Narrator:       This is Science Today. In the next year, more than 70,000 Americans will be diagnosed with bladder cancer, and 15,000 of them will die. Bladder cancer has an unusually high rate of recurrence, which is why there are national guidelines that recommend comprehensive care. But according to a UCLA study, most bladder cancer patients don't receive the recommended level of care.

Chamie:         What we found that out of 4,790 patients, only one patient got all the recommended measures.

Narrator:       Study author Dr. Karim Chamie says they were astonished by these results. After further analysis they discovered it was doctors, not patients, who were to blame for the lacking standard of care.

Chamie:         Who the doctor was contributed more to whether a patient got guideline recommended care than their age, than their race, their socioeconomic status or that they went to an academic institution or not or whether they had a high-grade or they had an invasive tumor or not.  It was mediated by the doctor.