Evidence map›Paper›PMID 40241435›Full record

ArticleBJU international2025

The impact of treatment for muscle-invasive bladder cancer on health-related quality of life.

Siberyn T Nuijens, Lisa M C van Hoogstraten, Noëlle B Terpstra, Ivy Beeren, Alina Vrieling, Eveline M Wijnen, Richard P Meijer, Lambertus A Kiemeney, J Alfred Witjes, Katja K H Aben

Abstract read
In one paragraph

Article in BJU international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Longitudinal data on health-related quality of life and its association with time to readmission in bladder perfusion patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Observational
  2. Article
  3. 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.

Siberyn T NuijensDepartment of Urology, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID https://orcid.org/0000-0003-0425-6479
Lisa M C van HoogstratenDepartment of Urology, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID https://orcid.org/0000-0002-0987-1342
Noëlle B TerpstraIQ Health Science Department, Radboud University Medical Center, Nijmegen, The Netherlands.
Ivy BeerenIQ Health Science Department, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID https://orcid.org/0000-0002-8424-7638
Alina VrielingIQ Health Science Department, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID https://orcid.org/0000-0002-8178-2125
Eveline M WijnenDepartment of Research and Development, Netherlands Comprehensive Cancer Organisation, Utrecht, The Netherlands.
Richard P MeijerDepartment of Oncological Urology, University Medical Center Utrecht, Utrecht, The Netherlands.
Lambertus A KiemeneyDepartment of Urology, Radboud University Medical Center, Nijmegen, The Netherlands.
J Alfred WitjesDepartment of Urology, Radboud University Medical Center, Nijmegen, The Netherlands.
Katja K H AbenIQ Health Science Department, Radboud University Medical Center, Nijmegen, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate the impact of treatment for localised muscle-invasive bladder cancer (MIBC) during the first 2 years after diagnosis. PATIENTS AND

methodsA prospective cohort study was conducted including patients diagnosed with non-metastatic (cM0) MIBC between November 2017 and November 2019 in the Netherlands. Health-related quality of life (HRQoL) was measured using the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) as well as the MIBC-specific QLQ-BLM30 module. Questionnaires were administered at baseline (pre-treatment) and at 6, 12 and 24 months after diagnosis. Patients were grouped by treatment: neoadjuvant chemotherapy (NAC) and radical cystectomy (RC), upfront RC, chemoradiation, and radiotherapy. Linear mixed models were used to assess HRQoL changes over time per treatment group.

resultsA total of 518 patients participated in quality of life measurements (46% response rate). After excluding 14 patients who did not complete the EORTC QLQ-C30 and 114 for baseline completion after start of treatment, a total of 390 patients were included of whom 105 underwent NAC and RC, 148 underwent upfront RC, 58 underwent chemoradiation, and 79 underwent radiotherapy alone. Over time, clinically relevant improvements in emotional functioning and future perspective were observed across all treatment groups. However, a temporary worsening in physical functioning was observed at 6 months. Patients treated with RC (with or without NAC) experienced persistent deteriorations in body image and sexual functioning up to at least 2 years after diagnosis, although urostomy-related outcomes improved. Patients undergoing chemoradiation showed improvements in urinary symptoms, while those receiving radiotherapy reported significant worsening of dyspnoea over time.

conclusionIn this largest population-based study to date on HRQoL in MIBC, HRQoL largely recovered to baseline levels during the first 2 years after diagnosis. However, persistent deteriorations in physical and cognitive functioning, body image, and sexual function were observed, particularly in patients treated with RC (with or without NAC).

Indexed as

CystectomyQuality of LifeUrinary Bladder NeoplasmsAgedAged, 80 and overFemaleHumansMaleMiddle AgedNeoadjuvant TherapyNeoplasm InvasivenessNetherlandsProspective StudiesSurveys and QuestionnaireschemoradiationEORTC QLQ‐BLM30EORTC QLQ‐C30health‐related quality of lifemuscle‐invasive bladder cancerneoadjuvant chemotherapypatient‐reported outcomesradical cystectomyradiotherapytrimodal therapy

Identifiers

PMID40241435
PMCPMC12415316

What OpenQuestion holds

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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.