Evidence map›Paper›PMID 26609440›Full record

ArticleArab journal of urology2015

Low-dose bacille Calmette-Guérin for non-muscle-invasive bladder cancer: Results of a prospective study.

Hani H Nour, Smair E Gobashy, Ahmad M Kamal, Ahmad G Elbaz, Mamdouh A Roshdy, Ahmad I Kamel

Open access · diamondAbstract read
In one paragraph

Article in Arab journal of urology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 28% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
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

6 authors at 1 institution in 1 country.

Hani H NourDepartment of Urology, Theodor Bilharz Research Institute, Giza, Egypt.
Smair E GobashyDepartment of Urology, Theodor Bilharz Research Institute, Giza, Egypt.
Ahmad M KamalDepartment of Urology, Theodor Bilharz Research Institute, Giza, Egypt.
Ahmad G ElbazDepartment of Urology, Theodor Bilharz Research Institute, Giza, Egypt.
Mamdouh A RoshdyDepartment of Urology, Theodor Bilharz Research Institute, Giza, Egypt.
Ahmad I KamelDepartment of Urology, Theodor Bilharz Research Institute, Giza, Egypt.
Theodor Bilharz Research Institute · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the efficacy and safety of low-dose (45 mg) intravesical bacille Calmette-Guérin (BCG) therapy in the treatment of patients with non-muscle-invasive bladder cancer (NMIBC), as intravesical BCG is the most acceptable adjuvant therapy for NMI transitional cell carcinoma of the bladder. However, in the standard regimen, undesirable effects are the main cause of treatment discontinuation. PATIENTS AND

methodsThe present study included 37 men with primary NIMBC. All patients underwent complete TURB and 2 weeks later, a 6-week course of 45 mg BCG diluted in 50 mL isotonic saline was instilled into the bladder and retained for 2 h. Patients were evaluated for BCG efficacy (recurrence with or without progression) and safety by documentation of minor and/or major side-effects.

resultsThere were no major or severe side-effects and no treatment discontinuations. Local adverse effects occurred in 20 patients, while systemic effects, in the form of fever, occurred in six patients (16.2%). There was recurrence in 14 patients (37.8%) after 18-34 months, with disease progression (muscle invasion) in four (10.8%) after 6-18 months. The recurrence index was 0.39/100 patients/month and the mean (range) tumour-free period was 30.97 (7-36) months.

conclusionLow-dose BCG intravesical therapy is an effective adjuvant treatment in NMIBC. However, this needs to be validated in future studies and in comparison with other proposed doses and/or regimens.

Indexed as

BC, bladder cancerBCGBladder cancerCIS, carcinoma in situLow-dose regimenNMIBCNMI, non-muscle-invasiveSWOG, Southwest Oncology GroupTURBTURB, transurethral resection of the bladder

Identifiers

PMID26609440
PMCPMC4656809
OpenAlexW2178298642

What OpenQuestion holds

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Registered trials

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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.