Evidence map›Paper›PMID 39124615›Full record

ReviewJournal of clinical medicine2024

The Prognostic Significance of Histological Subtypes in Patients with Muscle-Invasive Bladder Cancer: An Overview of the Current Literature.

Francesco Claps, Arianna Biasatti, Luca Di Gianfrancesco, Luca Ongaro, Gianluca Giannarini, Nicola Pavan, Antonio Amodeo, Alchiede Simonato, Alessandro Crestani, Alessia Cimadamore and 4 more

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 3 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

28 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  8. The emerging role of the microbiome in bladder cancer: prognostic implications and treatment response.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologicas · 2026
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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

14 authors.

Francesco ClapsDepartment of Surgical Oncology (Urology), Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital, 1006 BE Amsterdam, The Netherlands.ORCID 0000-0003-2812-5553
Arianna BiasattiUrological Clinic, Department of Medicine, Surgery and Health Sciences, University of Trieste, 34127 Trieste, Italy.
Luca Di GianfrancescoDepartment of Oncological Urology, Veneto Institute of Oncology (IOV) IRCCS, 35128 Padua, Italy.ORCID 0000-0002-0564-7415
Luca OngaroDepartment of Urology, Royal Free London NHS Foundation Trust, London NW3 2QG, UK.ORCID 0000-0001-5649-4095
Gianluca GiannariniUrology Unit, Santa Maria della Misericordia University Hospital, 33100 Udine, Italy.ORCID 0000-0002-6995-246X
Nicola PavanUrology Clinic, Department of Precision Medicine in Medical, Surgical and Critical Care, University of Palermo, 90127 Palermo, Italy.ORCID 0000-0001-7355-7625
Antonio AmodeoDepartment of Oncological Urology, Veneto Institute of Oncology (IOV) IRCCS, 35128 Padua, Italy.
Alchiede SimonatoUrology Clinic, Department of Precision Medicine in Medical, Surgical and Critical Care, University of Palermo, 90127 Palermo, Italy.ORCID 0000-0001-9513-4869
Alessandro CrestaniUrology Unit, Santa Maria della Misericordia University Hospital, 33100 Udine, Italy.
Alessia CimadamoreInstitute of Pathological Anatomy, Department of Medicine, University of Udine, 33100 Udine, Italy.
Rodolfo HurleDepartment of Urology, IRCCS Humanitas Research Hospital, 20089 Rozzano, Italy.
Laura S MertensDepartment of Surgical Oncology (Urology), Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital, 1006 BE Amsterdam, The Netherlands.
Bas W G van RhijnDepartment of Surgical Oncology (Urology), Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital, 1006 BE Amsterdam, The Netherlands.ORCID 0000-0001-7837-0595
Angelo PorrecaDepartment of Oncological Urology, Veneto Institute of Oncology (IOV) IRCCS, 35128 Padua, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bladder cancer (BC) is the tenth most commonly diagnosed malignancy worldwide. In approximately 25% of cases, it presents as a muscle-invasive disease, requiring a radical treatment. Traditionally, the mainstay of treatment has been radical cystectomy (RC), but in the last decade, bladder-sparing treatments have been gaining growing interest. In particular, trimodal therapy (TMT) seems to yield survival results comparable to RC with less morbidity and better quality of life (QoL) outcomes. In this scenario, we aimed at shedding light on the role of the histological subtypes (HS) of BC and their prognostic significance in muscle-invasive BC (MIBC), treated either surgically or with TMT. We performed a narrative review to provide an overview of the current literature on this topic. When compared with patients diagnosed with conventional urothelial carcinoma (UC) of the same disease stage, survival did not appear to be significantly worse across the reports. But when sub-analyzed for separate subtype, some appeared to be independently associated with adverse survival outcomes such as the micropapillary, plasmacytoid, small-cell, and sarcomatoid subtypes, whereas others did not. Moreover, the optimal management remains to be defined, also depending on the therapeutic susceptibility of each histology. From this perspective, multi-disciplinary assessment alongside the routine inclusion of such entities in randomized clinical trials appears to be essential.

Indexed as

bladder cancercombined modality therapycystectomytreatment outcomevariant histology

Identifiers

PMID39124615
PMCPMC11313590

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.