Evidence map›Paper›PMID 28192481›Full record

SynthesisPloS one2017

A meta-analysis of narrow band imaging for the diagnosis and therapeutic outcome of non-muscle invasive bladder cancer.

YiQuan Xiong, JianDong Li, ShuJuan Ma, Jing Ge, LiZhi Zhou, Dongliang Li, Qing Chen

Registry-linked trialOpen access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04186013 (Efficacy of Atezolizumab Concurrent With Radiotherapy in Patients With Muscle-invasive Bladder cáncer), which is not on this map. Cited by 29 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 3 pooled it
9.7field-weighted citation impact, top 1% 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.

NCT04186013 phase2active not recruitingnot on this mapstarted 2019, after this paper: background citation

Efficacy of Atezolizumab Concurrent With Radiotherapy in Patients With Muscle-invasive Bladder cáncer (Study ATEZOBLADDERPRESERVE)

TypeinterventionalSponsorSpanish Oncology Genito-Urinary GroupRan2019 to 2027Enrolled39ConditionsBladder CancerArmsAtezolizumab Injection [Tecentriq], External Beam Radiation Therapy (EBRT)
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 3 syntheses or guidelines pooled it, 74 citations in OpenAlex.

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  17. Does Artificial Intelligence Meaningfully Enhance Cystoscopy?Journal of the National Cancer Institute · 2022
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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

7 authors at 2 institutions in 1 country.

YiQuan XiongDepartment of Epidemiology, School of Public Health and Tropical Medicine, Southern Medical University, Guangdong Provincial Key Laboratory of Tropical Disease Research, Guangzhou, China.
JianDong LiDepartment of Epidemiology, School of Public Health and Tropical Medicine, Southern Medical University, Guangdong Provincial Key Laboratory of Tropical Disease Research, Guangzhou, China.
ShuJuan MaSchool of Public Health, Central South University, Changsha, Hunan, China.
Jing GeDepartment of Epidemiology, School of Public Health and Tropical Medicine, Southern Medical University, Guangdong Provincial Key Laboratory of Tropical Disease Research, Guangzhou, China.
LiZhi ZhouDepartment of Biostatistics, School of Public Health and Tropical Medicine, Southern Medical University, Guangzhou, China.
Dongliang LiDepartment of Epidemiology, School of Public Health and Tropical Medicine, Southern Medical University, Guangdong Provincial Key Laboratory of Tropical Disease Research, Guangzhou, China.
Qing ChenDepartment of Epidemiology, School of Public Health and Tropical Medicine, Southern Medical University, Guangdong Provincial Key Laboratory of Tropical Disease Research, Guangzhou, China.
Southern Medical University · CNCentral South University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess the additional detection rate (ADR) of within-patient comparisons of Narrow band imaging (NBI) and white light cystoscopy (WLC) for non-muscle invasive bladder cancer (NMIBC) detection and compare the impact of NBI and WLC on bladder cancer recurrence risk.

methodsWe searched relevant studies from PubMed, Embase, Medline, Web of Science and the Cochrane Library database for all articles in English published beforeJuly26th, 2016. Pooled ADR, diagnostic accuracy, relative risk (RR) and their 95% confidence intervals (CIs) were calculated.

resultsTwenty-five studies including 17 full texts and eight meeting abstracts were included for analysis. Compared to WLC, pooled ADR of NBI for NMIBC diagnosis was 9.9% (95% CI: 0.05-0.14) and 18.6% (95% CI: 0.15-0.25) in per-patient and per-lesion analysis, respectively. Pooled ADR of NBI for carcinoma in situ (CIS) diagnosis was 25.1% (95% CI: 0.09-0.42) and 31.1% (95% CI: 0.24-0.39) for per-patient and per-lesion analyses, respectively. The pooled sensitivity of NBI was significantly higher than WLC both at the per-patient (95.8% vs. 81.6%) and per-lesion levels (94.8% vs. 72.4%). In addition, NBI significantly reduced the recurrence rate of bladder cancer with a pooled RR value of 0.43 (95% CI: 0.23-0.79) and0.81 (95% CI: 0.69-0.95) at month three and twelve, respectively.

conclusionsNBI is a valid technique that improves the diagnosis of NMIBC and CIS compared to standard WLC either at per-patient or per-lesion level. It can reduce the recurrence rate of bladder cancer accordingly.

Indexed as

CystoscopyHumansImage EnhancementNarrow Band ImagingNeoplasm InvasivenessReproducibility of ResultsSensitivity and SpecificityUrinary BladderUrinary Bladder Neoplasms

Identifiers

PMID28192481
PMCPMC5305060
OpenAlexW2588360654

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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.