Evidence map›Paper›PMID 38353743›Full record

ArticleWorld journal of urology2024

Experts' recommendations in laser use for the treatment of bladder cancer: a comprehensive guide by the European Section of Uro-Technology (ESUT) and Training and Research in Urological Surgery and Technology (TRUST)-Group.

Gernot Ortner, Selcuk Güven, Bhaskar Kumar Somani, Andre Nicklas, Jeremy Yuen-Chun Teoh, Ioannis Kartalas Goumas, Thorsten Bach, Fernando Gómez Sancha, Felipe C A Figueredo, Mario W Kramer and 18 more

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Article in World journal of urology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
4.0field-weighted citation impact, top 7% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. 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

28 authors at 20 institutions in 15 countries.

Gernot OrtnerDepartment of Urology and Andrology, General Hospital Hall I.T, Milser Straße 10, 6060, Hall in Tirol, Austria. gerni_o@hotmail.com.ORCID http://orcid.org/0000-0002-2454-6599
Selcuk GüvenDepartment of Urology, Meram School of Medicine, Necmettin Erbakan University, Konya, Turkey.
Bhaskar Kumar SomaniDepartment of Urology, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
Andre NicklasDepartment of Urology and Andrology, General Hospital Hall I.T, Milser Straße 10, 6060, Hall in Tirol, Austria.
Jeremy Yuen-Chun TeohS.H. Ho Urology Centre, Department of Surgery, The Chinese University of Hong Kong, Hong Kong, China.
Ioannis Kartalas GoumasDepartment of Urology, Istituto Clinico Beato Matteo, Vigevano, Italy.
Thorsten BachDepartment of Urology, Asklepios Westklinikum Rissen, Hamburg, Germany.
Fernando Gómez SanchaDepartment of Urology, ICUA-Clínica CEMTRO, Madrid, Spain.
Felipe C A FigueredoInstituto da Próstata Aumentada, Hospital Pompéia, Caxias do Sul, Brazil.
Mario W KramerDepartment of Urology, University Hospital Schleswig-Holstein (Campus Lübeck), Lübeck, Germany.
Giorgio BozziniDepartment of Urology, ASST Lariana, Como, Italy.
Øyvind UlvikDepartment of Urology, Haukeland University Hospital, Bergen, Norway.
Panagiotis KallidonisDepartment of Urology, University of Patras, Patras, Greece.
Jean Baptiste RocheDepartment of Urology, Clinique Saint-Augustin, Bordeaux, France.
Arkadiusz MiernikDepartment of Urology, Faculty of Medicine, Medical Center, University of Freiburg, Freiburg, Germany.
Dmitry EnikeevDepartment of Urology, Medical University of Vienna, Vienna, Austria.
Chandra Mohan VaddiDepartment of Urology, Preeti Urology & Kidney Hospital, Hyderabad, India.
Naeem BhojaniDivision of Urology, Centre Hospitalier de l'Université de Montréal, Université de Montréal, Montreal, QC, Canada.
Petros Sountoulides1st Department of Urology, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Lukas LusuardiDepartement of Urology, Paracelsus Medical University, Salzburg, Austria.
Joyce BaardDepartment of Urology, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Vineet GauharDepartment of Urology, Ng Teng Fong General Hospital, Singapore, Singapore.
Ali AhmedDepartment of Urology, Frimley Health, NHS Foundation Trust, Frimley, UK.
Christopher NetschDepartment of Urology, Asklepios Klinik Barmbek, Hamburg, Germany.
Ali Serdar GözenDepartment of Urology, Medius Kliniken, Ruit, Baden-Württemberg, Germany.
Udo NageleDepartment of Urology and Andrology, General Hospital Hall I.T, Milser Straße 10, 6060, Hall in Tirol, Austria.
Thomas R W HerrmannTraining and Research in Urological Surgery and Technology (TRUST)-Group, Hall in Tirol, Austria.
Theodoros TokasTraining and Research in Urological Surgery and Technology (TRUST)-Group, Hall in Tirol, Austria.
Tirol Kliniken · ATAmsterdam University Medical Centers · NLAristotle University of Thessaloniki · GRAsklepios · DEAsklepios Klinik Barmbek · DEAzienda Socio Sanitaria Territoriale Lariana · ITCentre Hospitalier de l’Université de Montréal · CAChinese University of Hong Kong · HKClínica Rementería · ESClinique du Sport · FRFrimley Health NHS Foundation Trust · GBHaukeland University Hospital · NONecmettin Erbakan University · TRNg Teng Fong General Hospital · SGParacelsus Medical University · ATSechenov University · RUSpital Thurgau (Switzerland) · CHUMIT - Private Universität für Gesundheitswissenschaften, Medizinische Informatik und Technik · ATUniversity Hospital Schleswig-Holstein · DEUniversity Hospital Southampton NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo identify laser settings and limits applied by experts during laser vaporization (vapBT) and laser en-bloc resection of bladder tumors (ERBT) and to identify preventive measures to reduce complications.

methodsAfter a focused literature search to identify relevant questions, we conducted a survey (57 questions) which was sent to laser experts. The expert selection was based on clinical experience and scientific contribution. Participants were asked for used laser types, typical laser settings during specific scenarios, and preventive measures applied during surgery. Settings for a maximum of 2 different lasers for each scenario were possible. Responses and settings were compared among the reported laser types.

resultsTwenty-three of 29 (79.3%) invited experts completed the survey. Thulium fiber laser (TFL) is the most common laser (57%), followed by Holmium:Yttrium-Aluminium-Garnet (Ho:YAG) (48%), continuous wave (cw) Thulium:Yttrium-Aluminium-Garnet (Tm:YAG) (26%), and pulsed Tm:YAG (13%). Experts prefer ERBT (91.3%) to vapBT (8.7%); however, relevant limitations such as tumor size, number, and anatomical tumor location exist. Laser settings were generally comparable; however, we could find significant differences between the laser sources for lateral wall ERBT (p = 0.028) and standard ERBT (p = 0.033), with cwTm:YAG and pulsed Tm:YAG being operated in higher power modes when compared to TFL and Ho:YAG. Experts prefer long pulse modes for Ho:YAG and short pulse modes for TFL lasers.

conclusionTFL seems to have replaced Ho:YAG and Tm:YAG. Most laser settings do not differ significantly among laser sources. For experts, continuous flow irrigation is the most commonly applied measure to reduce complications.

Indexed as

AluminumThuliumUrinary Bladder NeoplasmsYttriumHumansLasersTechnologyAluminumThuliumYttriumyttrium-aluminum-garnetBladder cancerEn-blocLaserSettingsSurveyVaporization

Identifiers

PMID38353743
OpenAlexW4391817418

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.