , medicine , multivariate analysis , bladder cancer , oncology , cancer , radiology
Summary— Details of 554 patients with urothelial carcinomas have been recorded on computer forms between 1973 and 1988 inclusive. Essential information from initial assessment and follow‐up examinations was printed out on specially designed urothelial update sheets, copies of which were given to patients and urologists as well as being filed in the hospital notes. The survival status of all patients was established as accurately as possible in the last 2 years of the study. Multivariate analysis of 462 bladder cancer patients with adequate follow‐up indicated that T category was the most important discriminating variable, followed by histological grade. After replacing T category by microscopic depth of invasion and bimanual examination, the latter was found to be the most important single variable. The omission of the findings on bimanual examination from the 1987 revision of the TNM classification therefore appears to be wrong.