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It provided them with an extra thing to do, which may have put them off quitting altogether." Even though more people in the study said they preferred the idea of quitting gradually than abruptly, individuals were still more likely to stop for good in the abrupt group

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Another important advance: The use of chemotherapy before a radical cystectomy and the extensive removal of lymph nodes in the pelvis as part of the procedure have significantly improved the survival rate in recent years, Bajorin says