Evidence map›Paper›PMID 35347572›Full record

GuidelineClinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico2022

SEOM-SOGUG clinical guideline for localized muscle invasive and advanced bladder cancer (2021).

Begoña P Valderrama, Aránzazu González-Del-Alba, Rafael Morales-Barrera, Ignacio Peláez Fernández, Sergio Vázquez, Cristina Caballero Díaz, Montserrat Domènech, Ovidio Fernández Calvo, Alfonso Gómez de Liaño Lista, José Ángel Arranz Arija

Open access · hybridAbstract readPractice Guideline
In one paragraph

Guideline in Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico, 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
3.7field-weighted citation impact, top 6% 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, 17 citations in OpenAlex.

  1. SEOM-SOGUG clinical guideline for urothelial cancer (2025).Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Guideline
  2. Single-center analysis of a real-world cohort of patients with metastatic urothelial carcinoma evaluated by NGS: molecular landscape and efficacy of targeted therapies.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Article
  3. Review
  4. Article
  5. Outcomes with atezolizumab in metastatic urothelial cancer: real-world data from a single institution.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2024
    Review
  6. Article
  7. Review
  8. Article
  9. SEOM clinical guidelines (2021).Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2022
    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

10 authors at 10 institutions in 1 country.

Begoña P ValderramaMedical Oncology Department, Hospital Universitario Virgen del Rocío, Av. Manuel Siurot, s/n, 41013, Sevilla, Spain. bpvalderrama@gmail.com.ORCID http://orcid.org/0000-0003-0175-1263
Aránzazu González-Del-AlbaMedical Oncology Department, Hospital Universitario Puerta de Hierro Majadahonda, Madrid, Spain.
Rafael Morales-BarreraMedical Oncology Department, Vall d'Hebron Institute of Oncology, Vall d'Hebron University Hospital, Barcelona, Spain.
Ignacio Peláez FernándezMedical Oncology Department, Hospital Universitario de Cabueñes, Gijón, Asturias, Spain.
Sergio VázquezMedical Oncology Department, Hospital Universitario Lucus Augusti, Lugo, Spain.
Cristina Caballero DíazMedical Oncology Department, Hospital General Universitario de Valencia, CIBERONC (Centro de Investigación Biomédica de Red en Cáncer), Valencia, Spain.
Montserrat DomènechMedical Oncology Department, Medical Oncology Service, Hospital Fundació Althaia, Manresa, Spain.
Ovidio Fernández CalvoMedical Oncology Department, Complejo Hospitalario Universitario, Ourense, Spain.
Alfonso Gómez de Liaño ListaMedical Oncology Department, Complejo Hospitalario Universitario Insular-Materno Infantil, Las Palmas, Spain.
José Ángel Arranz ArijaMedical Oncology Department, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Althaia · ESCentro de Investigación Biomédica en Red de Cáncer · ESComplejo Hospitalario de Ourense · ESHospital General Universitario Gregorio Marañón · ESHospital Universitario De Cabueñes · ESHospital Universitario Insular de Gran Canaria · ESHospital Universitario Lucus Augusti · ESHospital Universitario Puerta de Hierro Majadahonda · ESHospital Universitario Virgen del Rocío · ESVall d'Hebron Hospital Universitari · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Most muscle-invasive bladder cancer (BC) are urothelial carcinomas (UC) of transitional origin, although histological variants of UC have been recognized. Smoking is the most important risk factor in developed countries, and the basis for prevention. UC harbors high number of genomic aberrations that make possible targeted therapies. Based on molecular features, a consensus classification identified six different MIBC subtypes. Hematuria and irritative bladder symptoms, CT scan, cystoscopy and transurethral resection are the basis for diagnosis. Radical cystectomy with pelvic lymphadenectomy is the standard approach for muscle-invasive BC, although bladder preservation is an option for selected patients who wish to avoid or cannot tolerate surgery. Perioperative cisplatin-based neoadjuvant chemotherapy is recommended for cT2-4aN0M0 tumors, or as adjuvant in patients with pT3/4 and or pN + after radical cystectomy. Follow-up is particularly important after the availability of new salvage therapies. It should be individualized and adapted to the risk of recurrence. Cisplatin-gemcitabine is considered the standard first line for metastatic tumors. Carboplatin should replace cisplatin in cisplatin-ineligible patients. According to the EMA label, pembrolizumab or atezolizumab could be an option in cisplatin-ineligible patients with high PD-L1 expression. For patients whose disease respond or did not progress after first-line platinum chemotherapy, maintenance with avelumab prolongs survival with respect to the best supportive care. Pembrolizumab also increases survival versus vinflunine or taxanes in patients with progression after chemotherapy who have not received avelumab, as well as enfortumab vedotin in those progressing to first-line chemotherapy followed by an antiPDL1/PD1. Erdafitinib may be considered in this setting in patients with FGFR alterations. An early onset of supportive and palliative care is always strongly recommended.

Indexed as

Carcinoma, Transitional CellUrinary Bladder NeoplasmsAntineoplastic Combined Chemotherapy ProtocolsCisplatinCystectomyHumansMusclesNeoadjuvant TherapyNeoplasm InvasivenessCisplatinBladder cancerMuscle-invasiveUrothelial

Identifiers

PMID35347572
PMCPMC8986688
OpenAlexW4221130864

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.