Evidence map›Paper›PMID 34724148›Full record

ArticleInternational journal of clinical pharmacy2022

Retrospective evaluation of the impact of non-oncologic chronic drug therapy on the survival in patients with bladder cancer.

Lisa Haimerl, Dorothea Strobach, Hanna Mannell, Christian G Stief, Alexander Buchner, Alexander Karl, Tobias Grimm

Open access · hybridAbstract read
In one paragraph

Article in International journal of clinical pharmacy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 23% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. 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

7 authors at 1 institution in 1 country.

Lisa HaimerlHospital Pharmacy, University Hospital LMU Munich, Marchioninistr.15, 81377, Munich, Germany. Lisa.Haimerl@med.uni-muenchen.de.ORCID http://orcid.org/0000-0002-4372-6974
Dorothea StrobachHospital Pharmacy, University Hospital LMU Munich, Marchioninistr.15, 81377, Munich, Germany.
Hanna MannellDoctoral Programme Clinical Pharmacy, University Hospital LMU Munich, Marchioninistr.15, 81377, Munich, Germany.
Christian G StiefDepartment of Urology, University Hospital LMU Munich, Marchioninistr.15, 81377, Munich, Germany.
Alexander BuchnerDepartment of Urology, University Hospital LMU Munich, Marchioninistr.15, 81377, Munich, Germany.
Alexander KarlDepartment of Urology, University Hospital LMU Munich, Marchioninistr.15, 81377, Munich, Germany.
Tobias GrimmDepartment of Urology, University Hospital LMU Munich, Marchioninistr.15, 81377, Munich, Germany.
LMU Klinikum · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Chronic drug therapy may impact recurrence and survival of patients with bladder cancer and thus be of concern regarding drug choice and treatment decisions. Currently, data are conflicting for some drug classes and missing for others. Objective To analyze the impact of common non-oncologic chronic drug intake on survival in patients with bladder cancer and radical cystectomy. Setting. Patients with bladder cancer and radical cystectomy (2004-2018) at the University Hospital Munich. Method Data from an established internal database with patients with bladder cancer and radical cystectomy were included in a retrospective study. Drug therapy at the time of radical cystectomy and survival data were assessed and follow-up performed 3 months after radical cystectomy and yearly until death or present. Impact on survival was analyzed for antihypertensive, antidiabetic, anti-gout, antithrombotic drugs and statins, using the Kaplan-Meier method, log-rank test and Cox-regression models. Main outcome measure Recurrence free survival, cancer specific survival and overall survival for users versus non-users of predefined drug classes. Results Medication and survival data were available in 972 patients. Median follow-up time was 22 months (IQR 7-61). In the univariate analysis, a significant negative impact among users on recurrence free survival (n = 93; p = 0.038), cancer specific survival (n = 116; p < 0.001) and overall survival (n = 116; p < 0.001) was found for calcium-channel blockers, whereas angiotensin-receptor-blockers negatively influenced overall survival (n = 96; p = 0.020), but not recurrence free survival (n = 73; p = 0.696) and cancer specific survival (n = 96; p = 0.406). No effect of angiotensin-receptor-blockers and calcium-channel blockers was seen in the multivariate analysis. None of the other studied drugs had an impact on survival. Conclusion There was no impact on bladder cancer recurrence and survival for any of the analyzed drugs. Considering our results and the controverse findings in the literature, there is currently no evidence to withhold indicated drugs or choose specific drug classes among the evaluated non-oncologic chronic drug therapies. Thus, prospective studies are required for further insight. Trail registration This is part of the trial DRKS00017080, registered 11.10.2019.

Indexed as

Urinary Bladder NeoplasmsAngiotensin Receptor AntagonistsAngiotensinsCalciumCystectomyFemaleHumansMaleNeoplasm Recurrence, LocalRetrospective StudiesTreatment OutcomeAngiotensin Receptor AntagonistsAngiotensinsCalciumBladder cancerCystectomyMedicationSurvivalUrothelial carcinoma

Identifiers

PMID34724148
PMCPMC9007758
OpenAlexW3210813105

What OpenQuestion holds

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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.