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Clinical and patient-reported outcomes of SPARE - a randomised feasibility study of selective bladder preservation versus radical cystectomy.

Robert A HuddartAlison BirtleLauren MaynardMark BeresfordJane BlazebyJenny DonovanJohn D KellyTony KirkbankDuncan B McLarenGraham MeadClare MoynihanRaj PersadChristopher ScraseRebecca LewisEmma C Hall
Published in: BJU international (2017)
Randomising patients with MIBC between RC and SBP based on response to neoadjuvant chemotherapy was not feasible in the UK health system. Strong clinician and patient preferences for treatments impacted willingness to undergo randomisation and acceptance of treatment allocation. Due to the few participants, firm conclusions about disease and toxicity outcomes cannot be drawn.
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