Evidence map›Paper›PMID 31997062›Full record

ArticleInternational urology and nephrology2020

Gender effect on the oncologic outcomes of upper urinary tract urothelial carcinoma in Taiwan.

Yen-Ting Wu, Hao Lun Luo, Hung Jen Wang, Yen Ta Chen, Yuan Tso Cheng, Po Hui Chiang

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in International urology and nephrology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

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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.

Yen-Ting WuDepartment of Urology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Niaosung District, No. 123, Dapi Road, Kaohsiung, Taiwan.
Hao Lun LuoDepartment of Urology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Niaosung District, No. 123, Dapi Road, Kaohsiung, Taiwan. alesy1980@gmail.com.
Hung Jen WangDepartment of Urology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Niaosung District, No. 123, Dapi Road, Kaohsiung, Taiwan.
Yen Ta ChenDepartment of Urology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Niaosung District, No. 123, Dapi Road, Kaohsiung, Taiwan.
Yuan Tso ChengDepartment of Urology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Niaosung District, No. 123, Dapi Road, Kaohsiung, Taiwan.
Po Hui ChiangDepartment of Urology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Niaosung District, No. 123, Dapi Road, Kaohsiung, Taiwan. cphtem@yahoo.com.tw.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeUpper urinary tract urothelial carcinoma (UTUC) is a relatively uncommon malignancy in Western countries, affecting more men than women. By contrast, UTUC is relatively common in Taiwan and diagnosed more often in women than in men. Previous studies regarding the gender effect on cancer behaviour with UTUC have been controversial. Investigation of female predominance of UTUC in Taiwan may help improve UTUC management in Taiwan as well as understand the gender effect on urothelial carcinoma.

methodsBetween January 2005 and December 2015, 828 patients with localized UTUC treated with radical nephroureterectomy were enrolled. Cox regression analysis was performed to assess the independent roles of perioperative factors on local recurrence and systemic recurrence.

resultsMultivariate analysis revealed the male gender had a trend associated with higher systemic recurrence (P = 0.096) and independently associated with higher bladder recurrence (P = 0.011) and cancer-specific mortality (P = 0.014), even after taking smoking and other established prognostic factors into consideration. Bladder cancer history and multifocal disease are strongly associated with bladder recurrence.

conclusionCompared with female UTUC patients, male UTUC patients in Taiwan were associated with more bladder recurrences and higher cancer-specific mortality and had a trend associated with more systemic recurrences.

Indexed as

NephroureterectomyAgedCarcinoma, Transitional CellFemaleHumansMaleMiddle AgedNeoplasm Recurrence, LocalRetrospective StudiesSex FactorsTaiwanTreatment OutcomeUreteral NeoplasmsUrinary Bladder NeoplasmsGenderIntravesical recurrenceNephroureterectomyPrognosisRisk factorUpper urinary tract urothelial carcinoma

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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.