Evidence map›Paper›PMID 40414744›Full record

ArticleUrologic oncology2025

Bladder-sparing management for high grade noninvasive urothelial carcinoma of the prostate.

Alexander C Martin, Ian M McElree, Sarah L Mott, Helen Y Hougen, Ryan L Steinberg, Michael A O'Donnell, Vignesh T Packiam

Abstract read
In one paragraph

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

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

1 citing paper in PubMed.

  1. 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

7 authors.

Alexander C MartinDepartment of Urology, University of Iowa, Iowa City, IA.
Ian M McElreeUniversity of Iowa Carver College of Medicine, Iowa City, IA.
Sarah L MottHolden Comprehensive Cancer Center, University of Iowa, Iowa City, IA.
Helen Y HougenDepartment of Urology, University of Iowa, Iowa City, IA.
Ryan L SteinbergDepartment of Urology, University of Iowa, Iowa City, IA.
Michael A O'DonnellDepartment of Urology, University of Iowa, Iowa City, IA.
Vignesh T PackiamDepartment of Surgical Oncology, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ. Electronic address: vignesh.packiam@rutgers.edu.

Funding

TRANSCRIPTIONAL PROFILINGP30CA072720 · NCI · UNIV OF MED/DENT NJ-R W JOHNSON MED SCH · PI Chang S Chan · 1997 to 2026
$94.5M
NCI NIH HHS P30 CA072720
6 · The paper itself

Abstract

objectivesTo characterize the oncologic outcomes in patients with high-grade noninvasive urothelial carcinoma of the prostate (NMIUC-P) treated with intravesical therapy and assess for clinicopathologic features associated with response. SUBJECTS AND

methodsPatients with high-grade NMIUC-P treated with intravesical Bacillus Calmette-Guerin (BCG) or chemotherapy between 2005 and 2021 were retrospectively analyzed. Survival probabilities were estimated using the Kaplan-Meier method. Cox regression was used to evaluate the effect of clinicopathologic and treatment characteristics on high-grade recurrence-free survival (HG-RFS) and progression-free survival (PFS).

resultsA total of 62 patients with median follow-up of 38 months (IQR 19-74) were included. NMIUC-P pathology was carcinoma in situ containing in 52 (84%), high-grade Ta in 9 (14%), and high-grade T1 in 1 (2%). Fifty (80%) patients had concomitant bladder UC. Induction regimens were BCG (44%), gemcitabine/docetaxel (42%), and other chemotherapies (14%). HG-RFS was 45%, 43%, and 38% at 1, 2, and 3 years, respectively. Seventeen patients (27%) underwent cystectomy at a median of 12 months, of whom 5 (29%) had ≥T2 and 3 (18%) had N+ disease. Among all patients, PFS was 87%, 69%, and 69% at 1, 2, and 3 years, respectively. Cystectomy-free, cancer-specific, and overall survival were 65%, 92%, and 83% at 3 years, respectively. No clinicopathologic or treatment characteristics were significantly associated with HG-RFS.

conclusionIn a high-risk cohort of patients with NMIUC-P, a select number of patients were able to avoid cystectomy and remain recurrence-free at 3-years after pursuing bladder-sparing intravesical treatment. However, given the high incidence of disease progression, careful patient selection is critical. Further prospective studies are needed to identify markers of response.

Indexed as

Antineoplastic AgentsCarcinoma in SituOrgan Sparing TreatmentsProstatic NeoplasmsUrotheliumAdjuvants, ImmunologicAdministration, IntravesicalAgedBCG VaccineCystectomyDocetaxelFollow-Up StudiesGemcitabineHumansKaplan-Meier EstimateMaleAdjuvants, ImmunologicAntineoplastic AgentsBCG VaccineDocetaxelGemcitabineBCGBladder cancerDocetaxelGemcitabineProstatic urethral

Identifiers

PMID40414744
PMCPMC13218301

What OpenQuestion holds

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LicenceCC BY
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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.