Evidence map›Paper›PMID 27604374›Full record

Trial reportWorld journal of urology2017

Results of a prospective randomized study assessing the efficacy of fluorescent cystoscopy-assisted transurethral resection and single instillation of doxorubicin in patients with non-muscle-invasive bladder cancer.

Alexander I Rolevich, Alexander G Zhegalik, Andrey A Mokhort, Alexander A Minich, Vladimir Yu Vasilevich, Sergey L Polyakov, Sergey A Krasny, Oleg G Sukonko

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in World journal of urology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 pooled it
2.2field-weighted citation impact, top 12% 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

19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Pooled it
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  14. Translational andrology and urology · 2021
    Article
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  17. Transurethral resection of bladder tumour (TURBT).Translational andrology and urology · 2020
    Review
  18. Article
  19. 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

8 authors at 1 institution in 1 country.

Alexander I RolevichDepartment of Urology, N.N. Alexandrov National Cancer Centre, Lesnoy, Minsk region, Republic of Belarus. alexander.rolevich@gmail.com.
Alexander G ZhegalikDepartment of Urology, N.N. Alexandrov National Cancer Centre, Lesnoy, Minsk region, Republic of Belarus.
Andrey A MokhortDepartment of Urology, N.N. Alexandrov National Cancer Centre, Lesnoy, Minsk region, Republic of Belarus.
Alexander A MinichDepartment of Urology, N.N. Alexandrov National Cancer Centre, Lesnoy, Minsk region, Republic of Belarus.
Vladimir Yu VasilevichDepartment of Urology, N.N. Alexandrov National Cancer Centre, Lesnoy, Minsk region, Republic of Belarus.
Sergey L PolyakovDepartment of Urology, N.N. Alexandrov National Cancer Centre, Lesnoy, Minsk region, Republic of Belarus.
Sergey A KrasnyDepartment of Urology, N.N. Alexandrov National Cancer Centre, Lesnoy, Minsk region, Republic of Belarus.
Oleg G SukonkoDepartment of Urology, N.N. Alexandrov National Cancer Centre, Lesnoy, Minsk region, Republic of Belarus.
N.N. Alexandrov National Cancer Centre · BY

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess the efficacy of two treatment options for non-muscle-invasive bladder cancer (NMIBC): (1) transurethral resection (TUR) guided by fluorescence cystoscopy (FC) with the use of 5-aminolevulinic acid (5-ALA) and (2) single early instillation of doxorubicin in a single-center open-label prospective randomized study with a 2 × 2 factorial design. PATIENTS AND

methodsPatients with clinical suspicion of primary or recurrent NMIBC were randomized into four study arms: FC-assisted TUR with 5-ALA and single instillation of doxorubicin, FC-assisted TUR without instillation, TUR in white light (WL) with single instillation of doxorubicin, and WL-TUR only. The study was designed to assess recurrence-free survival in arms with and without any of two interventions.

resultsOf 525 patients included, 377 (72 %) were eligible for primary outcome assessment. The median follow-up was 54.8 months. FC statistically significantly decreased the risk of disease recurrence and progression with hazard ratio (HR) 0.56 (95 % CI 0.39-0.80, p = 0.001) and 0.33 (95 % CI 0.12-0.91, p = 0.031), respectively. The HRs for recurrence and progression for single instillation of doxorubicin were 0.76 (95 % CI 0.54-1.07, p = 0.11) and 0.65 (95 % CI 0.28-1.52, p = 0.32), respectively. The overall and cancer-specific survival rates did not differ significantly based on the therapeutic interventions.

conclusionsIn patients with NMIBC, FC-assisted TUR with 5-ALA results in a substantial recurrence and progression risk reduction as compared to WL-TUR. The single early postoperative instillation of doxorubicin did not have a statistically significant impact on recurrence and progression risks.

Indexed as

Administration, IntravesicalAdultAgedAged, 80 and overAminolevulinic AcidAntibiotics, AntineoplasticCarcinoma, Transitional CellCystoscopyDisease-Free SurvivalDoxorubicinFemaleFluorescenceHumansMaleMiddle AgedMuscle, SmoothAminolevulinic AcidAntibiotics, AntineoplasticDoxorubicinPhotosensitizing Agents5-Aminolevulinic acidFluorescence cystoscopyNon-muscle-invasive bladder cancerSingle early instillation of chemotherapeutic drug

Identifiers

PMID27604374
OpenAlexW2515287619

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.