Evidence map›Paper›PMID 39953327›Full record

ArticleWorld journal of urology2025

IC/BPS is not associated with bladder cancer: a nationwide propensity score matched cohort study in Taiwan.

Ming-Huei Lee, Huei-Ching Wu, Wei-Chih Chen, Yung-Fu Chen

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Article in World journal of urology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 citing paper in PubMed.

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5 · Who and what money

Authors and funding

4 authors.

Ming-Huei LeeDepartment of Urology, Taichung Hospital, Ministry of Health and Welfare, Taichung, Taiwan.
Huei-Ching WuDepartment of Urology, Miaoli General Hospital, Ministry of Health and Welfare, Miaoli, Taiwan.
Wei-Chih ChenDepartment of Urology, Taichung Hospital, Ministry of Health and Welfare, Taichung, Taiwan.
Yung-Fu ChenDepartment of Dental Technology and Materials Science, Central Taiwan University of Science and Technology, No. 666, Buzih Road, Beitun District, Taichung, 406053, Taiwan. yfchen@ctust.edu.tw.

Funding

Ministry of Health and Welfare 10414National Science and Technology Council 112-2410-H-166-001
6 · The paper itself

Abstract

purposePrevious studies have reported an increased risk of bladder cancer (BC) in IC/BPS patients. In this study, we re-examined the BC risk in a population based IC/BPS cohort to assess the potential detection bias caused by some IC/BPS patients diagnosed who might already have co-existing BC.

methodsWe performed a retrospective cohort study based on a Research Database by extracting IC/BPS patients diagnosed within years 2002-2013. The patients in the study cohorts were identified based on at least 2 IC/BPS diagnoses and excluded patients with BC occurred before IC/BPS diagnosis. The primary outcome was BC events detected. Propensity scores (PSs) were calculated for matching IC/BPS cohort with non-IC/BPS cohort on a 1:1 basis. Cox proportional hazard regression analysis was then used to compare hazard ratios of BC development between 2 cohorts.

resultsBy excluding patients with BC diagnosed within 1 year after IC/BPS diagnosis, the study cohort was insignificantly different from the PS-matched control (Model 1, p = 0.219) but significantly different from the non-PS-matched control (Model 2, p < 0.001). However, when including patients with BC diagnosed within 1 year after IC/BPS diagnosis, the study cohort was significantly different from both PS-matched (Model 3, p = 0.002) and non-PS-matched (Model 4, p < 0.001) controls, indicating that excluding patients with BC diagnosed within 1 year after IC/BPS diagnosis and adopting PS matching method greatly reduce the BC detection bias.

conclusionsIC/BPS is not associated with BC. The detection bias of previous studies may result from inadequate recruitments of study cohorts or improper matching of control cohorts.

Indexed as

Urinary Bladder NeoplasmsAgedCohort StudiesFemaleHumansMaleMiddle AgedPropensity ScoreRetrospective StudiesTaiwanBladder cancerCharlson comorbidities index (CCI)Detection biasInterstitial cystitis/bladder pain syndrome (IC/BPS)Propensity score

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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.