To the Editor Williams et al1 used the Surveillance, Epidemiology, and End Results–Medicare linked database to compare radical cystectomy (RC) with trimodal therapy (TMT) for treatment of muscle-invasive bladder cancer (MIBC) in older adults. Using propensity score matching, they concluded that TMT was associated with significantly decreased survival as well as increased costs.
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Efstathiou JA, Choudhury A, Kiltie AE. Utility of Bladder-Sparing Therapy vs Radical Cystectomy for Muscle-Invasive Bladder Cancer. JAMA Surg. 2019;154(2):184–185. doi:10.1001/jamasurg.2018.4370
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