Evidence map›Paper›PMID 36811732›Full record

ArticleWorld journal of urology2023

Efficacy of hyperthermic intravesical chemotherapy (HIVEC) in patients with non-muscle invasive bladder cancer after BCG failure.

Géraldine Pignot, Michael Baboudjian, Cédric Lebacle, Alexandre Chamouni, Eric Lechevallier, Jacques Irani, Xavier Tillou, Thibaut Waeckel, Arnaud Monges, Laure Doisy and 5 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in World journal of urology, 2023. 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
4.8field-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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. Review
  8. Device-Assisted Therapy in Non-Muscle-Invasive Bladder Cancer.Bladder cancer (Amsterdam, Netherlands) · 2024
    Review
  9. 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

15 authors at 5 institutions in 1 country.

Géraldine PignotDepartment of Surgical Oncology 2, Institut Paoli Calmettes Cancer Center, 232 Boulevard de Ste Marguerite, 13009, Marseille, France. pignotg@ipc.unicancer.fr.ORCID http://orcid.org/0000-0001-5282-9134
Michael BaboudjianDepartment of Urology and Kidney Transplantation, Aix-Marseille University, APHM, Conception Academic Hospital, Marseille, France.
Cédric LebacleDepartment of Urology, Kremlin-Bicêtre Academic Hospital, Bicêtre, France.
Alexandre ChamouniDepartment of Urology, Université de Paris, APHP, Saint Louis Hospital, Paris, France.
Eric LechevallierDepartment of Urology and Kidney Transplantation, Aix-Marseille University, APHM, Conception Academic Hospital, Marseille, France.
Jacques IraniDepartment of Urology, Kremlin-Bicêtre Academic Hospital, Bicêtre, France.
Xavier TillouDepartment of Urology, Centre Hospitalier Universitaire Caen, Caen, France.
Thibaut WaeckelDepartment of Urology, Centre Hospitalier Universitaire Caen, Caen, France.
Arnaud MongesDepartment of Urology, Polyclinique du Parc Rambot, Hôpital Privé de Provence, Aix-en-Provence, France.
Laure DoisyDepartment of Surgical Oncology 2, Institut Paoli Calmettes Cancer Center, 232 Boulevard de Ste Marguerite, 13009, Marseille, France.
Jochen WalzDepartment of Surgical Oncology 2, Institut Paoli Calmettes Cancer Center, 232 Boulevard de Ste Marguerite, 13009, Marseille, France.
Gwenaelle GravisDepartment of Medical Oncology, Institut Paoli Calmettes Cancer Center, Marseille, France.
Eric MoureyDepartment of Urology, University Hospital François Mitterrand, Dijon, France.
Céline DuperronDepartment of Urology, University Hospital François Mitterrand, Dijon, France.
Alexandra Masson-LecomteDepartment of Urology, Université de Paris, APHP, Saint Louis Hospital, Paris, France.
Institut Paoli-Calmettes · FRAix-Marseille Université · FRBicêtre Hospital · FRCentre Hospitalier Universitaire de Caen Normandie · FRUniversité Paris Cité · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate hyperthermic intravesical chemotherapy (HIVEC) efficacy regarding 1-year disease-free survival (RFS) rate and bladder preservation rate in patients with non-muscle invasive bladder cancer (NMIBC) who fail bacillus Calmette-Guérin (BCG) therapy.

methodsThis is a multicenter retrospective series from a national database (7 expert centers). Between January 2016 and October 2021, patients treated with HIVEC for NMIBC who failed BCG have been included in our study. These patients had a theoretical indication for cystectomy but were ineligible for surgery or refused it.

resultsA total of 116 patients treated with HIVEC and with a follow-up > 6 months were included in this study and retrospectively analyzed. The median follow-up was 20.6 months. The 12 month-RFS (recurrence-free survival) rate was 62.9%. The bladder preservation rate was 87.1%. Fifteen patients (12.9%) progressed to muscle infiltration, three of them having a metastatic disease at the time of progression. Predictive factors of progression were T1 stage, high grade and very high-risk tumors according to the EORTC classification.

conclusionChemohyperthermia using HIVEC achieved an RFS rate of 62.9% at 1 year and enabled a bladder preservation rate of 87.1%. However, the risk of progression to muscle-invasive disease is not negligible, particularly for patients with very high-risk tumors. In these patients who fail BCG, cystectomy should remain the standard of care and HIVEC may be discussed cautiously for patients who are not eligible for surgery and well informed of the risk of progression.

Indexed as

Non-Muscle Invasive Bladder NeoplasmsUrinary Bladder NeoplasmsAdjuvants, ImmunologicAdministration, IntravesicalBCG VaccineDisease-Free SurvivalHumansNeoplasm InvasivenessNeoplasm Recurrence, LocalRetrospective StudiesAdjuvants, ImmunologicBCG VaccineBCG-unresponsiveBladder cancerChemohyperthermiaCystectomyProgressionRecurrence

Identifiers

PMID36811732
OpenAlexW4321482563

What OpenQuestion holds

Textmetadata
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.