Evidence map›Paper›PMID 34084118›Full record

ReviewCurrent urology2021

Comparison of the clinical usefulness of different urinary tests for the initial detection of bladder cancer: a systematic review.

Alessandro Sciarra, Giovanni Di Lascio, Francesco Del Giudice, Pier Paolo Leoncini, Stefano Salciccia, Alessandro Gentilucci, Angelo Porreca, Benjamin I Chung, Giovanni Di Pierro, Gian Maria Busetto and 2 more

Open access · diamondAbstract readReview
In one paragraph

Review in Current urology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
4.4field-weighted citation impact, top 5% 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

12 citing papers in PubMed, 27 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

12 authors at 4 institutions in 2 countries.

Alessandro SciarraDepartment of Urology, Sapienza Rome University, Policlinico Umberto I, Rome, Italy.
Giovanni Di LascioDepartment of Urology, Sapienza Rome University, Policlinico Umberto I, Rome, Italy.
Francesco Del GiudiceDepartment of Urology, Sapienza Rome University, Policlinico Umberto I, Rome, Italy.
Pier Paolo LeonciniDepartment of Pediatric Oncohematology and Cell and Gene Therapy, IRCCS "Bambino Gesu"' Children Hospital, Rome, Italy.
Stefano SalcicciaDepartment of Urology, Sapienza Rome University, Policlinico Umberto I, Rome, Italy.
Alessandro GentilucciDepartment of Urology, Sapienza Rome University, Policlinico Umberto I, Rome, Italy.
Angelo PorrecaDepartment of Urology, Policlinico Abano Terme, Abano Terme, Italy.
Benjamin I ChungDepartment of Urology, Stanford University Medical Center, Stanford, CA, USA.
Giovanni Di PierroDepartment of Urology, Sapienza Rome University, Policlinico Umberto I, Rome, Italy.
Gian Maria BusettoDepartment of Urology, Sapienza Rome University, Policlinico Umberto I, Rome, Italy.
Ettore De BerardinisDepartment of Urology, Sapienza Rome University, Policlinico Umberto I, Rome, Italy.
Martina MaggiDepartment of Urology, Sapienza Rome University, Policlinico Umberto I, Rome, Italy.
Policlinico Umberto I · ITBambino Gesù Children's Hospital · ITPoliclinico Abano Terme · ITStanford University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe standard initial approach in patients with hematuria or other symptoms suggestive of bladder cancer (BC) is a combination of cystoscopy and urine cytology (UC); however, UC has low sensitivity particularly in low-grade tumors. The aim of the present review was to critically analyze and compare results in the literature of promising molecular urinary tests for the initial diagnosis of BC.

methodsWe searched in the Medline and Cochrane Library databases for literature from January 2009 to January 2019, following the PRISMAguidelines.

resultsIn terms of sensitivity, ImmunoCyt showed the highest mean and median value, higher than UC. All tests analyses showed higher mean and median sensitivity when compared with UC. In terms of specificity, only UroVysion and Microsatellite analyses showed mean and median values similar to those of UC, whereas for all other tests, the specificity was lower than UC. It is evident that the sensitivity of UC is particularly low in low grade BC. Urinary tests mainly had improved sensitivity when compared to UC, and ImmunoCyt and UroVysion had the highest improvement in low grade tumors.

conclusionsMost of the proposed molecular markers were able to improve the sensitivity with similar or lower specificity when compared to UC. However, variability of results among the different studies was strong. Thus, as of now, none of these markers presented evidences so as to be accepted by international guidelines for diagnosis of BC.

Indexed as

Bladder cancerCytologyHematuriaMCM5Urinary markers

Identifiers

PMID34084118
PMCPMC8137038
OpenAlexW3147034086

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.