Evidence map›Paper›PMID 27803966›Full record

ArticleWorld journal of urology2017

Contemporary treatment patterns and outcomes of sarcomatoid bladder cancer.

Wilson Sui, Justin T Matulay, Ifeanyi C Onyeji, Marissa C Theofanides, Maxwell B James, Arindam RoyChoudhury, Sven Wenske, G Joel DeCastro

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In one paragraph

Article 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 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.

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  16. The effect of chemotherapy in sarcomatoid bladder cancer patients treated with radical cystectomy.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Wilson SuiDepartment of Urology, Columbia University Medical Center, Herbert Irving Pavilion, 161 Fort Washington, 11th Floor, New York, NY, 10032, USA. ws2375@columbia.edu.ORCID http://orcid.org/0000-0002-1819-6596
Justin T MatulayDepartment of Urology, Columbia University Medical Center, Herbert Irving Pavilion, 161 Fort Washington, 11th Floor, New York, NY, 10032, USA.
Ifeanyi C OnyejiDepartment of Urology, Columbia University Medical Center, Herbert Irving Pavilion, 161 Fort Washington, 11th Floor, New York, NY, 10032, USA.
Marissa C TheofanidesDepartment of Urology, Columbia University Medical Center, Herbert Irving Pavilion, 161 Fort Washington, 11th Floor, New York, NY, 10032, USA.
Maxwell B JamesDepartment of Urology, Columbia University Medical Center, Herbert Irving Pavilion, 161 Fort Washington, 11th Floor, New York, NY, 10032, USA.
Arindam RoyChoudhuryDepartment of Biostatistics, Mailman School of Public Health, Columbia University, New York, NY, USA.
Sven WenskeDepartment of Urology, Columbia University Medical Center, Herbert Irving Pavilion, 161 Fort Washington, 11th Floor, New York, NY, 10032, USA.
G Joel DeCastroDepartment of Urology, Columbia University Medical Center, Herbert Irving Pavilion, 161 Fort Washington, 11th Floor, New York, NY, 10032, USA.
Columbia University Irving Medical Center · USColumbia University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo characterize the treatment patterns and survival outcomes of sarcomatoid bladder cancer, a rare urothelial variant histology using a large population level cancer database.

methodsThe National Cancer Database was queried for all cases of sarcomatoid bladder cancer using International Classification of Disease-O-3 morphologic code 8122 between 2004 and 2014. Primary outcome was overall survival.

resultsA total of 489 patients met our inclusion criteria and were included in our analysis. Average age at diagnosis was 70.4 years. The majority of the population was male (61.8%) and Caucasian (92.2%). Tumor characteristics included 23.7% cT1, 41.1% cT2 and 15.3% cT3 or above. Median overall survival was 18.4 months (95% CI 13.3-23.6). On multivariate Cox proportional analysis, radical cystectomy alone or with multimodal therapy (chemotherapy or radiotherapy) resulted in a statistically significant reduction in the risk of death as compared to bladder preservation surgery alone. Survival in the radical cystectomy group did not differ between radical cystectomy alone and those receiving either neoadjuvant or adjuvant chemotherapy.

conclusionsSarcomatoid bladder cancer has poor prognosis with 18.4-month median overall survival. While our data suggest that aggressive treatment improves outcomes, the role of multimodal therapy is unclear. Future study should continue to focus on multi-institutional collaboration to determine the most effective therapy.

Indexed as

CarcinosarcomaChemotherapy, AdjuvantCystectomyRadiotherapyUrinary Bladder NeoplasmsAgedCombined Modality TherapyFemaleHumansKaplan-Meier EstimateMaleNeoplasm StagingOutcome and Process Assessment, Health CareUnited StatesBladderBladder neoplasmsSurvival

Identifiers

PMID27803966
OpenAlexW2548230521

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.