Stratified surveillance.

Early stage bladder cancer should be surveyed as often as individual risk calls for. This large retrospective VA study is here to confirm that well-intentioned guidelines don’t always translate into practice. Throughout two years following treatment, among nearly 1300 patients with low-risk bladder cancer recommended to undergo 3 cystoscopies, the mean number of actual cystoscopies was 5. Among roughly 2100 patients with high-risk bladder cancer recommended to undergo up to 8 cystoscopies, the mean was...5. | Schroeck, JAMA 2018