Evidence map›Paper›PMID 33786128›Full record

ArticleWideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques2021

En-bloc resection of urinary bladder tumour - a prospective controlled multicentre observational study.

Sławomir Poletajew, Wojciech Krajewski, Paweł Stelmach, Jan Adamowicz, Łukasz Nowak, Marco Moschini, Piotr Zapała, Tomasz Drewa, Andrzej Paradysz, Piotr Radziszewski and 2 more

Open access · goldAbstract read
In one paragraph

Article in Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
2.2field-weighted citation impact, top 12% 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, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Review
  6. Review
  7. En bloc transurethral resection of bladder tumors: A review of current techniques.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2022
    Review
  8. Age and risk of major complications in patients undergoing radical cystectomy for muscle invasive bladder cancer.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2021
    Article
  9. Review
  10. 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 6 institutions in 2 countries.

Sławomir PoletajewSecond Department of Urology, Centre of Postgraduate Medical Education, Warsaw, Poland.
Wojciech KrajewskiDepartment of Urology and Oncological Urology, Wroclaw Medical University, Wroclaw, Poland.
Paweł StelmachDepartment of Urology, School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia in Katowice, Poland.
Jan AdamowiczDepartment of Regenerative Medicine, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Poland.
Łukasz NowakDepartment of Urology and Oncological Urology, Wroclaw Medical University, Wroclaw, Poland.
Marco MoschiniDepartment of Urology, Luzerner Kantonsspital, Luzern, Switzerland.
Piotr ZapałaDepartment of General, Oncological and Functional Urology, Medical University of Warsaw, Warsaw, Poland.
Tomasz DrewaDepartment of Regenerative Medicine, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Poland.
Andrzej ParadyszDepartment of Urology, School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia in Katowice, Poland.
Piotr RadziszewskiDepartment of General, Oncological and Functional Urology, Medical University of Warsaw, Warsaw, Poland.
Romuald ZdrojowyDepartment of Urology and Oncological Urology, Wroclaw Medical University, Wroclaw, Poland.
Piotr KrystSecond Department of Urology, Centre of Postgraduate Medical Education, Warsaw, Poland.
Wroclaw Medical University · PLMedical University of Silesia · PLMedical University of Warsaw · PLNicolaus Copernicus University · PLPostgraduate School of Molecular Medicine · PLLuzerner Kantonsspital · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTransurethral resection of bladder tumour (TURBT) is one of the most commonly performed urologic procedures. Because of the shortcomings of conventional TURBT, the en-bloc resection concept was created.

aimTo analyse the influence of en-bloc technique on surgical and oncological outcomes of TURBT performed with electric current. MATERIAL AND

methodsThis non-randomized, prospective controlled multicentre study enrolled 427 consecutive patients undergoing TURBT performed by five experienced endourologists in five academic institutions. Choice of procedure was at the discretion of the surgeon. The vast majority of patients underwent monopolar resection. The en-bloc procedure was performed with Collin's knife or the classic resection loop. Study end-points were surgery, catheterization and hospitalization time, presence of muscularis propria (MP) in the specimen and 3-month recurrence-free survival (RFS).

resultsThe study included 427 (274 conventional TURBT vs. 153 en-bloc) patients with mean age of 69 years (range: 18-99). There were more cases with MP present in the specimen in the en-bloc group (91.3% vs. 75.5%; p < 0.001). Surgery and hospitalization times were statistically shorter in the en-bloc group (both p < 0.05). A borderline significant difference was noted when the number of residual tumours in reTURBTs was analysed, with fewer cases of residual tumour in the en-bloc group (p = 0.051). RFS at 3 months was higher in the en-bloc group (88.4% vs. 80.1%; p = 0.027). After propensity score matching, differences in MP presence, hospitalization time and 3-month RFS status remained statistically significant.

conclusionsWhen compared to conventional TURBT, en-bloc resection of bladder tumour is associated with higher percentage of MP presence in histopathological specimen, higher 3-month RFS and shorter hospitalization time.

Indexed as

bladder canceren-bloctransurethral resectiontransurethral resection of bladder tumour

Identifiers

PMID33786128
PMCPMC7991935
OpenAlexW3027458483

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.