Evidence map›Paper›PMID 30565086›Full record

ArticleClinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico2019

SEOM clinical guideline for treatment of muscle-invasive and metastatic urothelial bladder cancer (2018).

A González Del Alba, G De Velasco, N Lainez, P Maroto, R Morales-Barrera, J Muñoz-Langa, B Pérez-Valderrama, L Basterretxea, C Caballero, S Vazquez

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In one paragraph

Article in Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 9% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Assessing the methodological strengths and limitations of the Spanish Society of Medical Oncology (SEOM) guidelines: a critical appraisal using AGREE II and AGREE-REX tool.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2024
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Atezolizumab in locally advanced or metastatic urothelial cancer: a pooled analysis from the Spanish patients of the IMvigor 210 cohort 2 and 211 studies.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2021
    Article
  9. Article
  10. SEOM guidelines 2018.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 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

10 authors at 10 institutions in 1 country.

A González Del AlbaMedical Oncology Department, Hospital Universitario Puerta de Hierro-Majadahonda, Joaquin Rodrigo 2, 28222, Majadahonda, Madrid, Spain. aranzazu.gonzalezalba@salud.madrid.org.ORCID http://orcid.org/0000-0001-6570-009X
G De VelascoMedical Oncology Department, Hospital Universitario Doce de Octubre, Madrid, Spain.
N LainezMedical Oncology Department, Complejo Hospitalario de Navarra, Pamplona, Spain.
P MarotoMedical Oncology Department, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
R Morales-BarreraMedical Oncology Department, Vall d'Hebron Institute of Oncology, Vall d' Hebron University Hospital, Barcelona, Spain.
J Muñoz-LangaMedical Oncology Department, Hospital Universitari I Politècnic la Fe, Valencia, Spain.
B Pérez-ValderramaMedical Oncology Department, Hospital Universitario Virgen del Rocio, Sevilla, Spain.
L BasterretxeaMedical Oncology Department, Hospital Donostia-Donostia Ospitalea, Donostia, Spain.
C CaballeroMedical Oncology Department, Ciberonc, Centro de Investigación Biomédica en Red Cáncer. Hospital General Universitario de Valencia, Valencia, Spain.
S VazquezMedical Oncology Department, Hospital Universitario Lucus Augusti, Lugo, Spain.
Centro de Investigación Biomédica en Red de Cáncer · ESComplejo Hospitalario de Navarra · ESDonostiako Unibertsitate Ospitalea · ESHospital de Sant Pau · ESHospital Universitari i Politècnic La Fe · ESHospital Universitario 12 De Octubre · ESHospital Universitario Lucus Augusti · ESHospital Universitario Puerta de Hierro Majadahonda · ESHospital Universitario Virgen del Rocío · ESVall d'Hebron Hospital Universitari · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The goal of this article is to provide recommendations about the management of muscle-invasive (MIBC) and metastatic bladder cancer. New molecular subtypes of MIBC are associated with specific clinical-pathological characteristics. Radical cystectomy and lymph node dissection are the gold standard for treatment and neoadjuvant chemotherapy with a cisplatin-based combination should be recommended in fit patients. The role of adjuvant chemotherapy in MIBC remains controversial; its use must be considered in patients with high-risk who are able to tolerate a cisplatin-based regimen, and have not received neoadjuvant chemotherapy. Bladder-preserving approaches are reasonable alternatives to cystectomy in selected patients for whom cystectomy is not contemplated either for clinical or personal reasons. Cisplatin-based combination chemotherapy is the standard first-line protocol for metastatic disease. In the case of unfit patients, carboplatin-gemcitabine should be considered the preferred first-line chemotherapy treatment option, while pembrolizumab and atezolizumab can be contemplated for individuals with high PD-L1 expression. In cases of progression after platinum-based therapy, PD-1/PD-L1 inhibitors are standard alternatives. Vinflunine is another option when anti-PD-1/PD-L1 therapy is not possible. There are no data from randomized clinical trials regarding moving on to immuno-oncology agents.

Indexed as

Clinical Trials as TopicCombined Modality TherapyDisease ManagementHumansMuscle NeoplasmsNeoplasm InvasivenessPractice Guidelines as TopicPrognosisSocieties, MedicalUrinary Bladder NeoplasmsBladder cancerChemotherapyCystectomyImmune checkpoint inhibitors

Identifiers

PMID30565086
PMCPMC6339669
OpenAlexW2917909827

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.