Evidence map›Paper›PMID 34117682›Full record

ArticleInternational journal of clinical practice2021

Impact of delay in cystoscopic surveillance on recurrence and progression rates in patients with non-muscle-invasive bladder cancer during the COVID-19 pandemic.

Meftun Culpan, Ferhat Keser, Hazal Cansu Acar, Alper Otunctemur, Eyup Veli Kucuk, Selcuk Erdem, Murat Ozer, Ugur Tolga Sen, Enes Degirmenci, Rifat Ergul and 2 more

Open access · greenAbstract read
In one paragraph

Article in International journal of clinical practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
3.6field-weighted citation impact, top 7% 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

14 citing papers in PubMed, 20 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 5 institutions in 1 country.

Meftun CulpanDepartment of Urology, Faculty of Medicine, Istanbul Medeniyet University, Istanbul, Turkey.ORCID https://orcid.org/0000-0001-8573-1192
Ferhat KeserDepartment of Urology, Faculty of Medicine, Istanbul Medeniyet University, Istanbul, Turkey.
Hazal Cansu AcarDepartment of Public Health, Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul, Turkey.
Alper OtunctemurDepartment of Urology, Prof. Dr. Cemil Tascioglu City Hospital, University of Health Sciences, Istanbul, Turkey.
Eyup Veli KucukDepartment of Urology, Istanbul Umraniye Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.
Selcuk ErdemDepartment of Urology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.ORCID https://orcid.org/0000-0002-3514-1394
Murat OzerDepartment of Urology, Prof. Dr. Cemil Tascioglu City Hospital, University of Health Sciences, Istanbul, Turkey.
Ugur Tolga SenDepartment of Urology, Istanbul Umraniye Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.
Enes DegirmenciDepartment of Urology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Rifat ErgulDepartment of Urology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Ramazan Gokhan AtisDepartment of Urology, Faculty of Medicine, Istanbul Medeniyet University, Istanbul, Turkey.
Asif YildirimDepartment of Urology, Faculty of Medicine, Istanbul Medeniyet University, Istanbul, Turkey.
Istanbul Medeniyet University · TRIstanbul University · TRSağlık Bilimleri Üniversitesi · TRÜmraniye Eğitim ve Araştırma Hastanesi · TRIstanbul University-Cerrahpaşa · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the impact of delay in cystoscopic surveillance on recurrence and progression rates in non-muscle-invasive bladder cancer (NMIBC). MATERIALS AND

methodsA total of 407 patients from four high-volume centres with NMIBC that applied for follow-up cystoscopy were included in our study prospectively. Patients' demographics and previous tumour characteristics, the presence of tumour in follow-up cystoscopy, the pathology results of the latest transurethral resection of bladder tumour (if tumour was detected) and the delay in cystoscopy time were recorded. Our primary outcomes were tumour recurrences detected by follow-up cystoscopy and progression. Multivariate logistic regression analysis was performed using the possible factors identified with univariate analyses (P values ≤ .2).

resultsA total of 105 patients (25.8%) had tumour recurrence in follow-up cystoscopy, and 20 (5.1%) of these patients had disease progression according to grade or stage. In multivariate analysis, the number of recurrences (OR: 1.307, P < .001) and the cystoscopy delay time (62-147 days, OR: 2.424, P = .002; >147 days, OR: 4.883, P < .001) were significant risk factors for tumour recurrence on follow-up cystoscopy; the number of recurrences (OR: 1.255, P = .024) and cystoscopy delay time (>90 days, OR: 6.704, P = .002) were significant risk factors for tumour progression.

conclusionsThis study showed that a 2-5 months of delay in follow-up cystoscopy increases the risk of recurrence by 2.4-fold, and delay in cystoscopy for more than 3 months increases the probability of progression by 6.7-fold. We suggest that cystoscopic surveillance should be done during the COVID-19 pandemic according to the schedule set by relevant guidelines.

Indexed as

COVID-19Urinary Bladder NeoplasmsCystoscopyHumansNeoplasm InvasivenessNeoplasm Recurrence, LocalPandemicsSARS-CoV-2

Identifiers

PMID34117682
PMCPMC8420249
OpenAlexW3171957010

What OpenQuestion holds

Textmetadata
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.