Evidence map›Paper›PMID 40400172›Full record

ArticleBJU international2025

Contemporary outcomes in non-muscle-invasive bladder cancer: a large European multicentre study.

Mattia Longoni, Pietro Scilipoti, Mario De Angelis, Paolo Zaurito, Giovanni Tremolada, Alfonso Santangelo, Giuseppe Simone, Riccardo Mastroianni, Chiara Lonati, Stefania Zamboni and 18 more

Abstract readMulticenter Study
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 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Observational
  2. Review
  3. Observational
  4. Article
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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

28 authors.

Mattia LongoniDepartment of Experimental Oncology/Unit of Urology, URI, IRCCS Ospedale San Raffaele, Milan, Italy.ORCID https://orcid.org/0000-0002-2613-2306
Pietro ScilipotiDepartment of Experimental Oncology/Unit of Urology, URI, IRCCS Ospedale San Raffaele, Milan, Italy.
Mario De AngelisDepartment of Experimental Oncology/Unit of Urology, URI, IRCCS Ospedale San Raffaele, Milan, Italy.ORCID https://orcid.org/0009-0008-0494-7839
Paolo ZauritoDepartment of Experimental Oncology/Unit of Urology, URI, IRCCS Ospedale San Raffaele, Milan, Italy.
Giovanni TremoladaDepartment of Experimental Oncology/Unit of Urology, URI, IRCCS Ospedale San Raffaele, Milan, Italy.ORCID https://orcid.org/0009-0001-9363-682X
Alfonso SantangeloDepartment of Experimental Oncology/Unit of Urology, URI, IRCCS Ospedale San Raffaele, Milan, Italy.
Giuseppe SimoneDepartment of Urology, IRCCS 'Regina Elena' National Cancer Institute, Rome, Italy.ORCID https://orcid.org/0000-0002-4868-9025
Riccardo MastroianniDepartment of Urology, IRCCS 'Regina Elena' National Cancer Institute, Rome, Italy.ORCID https://orcid.org/0000-0003-3708-2209
Chiara LonatiUrology Unit, ASST Spedali Civili di Brescia, Department of Medical and Surgical Specialties, Radiological Science and Public Health, University of Brescia, Brescia, Italy.ORCID https://orcid.org/0000-0003-0113-9920
Stefania ZamboniUrology Unit, ASST Spedali Civili di Brescia, Department of Medical and Surgical Specialties, Radiological Science and Public Health, University of Brescia, Brescia, Italy.ORCID https://orcid.org/0000-0002-6244-4120
Nazareno SuardiUrology Unit, ASST Spedali Civili di Brescia, Department of Medical and Surgical Specialties, Radiological Science and Public Health, University of Brescia, Brescia, Italy.
Gautier MarcqDepartment of Urology, Claude Huriez Hospital, Lille, France.
Aleksandra SzostekDepartment of Urology, Claude Huriez Hospital, Lille, France.
Jorge Caño VelascoDepartment of Urology, Hospital General Universitario Gregorio Marañon, Madrid, Spain.
Alfonso Lafuente PuenteduraDepartment of Urology, Hospital General Universitario Gregorio Marañon, Madrid, Spain.
José Daniel SubielaDepartment of Urology, Ramón y Cajal University Hospital, IRYCIS, University of Alcalá, Madrid, Spain.ORCID https://orcid.org/0000-0003-4176-8174
Pedro Del Olmo DuránDepartment of Urology, Ramón y Cajal University Hospital, IRYCIS, University of Alcalá, Madrid, Spain.
Aleksander ŚlusarczykDepartment of General, Oncological and Functional Urology, Medical University of Warsaw, Warsaw, Poland.ORCID https://orcid.org/0000-0002-4344-0191
Pierre I KarakiewiczCancer Prognostics and Health Outcomes Unit, Division of Urology, University of Montréal Health Centre, Montréal, Québec, Canada.
Benjamin PradereDepartment of Urology, UROSUD, La Croix du Sud Hospital, Quint Fonsegrives, France.
Francesco SoriaDivision of Urology, Department of Surgical Sciences, San Giovanni Battista Hospital, University of Studies of Torino, Turin, Italy.ORCID https://orcid.org/0000-0001-8443-8453
Paolo GonteroDivision of Urology, Department of Surgical Sciences, San Giovanni Battista Hospital, University of Studies of Torino, Turin, Italy.
Morgan RouprêtUrology, GRC no. 5, Predictive Onco-Urology, Hôpital Pitié-Salpêtrière, AP-HP, Sorbonne Université, Paris, France.
Francesco MontorsiDepartment of Experimental Oncology/Unit of Urology, URI, IRCCS Ospedale San Raffaele, Milan, Italy.ORCID https://orcid.org/0000-0002-7267-4181
Andrea SaloniaDepartment of Experimental Oncology/Unit of Urology, URI, IRCCS Ospedale San Raffaele, Milan, Italy.ORCID https://orcid.org/0000-0002-0595-7165
Alberto BrigantiDepartment of Experimental Oncology/Unit of Urology, URI, IRCCS Ospedale San Raffaele, Milan, Italy.
Marco MoschiniDepartment of Experimental Oncology/Unit of Urology, URI, IRCCS Ospedale San Raffaele, Milan, Italy.ORCID https://orcid.org/0000-0002-3084-2458
European Association of Urology ‐ Young Academic Urologists (EAU‐YAU), Urothelial Carcinoma Working Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo report real-world rates of non-muscle-invasive bladder cancer (NMIBC) recurrence and progression within a European multicentre cohort with detailed information on intravesical instillation courses, as contemporary data on oncological outcomes in NMIBC are limited. PATIENTS AND

methodsA total of 1918 patients with NMIBC treated with transurethral resection of bladder tumour (TURBT) were retrospectively identified from six tertiary-referral European centres (2015-2022). Patients were stratified according to European Association of Urology 2021 criteria into low- (LR), intermediate- (IR), high- (HR) and very high-risk (VHR) categories. Cumulative incidence plots and multivariable competing risks regression models addressing 5-year rates of high-grade (HG) recurrence and progression were fitted. Sensitivity analyses focused on patients receiving intravesical instillations and tested for the effect of adequate course (Bacillus Calmette-Guérin: five or more induction + two or more maintenance instillations; mitomycin C: complete induction + ≥11 maintenance instillations).

resultsOf all NMIBC patients identified, 467 (24.3%) were LR vs 582 (30.3%) IR vs 739 (38.5%) HR vs 130 (6.8%) VHR. The median (interquartile range) follow-up after TURBT was 26 (12-46) months. The 5-year HG recurrence rates were 7.2% in LR vs 17.3% in IR vs 26.7% in HR vs 30.9% in VHR patients, resulting in a three-, five- and seven-fold higher risk of IR, HR and VHR, respectively, relative to LR (all P < 0.001). The 5-year progression rates were 3.9% in LR vs 5.2% in IR vs 13.6% in HR vs 31.6% in VHR patients, resulting in a six- and nine-fold higher risk for HR and VHR, respectively, relative to LR (all P < 0.001). In all, 1001 (52.2%) patients underwent intravesical instillations. Those receiving adequate instillation course (244/1001 [24.3%]) had lower HG-recurrence (hazard ratio 0.3, P < 0.001) and progression (hazard ratio 0.2, P = 0.001) risk.

conclusionsPatients with HR/VHR NMIBC face significantly higher HG recurrence and progression risks. While tailored treatment strategies are needed, adherence to adequate instillation course remains crucial for optimising oncological outcomes.

Indexed as

Neoplasm Recurrence, LocalUrinary Bladder NeoplasmsAdministration, IntravesicalAgedAged, 80 and overBCG VaccineCystectomyDisease ProgressionEuropeFemaleHumansMaleMiddle AgedMitomycinNeoplasm InvasivenessNon-Muscle Invasive Bladder NeoplasmsBCG VaccineMitomycinBCGbladder cancerintravesical instillationsnon‐muscle‐invasiveoncological outcomesprogressionrecurrence

Identifiers

PMID40400172
PMCPMC12522524

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