Evidence map›Paper›PMID 24905984›Full record

ArticlePloS one2014

Risk prediction scores for recurrence and progression of non-muscle invasive bladder cancer: an international validation in primary tumours.

Moniek M Vedder, Mirari Márquez, Esther W de Bekker-Grob, Malu L Calle, Lars Dyrskjøt, Manoils Kogevinas, Ulrika Segersten, Per-Uno Malmström, Ferran Algaba, Willemien Beukers and 5 more

Open access · goldAbstract readComparative StudyValidation Study
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 3 pooled it
7.6field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 3 syntheses or guidelines pooled it, 64 citations in OpenAlex.

  1. Pooled it
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  7. The CD8PeerJ · 2025
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  10. Prediction for recurrent non-muscle invasive bladder cancer.Cancer biomarkers : section A of Disease markers · 2023
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  18. Prediction tools in non-muscle invasive bladder cancer.Translational andrology and urology · 2019
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 7 institutions in 4 countries.

Moniek M VedderDepartment of Public Health, Erasmus Medical Centre, Rotterdam, the Netherlands.
Mirari MárquezGenetic and Molecular Epidemiology Group, Spanish National Cancer Research Centre (CNIO), Madrid, Spain.
Esther W de Bekker-GrobDepartment of Public Health, Erasmus Medical Centre, Rotterdam, the Netherlands.
Malu L CalleSystems Biology Department, University of Vic, Vic, Barcelona, Spain.
Lars DyrskjøtDepartment of Molecular Medicine, Aarhus University Hospital, Aarhus, Denmark.
Manoils KogevinasCentre for Research in Environmental Epidemiology, Municipal Institute of Medical Research, Barcelona, Spain.
Ulrika SegerstenDepartment of Surgical Sciences, Uppsala University, Uppsala, Sweden.
Per-Uno MalmströmDepartment of Surgical Sciences, Uppsala University, Uppsala, Sweden.
Ferran AlgabaDepartment of Pathology, Fundació Puigvert-University Autonomous, Barcelona, Spain.
Willemien BeukersDepartment of Pathology, Erasmus Medical Centre, Rotterdam, the Netherlands.
Torben F ØrntoftDepartment of Molecular Medicine, Aarhus University Hospital, Aarhus, Denmark.
Ellen ZwarthoffDepartment of Pathology, Erasmus Medical Centre, Rotterdam, the Netherlands.
Francisco X RealEpithelial Carcinogenesis Group, Spanish National Cancer Research Centre (CNIO), Madrid, Spain; Department of Experimental and Health Sciences, Universitat Pompeu Fabra, Barcelona, Spain.
Nuria MalatsGenetic and Molecular Epidemiology Group, Spanish National Cancer Research Centre (CNIO), Madrid, Spain.
Ewout W SteyerbergDepartment of Public Health, Erasmus Medical Centre, Rotterdam, the Netherlands.
Erasmus University Rotterdam · NLAarhus University Hospital · DKSpanish National Cancer Research Centre · ESUppsala University · SEUniversitat Autònoma de Barcelona · ESUniversitat de Vic - Universitat Central de Catalunya · ESUniversitat Pompeu Fabra · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe aimed to determine the validity of two risk scores for patients with non-muscle invasive bladder cancer in different European settings, in patients with primary tumours.

methodsWe included 1,892 patients with primary stage Ta or T1 non-muscle invasive bladder cancer who underwent a transurethral resection in Spain (n = 973), the Netherlands (n = 639), or Denmark (n = 280). We evaluated recurrence-free survival and progression-free survival according to the European Organisation for Research and Treatment of Cancer (EORTC) and the Spanish Urological Club for Oncological Treatment (CUETO) risk scores for each patient and used the concordance index (c-index) to indicate discriminative ability.

resultsThe 3 cohorts were comparable according to age and sex, but patients from Denmark had a larger proportion of patients with the high stage and grade at diagnosis (p<0.01). At least one recurrence occurred in 839 (44%) patients and 258 (14%) patients had a progression during a median follow-up of 74 months. Patients from Denmark had the highest 10-year recurrence and progression rates (75% and 24%, respectively), whereas patients from Spain had the lowest rates (34% and 10%, respectively). The EORTC and CUETO risk scores both predicted progression better than recurrence with c-indices ranging from 0.72 to 0.82 while for recurrence, those ranged from 0.55 to 0.61.

conclusionThe EORTC and CUETO risk scores can reasonably predict progression, while prediction of recurrence is more difficult. New prognostic markers are needed to better predict recurrence of tumours in primary non-muscle invasive bladder cancer patients.

Indexed as

AgedCarcinomaDisease ProgressionEuropeFemaleHumansMaleMiddle AgedNeoplasm GradingNeoplasm InvasivenessRecurrenceRiskUrinary Bladder Neoplasms

Identifiers

PMID24905984
PMCPMC4048166
OpenAlexW2056056862

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.