Evidence map›Paper›PMID 26517439›Full record

ArticleThe Permanente journal2015

High-Dose Viscum album Extract Treatment in the Prevention of Recurrent Bladder Cancer: A Retrospective Case Series.

Tido von Schoen-Angerer, Johannes Wilkens, Gunver S Kienle, Helmut Kiene, Jan Vagedes

Abstract readCase Reports
In one paragraph

Article in The Permanente journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.1field-weighted citation impact, top 13% 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

6 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Experimental and therapeutic medicine · 2017
    Article
  4. Review
  5. Article
  6. Fever: Views in Anthroposophic Medicine and Their Scientific Validity.Evidence-based complementary and alternative medicine : eCAM · 2016
    Review
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

5 authors at 3 institutions in 1 country.

Tido von Schoen-AngererResearch Associate for the ARCIM Institute in Filderstadt, Germany, and an Attending Pediatrician at the Fribourg Hospital in Switzerland. tido.von.schoenangerer@gmail.com.
Johannes WilkensAttending Physician at the Alexander von Humboldt Klinik in Bad Steben, Germany. dr.wilkens@humboldtklinik.de.
Gunver S KienleSenior Researcher for the Institute for Applied Epistemology and Medical Methodology at the University of Witten/Herdecke in Freiburg, Germany. gunver.kienle@ifaemm.de.
Helmut KieneDirector of the Institute for Applied Epistemology and Medical Methodology at the University of Witten/Herdecke in Freiburg, Germany. helmut.kiene@ifaemm.de.
Jan VagedesMedical Director of the ARCIM Institute in Filderstadt, Germany, and a Researcher in the Department of Pediatrics at the University Hospital Tübingen in Germany. j.vagedes@arcim-institute.de.
Academic Research in Complementary and Integrative Medicine · DEWitten/Herdecke University · DEAlexander von Humboldt Foundation · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionViscum album extract (European mistletoe), containing immuno-active compounds with dose-dependent cytotoxic activity, is being used as an adjuvant cancer treatment in Europe. Few studies have yet been done with high-dose, fever-inducing Viscum album treatment.

objectiveTo explore whether subcutaneous injections of high-dose Viscum album have a preventive effect on risk of recurrence of bladder cancer.

methodsWe retrospectively analyzed the case records of patients with resectable bladder cancer who underwent initiation of high-dose Viscum album treatment at our clinic between January 2006 and December 2012.

main outcome measuresWe calculated tumor recurrence and progression risk and explored case records to assess whether treatment had a likely, possible, or unlikely beneficial effect.

resultsEight patients were identified, 7 of whom had nonmuscle-invasive bladder cancer and 1 with muscle-invasive cancer. Four patients had frequently recurring tumors before treatment. Among the 8 patients, 28 episodes of recurrence were observed. Median tumor-free follow-up duration was 48.5 months. High-dose Viscum album showed a possible beneficial effect in 5 of 8 patients, could not be assessed in 2 patients, and had an uncertain effect in 1 patient. No tumor progression was observed. Treatment was generally well tolerated and no patient stopped treatment because of side effects.

conclusionHigh-dose Viscum album treatment may have interrupted frequently recurring tumors in individual patients with recurrent bladder cancer. Prospective studies are needed to assess whether this treatment offers an additional, bladder-sparing preventive option for patients with intermediate- to high-risk nonmuscle-invasive bladder cancer.. Treatment was generally well tolerated and no patient stopped treatment because of side effects.

Indexed as

Viscum albumDose-Response Relationship, DrugFemaleHumansInjections, SubcutaneousMaleMiddle AgedNeoplasm Recurrence, LocalPlant ExtractsRetrospective StudiesUrinary Bladder NeoplasmsPlant Extracts

Identifiers

PMID26517439
PMCPMC4625999
OpenAlexW2413527003

What OpenQuestion holds

Textmetadata
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.