Evidence map›Paper›PMID 37509407›Full record

ArticleCancers2023

Diminished Short-Term Efficacy of Reduced-Dose Induction BCG in the Treatment of Non-Muscle Invasive Bladder Cancer.

David A Ostrowski, Raju R Chelluri, Matthew Herzig, Leilei Xia, Brian D Cortese, Daniel S Roberson, Thomas J Guzzo, Daniel J Lee, S Bruce Malkowicz

Abstract read
In one paragraph

Article in Cancers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. 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

9 authors.

David A OstrowskiDivision of Urology, Department of Surgery, University of Pennsylvania Health System, Philadelphia, PA 19104, USA.ORCID 0000-0001-9745-3599
Raju R ChelluriDivision of Urology and Urologic Oncology, Fox Chase Cancer Center, Philadelphia, PA 19111, USA.ORCID 0000-0002-5897-0056
Matthew HerzigDepartment of Medicine, Beth Israel Deaconess Medical Center, Boston, MA 02115, USA.
Leilei XiaDivision of Urology, Department of Surgery, University of Pennsylvania Health System, Philadelphia, PA 19104, USA.
Brian D CorteseDivision of Urology, Department of Surgery, University of Pennsylvania Health System, Philadelphia, PA 19104, USA.ORCID 0000-0002-8523-8151
Daniel S RobersonDivision of Urology, Department of Surgery, University of Pennsylvania Health System, Philadelphia, PA 19104, USA.
Thomas J GuzzoDivision of Urology, Department of Surgery, University of Pennsylvania Health System, Philadelphia, PA 19104, USA.
Daniel J LeeDivision of Urology, Department of Surgery, University of Pennsylvania Health System, Philadelphia, PA 19104, USA.
S Bruce MalkowiczDivision of Urology, Department of Surgery, University of Pennsylvania Health System, Philadelphia, PA 19104, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The ongoing Bacillus Calmette-Guérin (BCG) shortage has created challenges for the treatment of non-muscle invasive bladder cancer (NMIBCa). Our objective was to evaluate the efficacy of reduced-dose induction BCG (RD-iBCG) compared to full-dose induction BCG (FD-iBCG) regarding recurrence rates. We hypothesized that patients receiving RD-iBCG may recur at a higher rate compared to those who received FD-iBCG therapy. A retrospective review of all patients with NMIBCa treated with intravesical therapy at our institution between 2015-2020 was conducted. Inclusion criteria consisted of having a diagnosis of AUA intermediate or high-risk NMIBCa with an indication for a six-week induction course of FD or RD-BCG with at least 1 year of documented follow up. The data were censored at one year. Propensity score matching for age, sex, tumor pathology, and initial vs. recurrent disease was performed. The primary endpoint was bladder cancer recurrence, reported as recurrence-free survival. A total of 254 patients were reviewed for this study. Our final cohort was 139 patients after exclusion. Thirty-nine percent of patients had HGT1 disease. 38.6% of patients receiving RD-BCG developed a recurrence of bladder cancer within a one-year follow-up as compared to 33.7% of patients receiving FD therapy. After propensity matching, this value remained statistically significant (

Indexed as

bacillus Calmette-GuérinBCG shortagenon-muscle invasive bladder cancerreduced dose

Identifiers

PMID37509407
PMCPMC10377836

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.