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Logistic regression analysis showed that frailty was significantly associated with the TMT selection. Overall survival was significantly shorter in the TMT group by the IPTW-adjusted Cox regression analysis (hazard ratio 2.48, P=0.043). Frailty was significantly different between the RC and TMT in patients with MIBC and might be one of the key factors for treatment selection. Frailty was significantly different between the RC and TMT in patients with MIBC and might be one of the key factors for treatment selection. Positive surgical ma
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