Traumatic spinal cord injury confers bladder cancer risk to patients managed without permanent urinary catheterization:
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ORIGINAL ARTICLE
Traumatic spinal cord injury confers bladder cancer risk to patients managed without permanent urinary catheterization: lessons from a comparison of clinical data with the national database Ralf Böthig1 · Christian Tiburtius1 · Kai Fiebag1 · Birgitt Kowald2 · Sven Hirschfeld2 · Roland Thietje2 · Ines Kurze3 · Wolfgang Schöps4 · Holger Böhme5 · Albert Kaufmann6 · Michael Zellner7 · Thura Kadhum8 · Klaus Golka8 Received: 11 November 2019 / Accepted: 2 January 2020 © Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Purpose Life expectancy for people with traumatic spinal cord injury (SCI) is increasing due to advances in treatment methods and in neuro-urology. Thus, developing urinary bladder cancer (UBC) is gaining importance. Methods Single-centre retrospective evaluation of consecutive in- and out-patient data with spinal cord injury between January 1st, 1998 and December 31st, 2018 was carried out and data were compared with UBC data of the German population from the German Centre for Cancer Registry Data at Robert Koch Institute. Results A total of 37 (4 female, 33 male) out of 7004 patients with SCI were diagnosed with histologically proven UBC (median follow-up 85 months). Median age at UBC diagnosis was 54.0 years (general population: 74 years). The SCI patients had significantly (p
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