Grossman - Figure 23

EAU Guidelines on Muscle-invasive and Metastatic Bladder Cancer 2016

FIG. 23:  Other organizations have published opinion concerning this issue of neoadjuvant chemotherapy.  This Figure shows relevant recommendations from the European Association of Urology (EAU) guidelines for 2016.[10]  According to the EAU, "neoadjuvant chemotherapy should be offered for T2 to T4a clinical N0M0 bladder cancer, and cisplatin-based combination therapy should always be used.  Do not offer neoadjuvant chemotherapy to patients who are ineligible for cisplatin-based combination chemotherapy."  These recommendations have a strength value of Grade A, so they represent strong recommendations for how to use neoadjuvant therapy.

References

[10]

Witjes JA, Lebret T, Compérat EM, et al. Updated 2016 EAU guidelines on muscle-invasive and metastatic bladder cancer. Eur Urol. 2017;71:462–75  http://dx.doi.org/10.1016/j.eururo.2016.06.020