"Chemotherapy was not generally used as recommended for persons with invasive bladder cancer in this patient population. Studies to clarify potential underutilization and variation in patterns of administration are warranted."
This seems like a key sentence. Chemo was not used as much as was recommended. I note the study was from 1992 to 2002 so we don't have recent comparisons. I don't know if the statistics have changed measurably. I know we hear of many people receiving chemo both before and after surgery. But we are not talking to a representative sample of Bladder Cancer patients.
What we seem to know is that Bladder Cancer Patients are being under served and this seems to bear this out.
I hope we can change matters for now and the future. Julie
