Evidence map›Paper›PMID 39891792›Full record

SynthesisJournal of cancer research and clinical oncology2025

Sex-specific differences in recurrence and progression following cytostatic intravesical chemotherapy for non-muscle invasive urothelial bladder cancer (NMIBC).

Laila Schneidewind, Bernhard Kiss, Thomas Neumann, Jennifer Kranz, Friedemann Zengerling, Sebastian Graf, Annabel Graser, Annemarie Uhlig

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Journal of cancer research and clinical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

8 authors.

Laila SchneidewindDepartment of Hematology/Oncology, Ferdinand-Sauerbruchstr, University Medical Center Greifswald, 17475, Greifswald, Germany. laila.schneidewind@uni-greifswald.de.
Bernhard KissDepartment of Urology, University Hospital of Bern, Bern, Switzerland.
Thomas NeumannDepartment of Hematology/Oncology, Ferdinand-Sauerbruchstr, University Medical Center Greifswald, 17475, Greifswald, Germany.
Jennifer KranzDepartment of Urology and Pediatric Urology, University Medical Center RWTH Aachen, Aachen, Germany.
Friedemann ZengerlingDepartment of Urology and Pediatric Urology, University Hospital Ulm, Ulm, Germany.
Sebastian GrafDepartment of Urology and Andrology, Kepler University Hospital Linz, Linz, Austria.
Annabel GraserDepartment of Urology, Ludwig Maximilian University, Munich, Germany.
Annemarie UhligDepartment of Urology, University Medical Center Göttingen, Göttingen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo systematically analyze gender-specific differences in recurrence-free survival (RFS), progression-free survival (PFS), cancer-specific survival (CSS), and overall survival (OS) as well as adverse events and quality of Life (QoL) as secondary aims in NMIBC patients undergoing cytostatic intravesical chemotherapy.

methodsA systematic review and meta-analysis were conducted on studies published between 1976 and 2024, following PRISMA guidelines. MEDLINE, Embase and Cochrane Library were used as literature sources. No restrictions were made concerning language, study region or publication type. Data from 12 studies encompassing 1,527 patients were analyzed. Outcomes were assessed using random-effects models, with gender as a primary variable of interest. A risk of bias assessment was done using the ROBINS-I tool or RoB2 as appropriate.

resultsThe pooled analysis demonstrated no statistically significant gender-specific differences in RFS (HR = 1.0625, 95% CI 0.8094-1.0526) or PFS (HR = 1.0861, 95% CI 0.7038-1.6760). Data on CSS and OS were insufficient for meaningful conclusions. Two included studies analyzed in univariate or multivariate regression gender as risk factor for recurrence or progression, but gender was not a significant risk factor. Adverse events and QoL outcomes were notably underreported, with no gender-specific data available.

conclusionsWhile this study found no significant gender-based differences in NMIBC outcomes following intravesical chemotherapy, the findings are limited by the small number of studies, underrepresentation of women, and inconsistent reporting of critical outcomes. Future research should prioritize gender-focused analyses and explore the molecular and genetic basis of potential differences to inform precision medicine and equitable care.

Indexed as

Carcinoma, Transitional CellNeoplasm Recurrence, LocalUrinary Bladder NeoplasmsAdministration, IntravesicalDisease ProgressionFemaleHumansMaleNon-Muscle Invasive Bladder NeoplasmsQuality of LifeSex FactorsBladder cancerGenderIntravesical chemotherapyMIBCSexUrothelial cancer

Identifiers

PMID39891792
PMCPMC11787168

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.