Socioeconomic Issues and Improved Quality of Care

  • John L. GoreEmail author


The common risk factors for bladder cancer predispose incident cases to men and women with fewer socioeconomic resources than patients with other common cancers. Despite its prevalence—bladder cancer is the fourth most common cancer in US men—advocacy for bladder cancer is nascent and bladder cancer remains underfunded nationally relative to other common cancers. Yet bladder cancer, per capita, is the costliest cancer to treat in the US. Given that the US health care system exhibits marked variations in the delivery and quality of health care services provided, bladder cancer should be a target for broad quality improvement efforts. Nationally, payers are implementing payment changes that will incentivize high value care where high quality care is delivered at lower cost. Herein, we discuss health care disparities in bladder cancer care, the quality of bladder cancer care delivered nationally, and opportunities for quality improvement to optimize the health outcomes of bladder cancer survivors.


Bladder cancer Quality of care Health care disparities Comparative effectiveness research Quality of life Quality improvement Radical cystectomy Chemotherapy 



Non-muscle-invasive bladder cancer


Transurethral resection of bladder tumor


Surveillance Epidemiology, and End Results


National Comprehensive Cancer Network


Mitomycin C


Bacillus Calmette-Guérin


Urological Surgery Quality Collaborative


Surgical Care and Outcomes Assessment Program


Physicians Quality Reporting System


Centers for Medicare & Medicaid Services


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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Department of UrologyUniversity of WashingtonSeattleUSA
  2. 2.Fred Hutchinson Cancer Research CenterSeattleUSA

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