Evidence map›Paper›PMID 35158886›Full record

ArticleCancers2022

The Role of New Technologies in the Diagnosis and Surveillance of Non-Muscle Invasive Bladder Carcinoma: A Prospective, Double-Blinded, Monocentric Study of the XPERT© Bladder Cancer Monitor and Narrow Band Imaging© Cystoscopy.

Gad Singer, Venkat M Ramakrishnan, Uwe Rogel, Andreas Schötzau, Daniel Disteldorf, Philipp Maletzki, Jean-Pascal Adank, Marc Hofmann, Tilo Niemann, Sylvia Stadlmann and 3 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 11% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Review
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  5. Review
  6. Article
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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

13 authors at 2 institutions in 2 countries.

Gad SingerInstitute of Pathology, Kantonsspital Baden, CH-5404 Baden, Switzerland.ORCID 0000-0001-8090-7267
Venkat M RamakrishnanDivision of Urology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA.
Uwe RogelInstitute of Pathology, Kantonsspital Baden, CH-5404 Baden, Switzerland.
Andreas SchötzauEudox Statistics, CH-4000 Basel, Switzerland.
Daniel DisteldorfDepartment of Surgery, Division of Urology, Kantonsspital Baden, CH-5404 Baden, Switzerland.
Philipp MaletzkiDepartment of Surgery, Division of Urology, Kantonsspital Baden, CH-5404 Baden, Switzerland.
Jean-Pascal AdankDepartment of Surgery, Division of Urology, Kantonsspital Baden, CH-5404 Baden, Switzerland.
Marc HofmannDepartment of Surgery, Division of Urology, Kantonsspital Baden, CH-5404 Baden, Switzerland.
Tilo NiemannDepartment of Radiology, Kantonsspital Baden, CH-5404 Baden, Switzerland.ORCID 0000-0002-5384-2522
Sylvia StadlmannDivision of Urology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA.
Antonio NocitoDepartment of Surgery, Kantonsspital Baden, CH-5404 Baden, Switzerland.
Kurt LehmannDepartment of Surgery, Division of Urology, Kantonsspital Baden, CH-5404 Baden, Switzerland.
Lukas J HefermehlDepartment of Surgery, Division of Urology, Kantonsspital Baden, CH-5404 Baden, Switzerland.
Kantonsspital Baden · CHBrigham and Women's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Follow-up is essential for the early detection of recurrent non-muscle invasive bladder cancers (NMIBC). This study investigates the clinical relevance of new diagnostic tools such as an mRNA-based urine test (XPERT© Bladder Cancer Monitor, XBCM) and Narrow Band Imaging© (NBI) and compares them with the established follow-up diagnostics (white-light cystoscopy (WLC) and urine cytology). This was a prospective, double-blind, single-center study that involved patients undergoing NMIBC screening at a tertiary care center. Enrollment occurred between January 2018 and March 2020. In addition to standard care (WLC, cytology, and ultrasound), patients underwent XBCM urine testing and NBI cystoscopy. In total, 301 WLCs were performed; through this, 49 patients demonstrated NMIBC recurrence. NBI cystoscopy was congruent with WLC in all patients. Cytology showed a sensitivity (SE) and specificity (SP) of 27% and 97% (PPV: 65%; NPV 87%), respectively, whereas XBCM showed SE and SP of 58% and 89%, respectively (PPV: 51%; NPV: 92%; AUC: 0.79 (0.716-0.871)). Subgroup analysis showed improved SE and similar SP (PPV, NPV) for high grade (HG) recurrence, with a SE of 74% and SP of 89% (39%, 97%). NBI cystoscopy does not necessarily provide additional benefit over standard WLC. However, the XBCM may provide better SE and a diagnostic advantage in instances of HG disease recurrence.

Indexed as

biomarkerbladder carcinomamRNAnarrow band imagingsurveillancetesturineXPERT

Identifiers

PMID35158886
PMCPMC8833571
OpenAlexW4210362829

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.