Evidence map›Paper›PMID 38993215›Full record

ArticleBladder cancer (Amsterdam, Netherlands)2021

Early Bone Metastases are Associated with Worse Outcomes in Metastatic Urothelial Carcinoma.

Ariel A Nelson, Robert J Cronk, Emily A Lemke, Aniko Szabo, Ali R Khaki, Leonidas N Diamantopoulos, Petros Grivas, Behtash Ghazi Nezami, Gregory T MacLennan, Tian Zhang and 1 more

Abstract read
In one paragraph

Article in Bladder cancer (Amsterdam, Netherlands), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Trial
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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

11 authors.

Ariel A NelsonDivision of Hematology & Oncology, Department of Medicine, The Medical College of Wisconsin, Milwaukee, WI, USA.
Robert J CronkDivision of Hematology & Oncology, Department of Medicine, The Medical College of Wisconsin, Milwaukee, WI, USA.
Emily A LemkeDivision of Hematology & Oncology, Department of Medicine, The Medical College of Wisconsin, Milwaukee, WI, USA.
Aniko SzaboDivision of Biostatistics, The Medical College of Wisconsin, Milwaukee, WI, USA.
Ali R KhakiDivision of Oncology, Department of Medicine, University of Washington, Seattle Cancer Care Alliance, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
Leonidas N DiamantopoulosDivision of Oncology, Department of Medicine, University of Washington, Seattle Cancer Care Alliance, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
Petros GrivasDivision of Oncology, Department of Medicine, University of Washington, Seattle Cancer Care Alliance, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
Behtash Ghazi NezamiDepartment of Pathology, University Hospitals Cleveland Medical Center, Cleveland, OH, USA.
Gregory T MacLennanDepartment of Pathology, University Hospitals Cleveland Medical Center, Cleveland, OH, USA.
Tian ZhangDivision of Medical Oncology, Department of Medicine, Duke University, Durham, NC, USA.
Christopher J HoimesDivision of Medical Oncology, Seidman Cancer Center at Case Comprehensive Cancer Center, Cleveland, OH, USA.

Funding

TRAINING IN CANCER BIOLOGY &TRANSPLANTATIONT32CA009515 · NCI · UNIVERSITY OF WASHINGTON · PI NANCY ELLEN DAVIDSON, Effie W Petersdorf · 1985 to 2026
$16.2M
NCI NIH HHS T32 CA009515
6 · The paper itself

Abstract

backgroundOutcomes of patients with metastatic urothelial carcinoma (mUC) with early bone metastases (eBM) vs no early bone metastases (nBM) have not thoroughly been described in the age of immuno-oncology.

objectiveTo compare survival and other clinical outcomes in patients with eBM and nBM.

methodsWe used a multi-institutional database of patients with mUC treated with systemic therapy. Demographic, metastatic site, treatment patterns, and clinical outcomes were recorded. Wilcoxon rank-sum, chi-square tests were performed. Survival was estimated by Kaplan-Meier method; multivariable Cox analysis was performed.

resultsWe identified 270 pts, 67% men, mean age 69±11 years. At metastatic diagnosis, 27% had≥1 eBM and were more likely to have

conclusionsPatients with mUC and eBM have poorer outcomes, may benefit less from anti-PD-1/PD-L1 therapy and represent an unmet need for novel therapeutic interventions. Dedicated clinical trials, biomarker validation to assist in patient selection, as well as consensus on reporting of non-measurable disease are required.

Indexed as

Bladder cancerboneimmunotherapymetastasespalliative careurothelial cancer

Identifiers

PMID38993215
PMCPMC11181800

What OpenQuestion holds

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Registered trials

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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.