Evidence map›Paper›PMID 33292281›Full record

ReviewCancer cell international2020

Sarcomatoid variant urothelial carcinoma of the bladder: a systematic review and meta-analysis of the clinicopathological features and survival outcomes.

Liangyou Gu, Qing Ai, Qiang Cheng, Xin Ma, Baojun Wang, Qingbo Huang, Xintao Li, Peng Zhang, Kan Liu, Xupeng Zhao and 2 more

Open access · goldAbstract readReview
In one paragraph

Review in Cancer cell international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.4field-weighted citation impact, top 17% 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

11 citing papers in PubMed, 26 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Sarcomatoid urothelial carcinoma arising in the female urethral diverticulum.Journal of pathology and translational medicine · 2021
    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

12 authors at 3 institutions in 1 country.

Liangyou GuDepartment of Urology, the Third Medical Centre, Chinese PLA General Hospital, Beijing, China.
Qing AiDepartment of Urology, the Third Medical Centre, Chinese PLA General Hospital, Beijing, China.
Qiang ChengDepartment of Urology, the Third Medical Centre, Chinese PLA General Hospital, Beijing, China.
Xin MaDepartment of Urology, the Third Medical Centre, Chinese PLA General Hospital, Beijing, China.
Baojun WangDepartment of Urology, the Third Medical Centre, Chinese PLA General Hospital, Beijing, China.
Qingbo HuangDepartment of Urology, the Third Medical Centre, Chinese PLA General Hospital, Beijing, China.
Xintao LiDepartment of Urology, Air force specialty medical center, Beijing, China.
Peng ZhangDepartment of Urology, the Third Medical Centre, Chinese PLA General Hospital, Beijing, China.
Kan LiuDepartment of Urology, the Third Medical Centre, Chinese PLA General Hospital, Beijing, China.
Xupeng ZhaoSchool of Medicine, Nankai University, Tianjin, China.
Hongzhao LiDepartment of Urology, the Third Medical Centre, Chinese PLA General Hospital, Beijing, China. urolancet@126.com.
Xu ZhangDepartment of Urology, the Third Medical Centre, Chinese PLA General Hospital, Beijing, China. xzhang@foxmail.com.ORCID http://orcid.org/0000-0002-6908-6768
Chinese PLA General Hospital · CNAir Force General Hospital PLA · CNNankai University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA systematic review and meta-analysis was performed to compare the clinicopathological features and survival outcomes between sarcomatoid variant (SV)-urothelial carcinoma of the bladder (UCB) and conventional UCB (C-UCB).

methodsA comprehensive search of PubMed, Embase, and Cochrane Library was performed. Endpoints included clinicopathological features and survival outcomes (overall survival [OS], cancer-specific survival [CSS], and progression-free survival [PFS]). The survival benefits of neoadjuvant chemotherapy (NAC) or adjuvant chemotherapy (AC) for SV-UCB also have been studied.

resultsA total of 8 observational studies were included. Patients with SV-UCB had a higher rate of ≥ stage pT3 (odds ratio [OR], 2.06; 95% confidence interval [CI], 1.64-2.59; p < 0.001) and a lower rate of concomitant carcinoma in situ (OR, 0.25; 95% CI, 0.09-0.72; p = 0.010). The other clinicopathological variables were similar between SV-UCB and C-UCB. With unadjusted data, patients with SV-UCB had a significant inferior OS (HR, 1.24; 95% CI, 1.07-1.44; p = 0.004) and CSS (HR, 2.08; 95% CI, 1.63-2.66; p < 0.001). However, after adjusted, SV-UCB had worse OS (HR, 1.41; 95% CI, 0.95-2.08; p = 0.090) and CSS (HR, 1.54; 95% CI, 0.95-2.52; p = 0.080) approaching the borderline of significance. For SV-UCB, NAC (HR, 0.73; 95% CI, 0.51-1.05; p = 0.090) and AC (HR, 0.88; 95% CI, 0.66-1.17; p = 0.370) seemed to have no benefit on OS.

conclusionsCompared to C-UCB, SV-UCB was associated with more advanced disease and more inferior OS and CSS. NAC and AC had no survival benefit for SV-UCB.

Indexed as

Bladder cancerSarcomatoidSurvivalUrothelial carcinomaVariant histology

Identifiers

PMID33292281
PMCPMC7666462
OpenAlexW3106410216

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.