Evidence map›Paper›PMID 28388880›Full record

ArticleBMC cancer2017

A prospective comparison of UroVysion FISH and urine cytology in bladder cancer detection.

Hugh J Lavery, Boriana Zaharieva, Andrew McFaddin, Nyla Heerema, Kamal S Pohar

Abstract readComparative Study
In one paragraph

Article in BMC cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
–field-weighted citation impact
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

30 citing papers in PubMed.

  1. Article
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  14. A Multiplex Test AssessingJournal of clinical medicine · 2020
    Article
  15. Review
  16. Review
  17. Article
  18. Incidence and distribution of UroSEEK gene panel in a multi-institutional cohort of bladder urothelial carcinoma.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2019
    Article
  19. Article
  20. Keratin 17 is a sensitive and specific biomarker of urothelial neoplasia.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2019
    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

5 authors.

Hugh J LaveryDepartment of Urology, Ohio State University Wexner Medical Center, Columbus, OH, 43210, USA.
Boriana ZaharievaDepartment of Urology, Ohio State University Wexner Medical Center, Columbus, OH, 43210, USA.
Andrew McFaddinDepartment of Pathology, Division of Cytogenetics, Ohio State University Wexner Medical Center, Columbus, OH, 43210, USA.
Nyla HeeremaDepartment of Pathology, Division of Cytogenetics, Ohio State University Wexner Medical Center, Columbus, OH, 43210, USA.
Kamal S PoharDepartment of Urology, Ohio State University Wexner Medical Center, Columbus, OH, 43210, USA. kamal.pohar@osumc.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUroVysion fluorescence in situ hybridization (uFISH) was reported to have superior sensitivity to urine cytology. However uFISH studies are limited by varying definitions of what is considered a positive result, absence of histopathology and small sample size. The aim of our study was to better determine the performance characteristics of uFISH and urine cytology by overcoming some of the deficiencies of the current literature.

methodsIntraoperative bladder wash cytology and uFISH were collected prospectively on all patients. Strict definitions for positivity of uFISH and cytology were determined before initiating the study. A re-review of false-negative uFISH specimens was performed to analyze potential sources of error. Sixteen bladder tumors embedded in paraffin were analyzed by uFISH and compared with the result in the urine.

resultsOne hundred and twenty-nine specimens were analyzed. Sensitivity was 67% and 69% (p = 0.54); specificity was 72% and 76% (p = 1.0), for uFISH and cytology, respectively. Thirty-two false negative uFISH samples were re-reviewed. Low grade tumors often showed cells with abnormal morphology and patchy DAPI staining but diploid chromosomal counts and a few high grade tumors had tetraploid counts but less than needed to interpret uFISH as positive. uFISH study of the tumors revealed three categories; positive in both tumor and urine (9), negative in both tumor and urine (5) and positive in tumor but negative in urine (2).

conclusionIn a pathologically-confirmed analysis of bladder washed urine specimens, uFISH does not outperform urine cytology in cancer detection.

Indexed as

AgedCytodiagnosisFemaleHumansIn Situ Hybridization, FluorescenceMaleProspective StudiesSensitivity and SpecificityUrinalysisUrinary BladderUrinary Bladder NeoplasmsCytologyFluorescenceIn situ hybridizationUrinary bladder neoplasm

Identifiers

PMID28388880
PMCPMC5383950

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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.