Evidence map›Paper›PMID 30232708›Full record

ArticleAdvances in therapy2018

Calgranulin A (S100A8) Immunostaining: A Future Candidate for Risk Assessment in Patients with Non-Muscle-Invasive Bladder Cancer (NMIBC).

André P Nicklas, Mario W Kramer, Jürgen Serth, Jörg Hennenlotter, Marie C Hupe, Daniel U Reimer, Arnulf Stenzl, Axel S Merseburger, Markus A Kuczyk, Christoph-Alexander J von Klot

Open access · hybridAbstract read
In one paragraph

Article in Advances in therapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 42% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
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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

10 authors at 5 institutions in 2 countries.

André P NicklasDepartment of Urology and Andrology, Tirol Kliniken Landeskrankenhaus Hall, Hall in Tirol, Austria. andre.nicklas@tirol-kliniken.at.
Mario W KramerDepartment of Urology, University Hospital Schleswig-Holstein, Campus Lübeck, Lübeck, Germany.
Jürgen SerthDepartment of Urology and Urologic Oncology, Hannover University Medical School, Hannover, Germany.
Jörg HennenlotterDepartment of Urology, Eberhard-Karls-University, Tübingen, Germany.
Marie C HupeDepartment of Urology, University Hospital Schleswig-Holstein, Campus Lübeck, Lübeck, Germany.
Daniel U ReimerDepartment of Obstetrics and Gynecology, Medical University Innsbruck, Innsbruck, Austria.
Arnulf StenzlDepartment of Urology, Eberhard-Karls-University, Tübingen, Germany.
Axel S MerseburgerDepartment of Urology, University Hospital Schleswig-Holstein, Campus Lübeck, Lübeck, Germany.
Markus A KuczykDepartment of Urology and Urologic Oncology, Hannover University Medical School, Hannover, Germany.
Christoph-Alexander J von KlotDepartment of Urology and Urologic Oncology, Hannover University Medical School, Hannover, Germany.
Medizinische Hochschule Hannover · DEUniversity of Lübeck · DEUniversity of Tübingen · DEInnsbruck Medical University · ATTirol Kliniken · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThere is an urgent need to identify patients with bladder cancer (BC) who are at high risk of recurrence or progression. Calgranulin A is a strong marker for muscle-invasive or advanced BC and recent studies have shown its potential for identifying patients at risk even in non-muscle-invasive bladder cancer (NMIBC). The present study examines risks of recurrence and progression dependent on immunostaining with calgranulin A in NMIBC.

methodsCalgranulin A protein expression was evaluated through the immunohistochemistry of 158 randomly selected, transurethrally resected BC specimens of separate patients (pTa 89, pT1 69) using tissue microarrays. Kaplan-Meier survival analysis and Cox regression were performed to determine whether calgranulin A expression is associated with recurrence-free survival (RFS), progression-free survival (PFS), or cancer-specific survival (CSS).

resultsCalgranulin A expression is significantly different between pTa and pT1 tumors (p = 0.000, Mann-Whitney U test) and between tumor grades (p = 0.015, Kruskal-Wallis test). Kaplan-Meier estimates produced significant results for low and high calgranulin A expression concerning RFS [5y-RFS 70.4 ± 4.0% vs. 35.9 ± 12.5%, median RFS not reached (NR) vs. 12.0 ± 4.4 month, p = 0.029, log-rank test], PFS (5y-PFS 90.3 ± 2.7% vs. 51.5 ± 14.0%, median PFS NR in both groups, p = 0.000, log-rank test), and CSS (5y-CSS 92.9 ± 2.6% vs. 70.7 ± 12.4%, median CSS NR in both groups, p = 0.005, log-rank test). Calgranulin A remained an independent factor for RFS (p = 0.024, HR 2.43) and PFS (p = 0.002, HR 5.92) according to the multivariate Cox regression model.

conclusionsCalgranulin A expression in NMIBC, detected through immunohistochemistry, is a promising marker for the identification of NMIBC patients at high risk of recurrence and progression.

Indexed as

Calgranulin AUrinary Bladder NeoplasmsAgedBiomarkers, TumorCalcium-Binding ProteinsDisease ProgressionFemaleHumansImmunohistochemistryMaleNeoplasm GradingNeoplasm InvasivenessNeoplasm Recurrence, LocalPrognosisReproducibility of ResultsRetrospective StudiesBiomarkers, TumorCalcium-Binding ProteinsCalgranulin ABladder cancerCalgranulin ACancer-specific survivalImmunohistochemistryNMIBCOncologyProgressionRecurrenceS100A8Tissue microarray

Identifiers

PMID30232708
PMCPMC6224005
OpenAlexW2889989613

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.