Evidence map›Paper›PMID 37723173›Full record

ArticleScientific reports2023

Xpert bladder cancer monitor to predict the need for a second TURB (MoniTURB trial).

Johannes Breyer, Markus Eckstein, Danijel Sikic, Felix Wezel, Florian Roghmann, Mirco Brehmer, Ralph M Wirtz, Jonas Jarczyk, Philipp Erben, Veronika Bahlinger and 12 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 12% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
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

22 authors at 7 institutions in 1 country.

Johannes BreyerDepartment of Urology, Caritas St. Josef Medical Center, University of Regensburg, Landshuter Str. 65, 93053, Regensburg, Germany. johannes.breyer@ukr.de.
Markus EcksteinInstitute of Pathology, Comprehensive Cancer Center EMN, University Hospital Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany.
Danijel SikicDepartment of Urology and Pediatric Urology, Friedrich-Alexander-University Erlangen-Nuremberg, Erlangen, Germany.
Felix WezelDepartment of Urology and Pediatric Urology, University Hospital Ulm, Ulm, Germany.
Florian RoghmannDepartment of Urology, Marien Hospital, Ruhr-University Bochum, Herne, Germany.
Mirco BrehmerDepartment of Urology, Marien Hospital, Ruhr-University Bochum, Herne, Germany.
Ralph M WirtzStratifyer Molecular Pathology GmbH, Cologne, Germany.
Jonas JarczykDepartment of Urology and Urosurgery, University Hospital Mannheim Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany.
Philipp ErbenDepartment of Urology and Urosurgery, University Hospital Mannheim Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany.
Veronika BahlingerInstitute of Pathology, Comprehensive Cancer Center EMN, University Hospital Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany.
Franziska GoldschmidtDepartment of Urology and Pediatric Urology, University Hospital Bonn, Bonn, Germany.
Guido FechnerDepartment of Urology and Pediatric Urology, University Hospital Bonn, Bonn, Germany.
Jack ChenBiostatistics, Cepheid Inc., Sunnyvale, CA, USA.
Ellen PaxinosMedical and Scientific Affairs, Cepheid Inc., Sunnyvale, CA, USA.
Michael BatesMedical and Scientific Affairs, Cepheid Inc., Sunnyvale, CA, USA.
Maximilian HaasDepartment of Urology, Caritas St. Josef Medical Center, University of Regensburg, Landshuter Str. 65, 93053, Regensburg, Germany.
Friedemann ZengerlingDepartment of Urology and Pediatric Urology, University Hospital Ulm, Ulm, Germany.
Christian BolenzDepartment of Urology and Pediatric Urology, University Hospital Ulm, Ulm, Germany.
Maximilian BurgerDepartment of Urology, Caritas St. Josef Medical Center, University of Regensburg, Landshuter Str. 65, 93053, Regensburg, Germany.
Arndt HartmannInstitute of Pathology, Comprehensive Cancer Center EMN, University Hospital Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany.
Maximilian C KriegmairDepartment of Urology and Urosurgery, University Hospital Mannheim Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany.
BRIDGE Consortium e.V.
Target (Germany) · DEFriedrich-Alexander-Universität Erlangen-Nürnberg · DEHeidelberg University · DEUniversity Hospital Bonn · DEUniversitätsklinik Marien Hospital Herne · DEDie Johanniter · DESt. Elisabeth-Hospital Bochum · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To determine whether Xpert bladder cancer monitor, a noninvasive PCR-based biomarker test, can predict the need for 2nd transurethral resection of the bladder (TURB) better than clinical assessment. Patients scheduled for TURB were prospectively screened. After initial TURB, patients were assigned to 2nd TURB or follow-up cystoscopy at 3 months (FU) by clinicians' discretion. Central urine cytology and Xpert monitor tests were performed prior to the 1st TURB and 2nd TURB or FU, respectively. Statistical analysis to compare clinical assessment and Xpert monitor comprised sensitivity (SENS), specificity (SPEC), NPV and PPV. Of 756 screened patients, 171 were included (114 with 2nd TURB, 57 with FU). Residual tumors were detected in 34 patients who underwent 2nd TURB, and recurrent tumors were detected in 2 patients with FU. SENS and SPEC of Xpert monitor were 83.3% and 53.0%, respectively, PPV was 32.6% and NPV was 92.1%. Clinical risk assessment outperformed Xpert monitor. In patients with pTa disease at initial TURB, Xpert monitor revealed a NPV of 96%. Xpert monitor was not superior than clinical assessment in predicting the need for 2nd TURB. It might be an option to omit 2nd TURB for selected patients with pTa disease.

Indexed as

Urinary Bladder NeoplasmsCystoscopyHumansNeoplasm, ResidualPolymerase Chain ReactionUrinary Bladder

Identifiers

PMID37723173
PMCPMC10507065
OpenAlexW4386832518

What OpenQuestion holds

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LicenceCC BY
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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.