Evidence map›Paper›PMID 33943049›Full record

ArticleInvestigative and clinical urology2021

Association of immunohistochemical markers of tumor subtype with response to neoadjuvant chemotherapy and survival in patients with muscle-invasive bladder cancer.

Abolfazl Razzaghdoust, Mahdi Ghajari, Abbas Basiri, Peyman Mohammadi Torbati, Anya Jafari, Mohammad Reza Fattahi, Maryam Salahi, Bahram Mofid

Abstract read
In one paragraph

Article in Investigative and clinical urology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–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

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

8 authors.

Abolfazl Razzaghdoust *Urology and Nephrology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.ORCID 0000-0002-2619-3774
Mahdi Ghajari *Department of Oncology, Shohada-e-Tajrish Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.ORCID 0000-0002-2298-5731
Abbas Basiri *Urology and Nephrology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.ORCID 0000-0002-8101-8151
Peyman Mohammadi TorbatiDepartment of Pathology, Labbafinejad Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.ORCID 0000-0002-7495-6764
Anya JafariDepartment of Oncology, Shohada-e-Tajrish Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.ORCID 0000-0001-7175-0034
Mohammad Reza FattahiNephrology and Urology Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.ORCID 0000-0002-5619-396X
Maryam SalahiDepartment of Oncology, Shohada-e-Tajrish Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.ORCID 0000-0002-9401-829X
Bahram MofidUrology and Nephrology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. mofid429@sbmu.ac.ir.ORCID 0000-0003-2151-3510

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeA readily accessible biomarker to identify which patients with bladder cancer are more likely to respond to neoadjuvant chemotherapy (NAC) could help clinicians avoid unnecessary chemotherapy and prevent its subsequent complications in some patients. The primary objective of this study was to investigate the association of immunohistochemical markers of tumor subtype with response to NAC and survival of patients with muscle-invasive bladder cancer (MIBC). MATERIALS AND

methodsMIBC patients treated with NAC were retrospectively included. The tissue microarrays were assembled from transurethral resection of bladder tumor (TURBT) specimens and immunohistochemistry (IHC) was performed. The association of independent variables, including IHC markers, and clinical covariates with clinical complete response to NAC and with overall survival was assessed by using logistic regression and Cox proportional hazard regression analysis, respectively. Kaplan-Meier curves were plotted for different IHC-based tumor subtypes.

resultsData from 140 MIBC patients treated with NAC were retrospectively reviewed. A total of 63 patients with available TURBT specimens were eligible to be included in the analysis. Our results showed that the IHC signature of KRT5/6(+)/KRT20(-), as a combined marker of basal subtype, was the only covariate significantly associated with complete response to NAC (p=0.037). Moreover, we found no statistically significant differences in overall survival between different IHC-based subtypes (p=0.721).

conclusionsThe IHC expression of KRT5/6 and KRT20, as a readily accessible combined marker, may help us to identify the patients most likely to benefit from chemotherapy. The clinical utility of this marker needs to be established in larger prospective studies.

Indexed as

Chemotherapy, AdjuvantCystectomyNeoadjuvant TherapyAgedAntineoplastic AgentsBiomarkersFemaleHumansImmunohistochemistryKeratin-20Keratin-5Keratin-6Logistic ModelsMaleMiddle AgedNeoplasm InvasivenessAntineoplastic AgentsBiomarkersKeratin-20Keratin-5Keratin-6KRT20 protein, humanKRT5 protein, humanKRT6A protein, humanBiomarkerBladder cancerChemotherapyImmunohistochemistry

Identifiers

PMID33943049
PMCPMC8100015

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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.