Impact of ureteroscopy on nephroureterectomy and standards of care compliance in upper tract urothelial carcinoma: the <scp>BAUS UK I‐DUNC</scp> audit

Our audit showed that d-URS is associated with significant treatment delays, increased rates of metachronous bladder cancer recurrence, and higher surgical positive margin rates in patients with ≥pT2 disease. Compliance with MMC therapy and adjuvant chemotherapy was low. This national audit highlights the need for risk-stratified diagnostic pathways, multidisciplinary expertise, and establishment of quality performance indicators to improve care and outcomes in UTUC management in the UK.

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Publication Details

Journal
British Journal of Urology
Published
2025-10-22
DOI
https://doi.org/10.1111/bju.70013
Primary Topic
Bladder and Urothelial Cancer Treatments
Type
article
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article

Impact of ureteroscopy on nephroureterectomy and standards of care compliance in upper tract urothelial carcinoma: the BAUS UK I‐DUNC audit

Jonathan Aning, Robert M. Geraghty, James Armitage, Joe Philip et al.
British Journal of Urology
Bladder and Urothelial Cancer Treatments
article

Impact of ureteroscopy on nephroureterectomy and standards of care compliance in upper tract urothelial carcinoma: the BAUS UK I‐DUNC audit

Jonathan Aning, Robert M. Geraghty, James Armitage, Joe Philip, Robert C. Calvert, Thomas J. Walton, Alexander Laird, Bhavan Prasad, Vishwanath Hanchanale
article en

Abstract

Our audit showed that d-URS is associated with significant treatment delays, increased rates of metachronous bladder cancer recurrence, and higher surgical positive margin rates in patients with ≥pT2 disease. Compliance with MMC therapy and adjuvant chemotherapy was low. This national audit highlights the need for risk-stratified diagnostic pathways, multidisciplinary expertise, and establishment of quality performance indicators to improve care and outcomes in UTUC management in the UK.

British Journal of UrologyVol. 137(1)
Nottingham University Hospitals NHS Trust (GB), University of Liverpool (GB), Aintree University Hospitals NHS Foundation Trust (GB), Western General Hospital (GB), Southmead Hospital (GB), Newcastle upon Tyne Hospitals NHS Foundation Trust (GB), Freeman Hospital (GB), Cambridge University Hospitals NHS Foundation Trust (GB), Edinburgh Cancer Research (GB), University of Bristol (GB)
Openalex Percentile: Top 53%
Bladder and Urothelial Cancer Treatments
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Impact of ureteroscopy on nephroureterectomy and standards of care compliance in upper tract urothelial carcinoma: the <scp>BAUS UK I‐DUNC</scp> audit — Jonathan Aning, Robert M. Geraghty, et al. · British Journal of Urology (2025) | TGRS Research Map | TGRS