Treatment of nonmuscle invading bladder cancer: Do physicians in the United States practice evidence based medicine?

Phase 3 clinical trials performed primarily outside the US demonstrate that intravesical instillation of chemotherapy immediately after transurethral resection of the bladder (TURB) decreases cancer recurrence rates. The authors sought to determine whether US urologists have adopted this practice, and its potential effect on costs of bladder cancer (BC) care.By using 1997-2004 MEDSTAT claims data, the authors identified patients with newly...