Evidence map›Paper›PMID 27189277›Full record

ArticleYonsei medical journal2016

Prognostic Factors for Recurrence and Progression in Korean Non-Muscle-Invasive Bladder Cancer Patients: A Retrospective, Multi-Institutional Study.

Hyung Suk Kim, Ja Hyeon Ku, Se Joong Kim, Sung Joon Hong, Sung Hoo Hong, Hong Sup Kim, Tae Gyun Kwon, Jin Seon Cho, Seong Soo Jeon, Kwan Joong Joo and 7 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Yonsei medical journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 11% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

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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

17 authors at 16 institutions in 1 country.

Hyung Suk KimDepartment of Urology, Dongguk University Ilsan Medical Center, Goyang, Korea.
Ja Hyeon KuDepartment of Urology, Seoul National University College of Medicine, Seoul, Korea.
Se Joong KimDepartment of Urology, Ajou University College of Medicine, Suwon, Korea.
Sung Joon HongDepartment of Urology, Yonsei University College of Medicine, Seoul, Korea.
Sung Hoo HongDepartment of Urology, The Catholic University College of Medicine, Seoul, Korea.
Hong Sup KimDepartment of Urology, Konkuk University College of Medicine, Chungju, Korea.
Tae Gyun KwonDepartment of Urology, Kyungpook National University College of Medicine, Daegu, Korea.
Jin Seon ChoDepartment of Urology, Hallym University College of Medicine, Chuncheon, Korea.
Seong Soo JeonDepartment of Urology, Samsung Medical Center, Sungkyunkwan University College of Medicine, Seoul, Korea.
Kwan Joong JooDepartment of Urology, Kangbuk Samsung Hospital, Sungkyunkwan University College of Medicine, Seoul, Korea.
Han Jong AhnDepartment of Urology, Asan Medical Center, Ulsan University College of Medicine, Seoul, Korea.
Hong Seok ParkDepartment of Urology, Korea University College of Medicine, Seoul, Korea.
Do Hwan SeongDepartment of Urology, Inha University College of Medicine, Incheon, Korea.
Dong Deuk KwonDepartment of Urology, Chonnam National University College of Medicine, Gwangju, Korea.
Hyung Jin KimDepartment of Urology, Chonbuk National University College of Medicine, Jeonju, Korea.
Jae Sung LimDepartment of Urology, Chungnam National University College of Medicine, Daejeon, Korea.
Hyung Lae LeeDepartment of Urology, Kyung Hee University School of Medicine, Seoul, Korea. hllee61@hanmail.net.
Catholic University of Korea · KRAjou University · KRAsan Medical Center · KRChonnam National University Hospital · KRChungnam National University · KRDongguk University Ilsan Hospital · KRHallym University · KRInha University · KRJeonbuk National University · KRKangbuk Samsung Hospital · KRKonkuk University · KRKorea University · KRKyung Hee University · KRKyungpook National University · KRSamsung Medical Center · KRSeoul National University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo identify the prognostic factors related to tumor recurrence and progression in Korean patients with non-muscle-invasive bladder cancer (NMIBC). MATERIALS AND

methodsData were collected and analyzed for 2412 NMIBC patients from 15 centers who were initially diagnosed after transurethral resection of bladder tumor (TURBT) from January 2006 to December 2010. Using univariable and multivariable Cox proportional hazards models, the prognostic value of each variable was evaluated for the time to first recurrence and progression.

resultsWith a median follow-up duration of 37 months, 866 patients (35.9%) experienced recurrence, and 137 (5.7%) experienced progression. Patients with recurrence had a median time to the first recurrence of 10 months. Multivariable analysis conducted in all patients revealed that preoperative positive urine cytology (PUC) was independently associated with worse recurrence-free survival [RFS; hazard ratio (HR) 1.56; p<0.001], and progression-free survival (PFS; HR 1.56; p=0.037). In particular, on multivariable analysis conducted for the high-risk group (T1 tumor/high-grade Ta tumor/carcinoma in situ), preoperative PUC was an independent predictor of worse RFS (HR 1.73; p<0.001) and PFS (HR 1.96; p=0.006). On multivariable analysis in patients with T1 high-grade (T1HG) cancer (n=684), better RFS (HR 0.75; p=0.033) and PFS (HR 0.33; p<0.001) were observed in association with the administration of intravesical Bacillus Calmette-Guérin (BCG) induction therapy.

conclusionA preoperative PUC result may adversely affect RFS and PFS, particularly in high-risk NMIBC patients. Of particular note, intravesical BCG induction therapy should be administered as an adjunct to TURBT in order to improve RFS and PFS in patients with T1HG cancer.

Indexed as

AgedCarcinoma in SituDisease-Free SurvivalDisease ProgressionFemaleHumansMaleMiddle AgedNeoplasm Recurrence, LocalPrognosisProportional Hazards ModelsRepublic of KoreaRetrospective StudiesRiskUrinary Bladder Neoplasmsdisease progressionprognosisrecurrenceUrinary bladder neoplasm

Identifiers

PMID27189277
PMCPMC4951460
OpenAlexW2403081081

What OpenQuestion holds

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LicenceCC BY-NC
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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.