Evidence map›Paper›PMID 31613877›Full record

ArticlePloS one2019

A population-based cohort study examining the association of documented bladder diverticulum and bladder cancer risk in urology patients.

Chu-Wen Fang, Vivian Chia-Rong Hsieh, Steven Kuan-Hua Huang, I-Ju Tsai, Chih-Hsin Muo, Shih-Chi Wu

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.8field-weighted citation impact, top 15% 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, 14 citations in OpenAlex.

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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

6 authors at 2 institutions in 1 country.

Chu-Wen FangDivision of Urology, Department of Surgery, Chi Mei Medical Center, Tainan, Taiwan.
Vivian Chia-Rong HsiehDepartment of Health Services Administration, China Medical University, Taichung, Taiwan.
Steven Kuan-Hua HuangDivision of Urology, Department of Surgery, Chi Mei Medical Center, Tainan, Taiwan.
I-Ju TsaiManagement Office for Health Data, China Medical University and Hospital, Taichung, Taiwan.
Chih-Hsin MuoManagement Office for Health Data, China Medical University and Hospital, Taichung, Taiwan.
Shih-Chi WuGraduate Institute of Clinical Medical Science, China Medical University, Taichung, Taiwan.ORCID 0000-0002-4686-7043
China Medical University · TWChi Mei Medical Center · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesStudies have shown a high risk of tumor development within a bladder diverticulum (BD). We were interested in the relationship between BD and the development of bladder cancer. Herein, we attempted to investigate whether there exists an association between documented BD and subsequent risk of bladder cancer.

methodsWe identified 10,662 hospitalized urology patients, including 2,134 documented BD patients (study cohort) and 8,528 non-BD subjects (comparison cohort) from Taiwan's National Health Insurance database. Only urology patients were enrolled in the study to minimize selection bias. The two cohorts were frequency-matched 1:4 by age, sex and index-year. Patients with less than one year of follow-up were excluded to avoid inverting cause and effect. Risks of developing bladder cancer were estimated using the Cox proportional hazard regression model.

resultsThere was an increased bladder cancer risk in the documented BD patients. The incidence of bladder cancer in documented BD patients was 2.60-fold higher than that in the comparison group, and the overall risk-factor-adjusted hazard ratio was 2.63 (95% CI, 1.74-3.97). Moreover, stratified analysis by sex also showed that documented BD patients were at higher risk of subsequent bladder cancer than the comparison cohort. The effect of BD on the risk of bladder cancer was higher in males than in females and was more profound in patients without comorbidities than in those with comorbidities.

conclusionIn this population-based longitudinal study, urology patients with documented BD might have an elevated risk of subsequent bladder cancer. Based on the limitations of the retrospective study design, further studies are required.

Indexed as

AdolescentAdultAgedAge FactorsCase-Control StudiesDiverticulumFemaleHumansInsurance, HealthLongitudinal StudiesMaleMiddle AgedProportional Hazards ModelsRiskSex FactorsTaiwan

Identifiers

PMID31613877
PMCPMC6793858
OpenAlexW2980447986

What OpenQuestion holds

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LicenceCC BY
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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.