Witjes - Figure 8
Low Risk Disease Recommendation
FIG. 8: There does not seem to be a role for BCG in low-risk patients, so this should not be an issue if BCG is not available. However we know BCG sometimes is used in these patients. In a 2012 study that included 250 “ideal” low-risk patients, 143 patients did not receive an immediate instillation of chemotherapy because BCG treatment was planned in 23 (about 10%).[3]
References
[3]
Burks FN, Liu AB, Suh RS, et al. Understanding the use of immediate intravesical chemotherapy for patients with bladder cancer. J Urol. 2012;188:2108−13 http://dx.doi.org/10.1016/j.juro.2012.08.044