Evidence map›Paper›PMID 35997906›Full record

ArticleInternational urology and nephrology2022

Survival outcomes of patients with muscle-invasive bladder cancer according to pathological response at radical cystectomy with or without neo-adjuvant chemotherapy: a case-control matching study.

Noor van Ginkel, Tom J N Hermans, Dennie Meijer, Joost L Boormans, Jens Voortman, Laura Mertens, Sytse C van Beek, André N Vis, Dutch Cystectomy Snapshot Research Group

Open access · hybridAbstract read
In one paragraph

Article in International urology and nephrology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
4.4field-weighted citation impact, top 5% 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

13 citing papers in PubMed, 22 citations in OpenAlex.

  1. Phase II Trial of Risk-Enabled Therapy After Neoadjuvant Chemotherapy for Muscle-Invasive Bladder Cancer (RETAIN 1).Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2025
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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

9 authors at 3 institutions in 1 country.

Noor van GinkelDepartment of Urology, Amsterdam University Medical Center, Location VUmc, De Boelelaan 1117, Postbus 7057, 1007 MB, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0003-3287-8603
Tom J N HermansDepartment of Urology, Maastricht University Medical Centre, Maastricht, The Netherlands.
Dennie MeijerDepartment of Urology, Amsterdam University Medical Center, Location VUmc, De Boelelaan 1117, Postbus 7057, 1007 MB, Amsterdam, The Netherlands.
Joost L BoormansDepartment of Urology, Erasmus University Medical Centre, Rotterdam, The Netherlands.
Jens VoortmanDepartment of Medical Oncology, Amsterdam UMC, Location VUmc, Amsterdam, The Netherlands.
Laura MertensDepartment of Urology, Netherlands Cancer Institute, Amsterdam, The Netherlands.
Sytse C van Beek *Department of Urology, Erasmus University Medical Centre, Rotterdam, The Netherlands.
André N Vis *Department of Urology, Amsterdam University Medical Center, Location VUmc, De Boelelaan 1117, Postbus 7057, 1007 MB, Amsterdam, The Netherlands. a.vis@amsterdamumc.nl.ORCID http://orcid.org/0000-0003-3419-3368
Dutch Cystectomy Snapshot Research Group
The Netherlands Cancer Institute · NLAmsterdam University Medical Centers · NLMaastricht University Medical Centre · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess survival of patients with muscle-invasive bladder cancer (MIBC) who underwent radical cystectomy (RC) with or without neo-adjuvant chemotherapy (NAC) according to the pathological response at RC.

methods965 patients with MIBC (cT2-4aN0M0) who underwent RC with or without NAC were analyzed. Among the collected data were comorbidity, clinical and pathological tumor stage, tumor grade, nodal status (y)pN, and OS. Case-control matching of 412 patients was performed to compare oncological outcomes. Kaplan-Meier curves were created to estimate OS for patients who underwent RC with or without NAC, and for those with complete response (pCR), partial response (pPR), or residual or progressive disease (PD).

resultsPatients with a pCR or pPR at RC, with or without NAC, had better OS than patients who had PD (both p values < 0.001). Moreover, the incidence of pCR was significantly higher in patients receiving NAC prior to RC than in patients undergoing RC only (31% versus 15%, respectively; p < 0.001). Case-control matching displayed better OS of patients who underwent RC with NAC, median survival not reached, than of those who underwent RC only, median 4.5 years (p = 0.023).

conclusionsThis study showed that patients with MIBC who underwent NAC with RC had a significant better OS than those who underwent RC only. The proportion of patients with a pCR was higher in those who received NAC and RC than in those who were treated by RC only. The favorable OS rate in the NAC and RC cohort was probably attributed to the higher observed pCR rate.

Indexed as

CystectomyUrinary Bladder NeoplasmsCase-Control StudiesChemotherapy, AdjuvantHumansMusclesNeoadjuvant TherapyNeoplasm InvasivenessRetrospective StudiesChemotherapyMuscle-invasive bladder cancerPrognosisResponse

Identifiers

PMID35997906
PMCPMC9606088
OpenAlexW4292840454

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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.