Evidence map›Paper›PMID 38993527›Full record

ArticleBladder cancer (Amsterdam, Netherlands)2024

Potential of an mRNA-Based Urine Assay (Xpert

Claudia Schmitz-Dräger, Peter J Goebell, Ellen Paxinos, Ekkehardt Bismarck, Jack Chen, Priya Balakrishnan, Michael Bates, Thomas Ebert, Bernd J Schmitz-Dräger, Natalya Benderska-Söder

Abstract read
In one paragraph

Article in Bladder cancer (Amsterdam, Netherlands), 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
–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 synthesis or guideline pooled it.

  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

10 authors.

Claudia Schmitz-DrägerUrologie 24, St. Theresienkrankenhaus, Nuremberg, Germany.
Peter J GoebellDepartment of Urology and Pediatric Urology, Friedrich-Alexander University, Erlangen, Germany.
Ellen PaxinosMedical and Scientific Affairs and Strategy, Oncology, Cepheid, Sunnyvale, CA, USA.
Ekkehardt BismarckUrologie 24, St. Theresienkrankenhaus, Nuremberg, Germany.
Jack ChenDepartment of Clinical Research and Biostatistics, Cepheid, Sunnyvale, CA, USA.
Priya BalakrishnanDepartment of Clinical Research and Biostatistics, Cepheid, Sunnyvale, CA, USA.
Michael BatesMedical and Scientific Affairs and Strategy, Oncology, Cepheid, Sunnyvale, CA, USA.
Thomas EbertUrologie 24, St. Theresienkrankenhaus, Nuremberg, Germany.
Bernd J Schmitz-DrägerUrologie 24, St. Theresienkrankenhaus, Nuremberg, Germany.ORCID https://orcid.org/0000-0002-4004-1857
Natalya Benderska-SöderUrologie 24, St. Theresienkrankenhaus, Nuremberg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectiveAssessment of patients with hematuria (aH) remains a challenge in urological practice, balancing the benefits of diagnosing a potentially underlying bladder cancer (UCa) against the risks of possibly unnecessary diagnostic interventions. This study analyzes the potential of an mRNA-based urine assay, the Xpert MATERIALS AND

methodsOverall, 368 patients with newly observed painless hematuria and no history of UCa were included in this observational study. Patients received urological workup, including urethrocystoscopy (WLC), upper tract imaging, urine cytology and Xpert BC-D. Patients with positive WLC were recommended to undergo tumor resection (TUR-B).

resultsAfter excluding non-assessable cases, 324 patients were considered for analysis (188 males, 136 females; median age: 61 years). Eight of twenty-eight patients with a positive TUR-B had Ta low grade (LG) tumors; the others were diagnosed with high grade (HG) lesions (Ta: 4, CIS: 2, T1:11, > T1:3). The Xpert BC-D was more sensitive than urine cytology (96% vs. 61%) (

conclusionsThe results suggest a potential role for Xpert BC-D in preselecting patients with hematuria for either further invasive diagnosis or an alternate diagnostic procedure.

Indexed as

bladder cancergross hematuriaHematuriamicrohematuriamRNAurine markers

Identifiers

PMID38993527
PMCPMC11181824

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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.