In Reply to van der Steen-Banasik et al

To the Editor: We appreciate the comments by Dr van der Steen-Banasik and colleagues (1). We agree with the assessment that the work previously conducted by van der Steen-Banasik et al and Nieuwenhuijzen et al included the critical component of brachytherapy in the radiation cohorts (2, 3). This information was not included in our Table 1 because we focused more attention on the number of patients who required salvage treatment. For out meta-analysis data, we believed that limiting information regarding salvage treatment, particularly salvage cystectomy, could fail to identify cross-over between different treatment arms.

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