title: The time from diagnosis of bladder cancer to radical cystectomy in Polish urological centres - results of CysTiming Poland study.
abstract: BACKGROUND
  The aim of the study was to assess the waiting time, from establishing the indications for radical cystectomy to surgery, in patients with urothelial carcinoma of the bladder at different Polish urological centres and to determine its influencing factors.
  
  
  METHODS
  Retrospective analysis of data was performed on all consecutive radical cystectomies, performed in 2008-2012, at 10 Polish urological centres. The waiting time of patients from establishing the indications for radical cystectomy to surgery, as well as factors potentially influencing this time, were assessed. University (3), provincial (3) and regional (4) hospitals were defined as the 3(rd), 2(nd) and 1(st) level referral hospitals, respectively.
  
  
  RESULTS
  A total of 575 patients qualified for radical cystectomy due to muscle invasive urothelial carcinoma of the bladder (MIBC, 68% of cases) or failure of previous treatment of non-muscle invasive urothelial carcinoma of the bladder (NMIBC, 32%) were included in the analysis. The average time after the establishment of indications to surgery was 73.4 days, with a median of 56 days. In the case of 121 patients (22.1%), the waiting time exceeded 90 days. Significant differences in waiting time were found when the hospital referral levels were taken into consideration. In the 3(rd) level referral hospitals the median time for cystectomy was 61.5 days (p = 0.035), in the 2(nd) level referral hospitals - 45 days (p = 0.000) and, in the 1(st) level referral hospitals - 58 days (p = 0.051).
  
  
  CONCLUSIONS
  The waiting time from establishing the indications for radical cystectomy to surgery for most cases in Poland does not exceed 90 days.
authors: Department of General, Oncological and Functional Urology, Medical University of Warsaw, Poland.
authors: Sławomir
authors: S
authors: Poletajew
authors: Department of Urology and Urological Oncology, Pomeranian Medical University, Szczecin, Poland.
authors: Janusz
authors: J
authors: Lisiński
authors: Department of Urology and Oncological Urology, F. Chopin Memorial Specialist Hospital in Rzeszów, Poland.
authors: Karol
authors: K
authors: Moskal
authors: Department of Urology, WCM in Opole, Poland.
authors: Jacek
authors: J
authors: Ornat
authors: Department of Urology, Ceynowa Hospital, Wejherowo, Poland.
authors: Kacper
authors: K
authors: Renk
authors: Department of Urology, Mary Curie-Sklodowska Memorial Hospital, Zgierz, Poland.
authors: Michał
authors: M
authors: Szlaga
authors: Department of General and Oncological Urology, M. Kopernik Memorial Specialist Hospital, Toruń, Poland.
authors: Jakub
authors: J
authors: Tworkiewicz
authors: Department of Urology, Regional Hospital Centrum, Jelenia Góra, Poland.
authors: Dominik
authors: D
authors: Wojtkowiak
authors: Department of Urology, University Hospital of Białystok, Poland.
authors: Paweł
authors: P
authors: Wołyniec
authors: Department of Urology, Prof. S.T. Dąbrowski Memorial Hospital, Puszczykowo, Poland.
authors: Krzysztof
authors: K
authors: Woźniak
authors: Department of Urology, Multidisciplinary Hospital Warsaw-Międzylesie, Poland.
authors: Łukasz
authors: Ł
authors: Zapała
authors: Department of General, Oncological and Functional Urology, Medical University of Warsaw, Poland.
authors: Piotr
authors: P
authors: Radziszewski
keywords: bladder cancer; cystectomy; timing of cystectomy