Evidence map›Paper›PMID 38371203›Full record

ArticleBJUI compass2024

New risk stratification for adjuvant nivolumab for high-risk muscle-invasive urothelial carcinoma.

Takafumi Saito, Kent Kanao, Kazuhiro Matsumoto, Keishiro Fukumoto, Daisuke Igarashi, Takayuki Takahashi, Go Kaneko, Suguru Shirotake, Koshiro Nishimoto, Ryuichi Mizuno and 4 more

Open access · goldAbstract read
In one paragraph

Article in BJUI compass, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 28% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Pooled it
  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

14 authors at 4 institutions in 1 country.

Takafumi SaitoDepartment of Uro-Oncology Saitama Medical University International Medicine Center Saitama Japan.
Kent KanaoDepartment of Uro-Oncology Saitama Medical University International Medicine Center Saitama Japan.ORCID https://orcid.org/0000-0001-8766-4376
Kazuhiro MatsumotoDepartment of Urology Keio University School of Medicine Tokyo Japan.
Keishiro FukumotoDepartment of Urology Kawasaki Municipal Hospital Kawasaki Japan.
Daisuke IgarashiDepartment of Uro-Oncology Saitama Medical University International Medicine Center Saitama Japan.
Takayuki TakahashiDepartment of Uro-Oncology Saitama Medical University International Medicine Center Saitama Japan.
Go KanekoDepartment of Uro-Oncology Saitama Medical University International Medicine Center Saitama Japan.
Suguru ShirotakeDepartment of Uro-Oncology Saitama Medical University International Medicine Center Saitama Japan.
Koshiro NishimotoDepartment of Uro-Oncology Saitama Medical University International Medicine Center Saitama Japan.
Ryuichi MizunoDepartment of Urology Keio University School of Medicine Tokyo Japan.
Masaru IshidaDepartment of Urology Saiseikai Yokohamashi Tobu Hospital Tokyo Japan.
Satoshi HaraDepartment of Urology Kawasaki Municipal Hospital Kawasaki Japan.
Mototsugu OyaDepartment of Urology Keio University School of Medicine Tokyo Japan.
Masafumi OyamaDepartment of Uro-Oncology Saitama Medical University International Medicine Center Saitama Japan.ORCID https://orcid.org/0000-0002-4887-5522
Saitama International Medical Center · JPKeio University · JPKawasaki Municipal Hospital · JPSaiseikai Central Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: We aim to evaluate the risk of recurrence after neoadjuvant chemotherapy followed by radical cystectomy, particularly in ypT2 disease in patients with urothelial carcinoma, because it is not clear if all eligible patients with high-risk muscle-invasive urothelial carcinoma should be treated with adjuvant nivolumab. Materials and Methods: We analysed the radiological and clinicopathological features, including cT and ypT stages, of 197 patients who had undergone two to four cycles of cisplatin-based neoadjuvant chemotherapy and radical cystectomy without adjuvant chemotherapy. We stratified the risk of postoperative recurrence by these factors. Results: The median observation period was 29.6 (interquartile range, 11.4-71.7) months, and disease recurrence was observed in 58 patients. Multivariate analysis revealed that ypT stage ( Conclusion: Patients with cT2 and ypT2 stage have a relatively low risk of recurrence and thus have a lower need for adjuvant nivolumab, particularly those with ypT2.

Indexed as

adjuvant therapyimmune‐related adverse eventsneoadjuvant therapynivolumaburinary bladder neoplasms

Identifiers

PMID38371203
PMCPMC10869665
OpenAlexW4388188903

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.