Evidence map›Paper›PMID 34337509›Full record

ArticleEuropean urology open science2021

Long-term Follow-up After En Bloc Transurethral Resection of Non-muscle-invasive Bladder Cancer: Results from a Single-center Experience.

Marco Paciotti, Paolo Casale, Piergiuseppe Colombo, Vittorio Fasulo, Alberto Saita, Giovanni Lughezzani, Roberto Contieri, Nicolò Maria Buffi, Massimo Lazzeri, Giorgio Guazzoni and 1 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in European urology open science, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06281080 (First-in-Human Trial of a Novel Endoluminal Robotic System for En-Bloc Resection of Bladder Tumours), which is not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.3field-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.

NCT06281080 narecruitingnot on this mapstarted 2024, after this paper: background citation

First-in-Human Trial of a Novel Endoluminal Robotic System for En-Bloc Resection of Bladder Tumours

TypeinterventionalSponsorChinese University of Hong KongRan2024 to 2026Enrolled10ConditionsBladder CancerArmsEn-Bloc Resection of Bladder Tumours
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 17 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

11 authors at 3 institutions in 1 country.

Marco PaciottiDepartment of Urology, Humanitas Clinical and Research Hospital - IRCCS, Rozzano, MI, Italy.
Paolo CasaleDepartment of Urology, Humanitas Clinical and Research Hospital - IRCCS, Rozzano, MI, Italy.
Piergiuseppe ColomboDepartment of Pathology, Humanitas Clinical and Research Hospital - IRCCS, Rozzano, MI, Italy.
Vittorio FasuloDepartment of Urology, Humanitas Clinical and Research Hospital - IRCCS, Rozzano, MI, Italy.
Alberto SaitaDepartment of Urology, Humanitas Clinical and Research Hospital - IRCCS, Rozzano, MI, Italy.
Giovanni LughezzaniDepartment of Urology, Humanitas Clinical and Research Hospital - IRCCS, Rozzano, MI, Italy.
Roberto ContieriDepartment of Urology, Humanitas Clinical and Research Hospital - IRCCS, Rozzano, MI, Italy.
Nicolò Maria BuffiDepartment of Urology, Humanitas Clinical and Research Hospital - IRCCS, Rozzano, MI, Italy.
Massimo LazzeriDepartment of Urology, Humanitas Clinical and Research Hospital - IRCCS, Rozzano, MI, Italy.
Giorgio GuazzoniDepartment of Urology, Humanitas Clinical and Research Hospital - IRCCS, Rozzano, MI, Italy.
Rodolfo HurleDepartment of Urology, Humanitas Clinical and Research Hospital - IRCCS, Rozzano, MI, Italy.
Humanitas University · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITIRCCS Humanitas Research Hospital · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEn bloc resection (ERBT) is a valid alternative to piecemeal resection for non-muscle-invasive bladder cancer (NMIBC), guaranteeing pathological outcomes. However, very few studies investigated long-term oncological outcomes of ERBT.

objectiveTo report long-term oncological outcome of ERBT. DESIGN SETTING AND

participantsThis is a retrospective analysis of prospectively collected data. We included patients who underwent ERBT from June 2010 to February 2014, and were diagnosed with NMIBC at pathology evaluation. OUTCOME MEASUREMENTS AND STATISTICAL ANALYSIS: The primary study endpoint was recurrence-free survival at 5 yr. Secondary outcomes were presence of detrusor muscle, recurrence rate at the first follow-up cystoscopy, progression to muscle-invasive bladder cancer (MIBC) at 5 yr, and factors associated with long-term oncological outcomes. Kaplan-Meier curves were used to describe recurrence-free survival time. A univariate analysis was used to investigate factors associated with recurrence. RESULTS AND LIMITATIONS: Overall, 74 patients were included in this study. The median age was 71 (66-76) yr. Most of the patients presented with only one bladder tumor, and the median tumor diameter was 2 (interquartile range [IQR] 1-2.5) cm. After histopathological examination, eight, 35, and 31 patients were diagnosed with low-, intermediate-, and high-risk disease, respectively. All the en bloc resected tumors showed the presence of detrusor muscle. The median follow-up was 72 (IQR 66-90) mo. The recurrence rate at the first follow-up cystoscopy was 5.4% (four out of 74 patients). Overall, 57 (77%) patients were free of recurrence at 5 yr. No progression to MIBC was observed: progression-free survival was 100%. Limitations include retrospective design and small size.

conclusionsOur findings showed that ERBT for NMIBC presents an optimal long-term oncological outcome. Further studies with larger cohorts are necessary for confirming our preliminary results and for a direct comparison with the traditional piecemeal resection. PATIENT SUMMARY: In case of superficial bladder tumors, transurethral resection of the entire tumor and its base in one piece seems to provide good long-term results in terms of recurrence and progression rates.

Indexed as

En bloc resectionHigh grade non–muscle-invasive bladder cancerLong-term outcomesNon–muscle-invasive bladder cancerTransurethral resection of bladder tumor

Identifiers

PMID34337509
PMCPMC8317892
OpenAlexW3131736599

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Registered trials

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.