Evidence map›Paper›PMID 39929084›Full record

ArticleThe Journal of urology2025

Gemcitabine vs Bacillus Calmette-Guérin for Intravesical Therapy in Treatment-Naïve Low-Grade Intermediate-Risk Nonmuscle-Invasive Bladder Cancer.

Zine-Eddine Khene, Raj Bhanvadia, Sarah Attia, Willian Ito, Ivan Trevino, Solomon L Woldu, Vitaly Margulis, Yair Lotan

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in The Journal of urology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Editorial Comment.The Journal of urology · 2025
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Zine-Eddine KheneDepartment of Urology, UT Southwestern Medical Center, Dallas, Texas.ORCID 0000-0002-4124-789X
Raj BhanvadiaDepartment of Urology, UT Southwestern Medical Center, Dallas, Texas.
Sarah AttiaDepartment of Urology, UT Southwestern Medical Center, Dallas, Texas.
Willian ItoDepartment of Urology, UT Southwestern Medical Center, Dallas, Texas.
Ivan TrevinoDepartment of Urology, UT Southwestern Medical Center, Dallas, Texas.
Solomon L WolduDepartment of Urology, UT Southwestern Medical Center, Dallas, Texas.
Vitaly MargulisDepartment of Urology, UT Southwestern Medical Center, Dallas, Texas.
Yair LotanDepartment of Urology, UT Southwestern Medical Center, Dallas, Texas.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePatients with intermediate-risk (IR) nonmuscle-invasive bladder cancer (NMIBC) are recommended to receive induction intravesical chemotherapy or immunotherapy. However, the comparison between gemcitabine and bacillus Calmette-Guérin (BCG) in treatment-naïve patients with low-grade IR-NMIBC remains underexplored. The aim of this study was to evaluate the efficacy of gemcitabine compared with BCG in a cohort of treatment-naïve patients with IR-NMIBC. MATERIALS AND

methodsA retrospective analysis was conducted on patients with low-grade IR-NMIBC, classified according to International Bladder Cancer Group criteria, with no history of induction intravesical treatment. Patients received either induction intravesical BCG or gemcitabine. Recurrence was defined as histologically confirmed cancer during follow-up, while progression included stage/grade progression. Kaplan-Meier estimates were used for survival analysis, and multivariable Cox analysis identified factors associated with recurrence and progression.

resultsOf the 151 patients with IR-NMIBC, 78 received BCG and 73 received gemcitabine. Both groups completed the 6-week induction treatment at similar rates (100%), and maintenance therapy was administered to 47% of BCG-treated patients and 53% of gemcitabine-treated patients (

conclusionsGemcitabine is associated with a higher risk of recurrence than BCG in treatment-naïve patients with IR-NMIBC. However, both treatments show comparable efficacy in preventing disease progression.

Indexed as

Adjuvants, ImmunologicAntimetabolites, AntineoplasticBCG VaccineDeoxycytidineUrinary Bladder NeoplasmsAdministration, IntravesicalAgedAged, 80 and overDisease ProgressionFemaleGemcitabineHumansMaleMiddle AgedNeoplasm GradingNeoplasm InvasivenessAdjuvants, ImmunologicAntimetabolites, AntineoplasticBCG VaccineDeoxycytidineGemcitabineBCGgemcitabineintravesicalNMIBCprogressionrecurrence

Identifiers

What OpenQuestion holds

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Read underepoch 390

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.