Evidence map›Paper›PMID 40652095›Full record

ArticleScientific reports2025

Trends in the use and efficacy of adjuvant immunotherapy in muscle-invasive urothelial carcinoma.

Shingo Hatakeyama, Naoki Fujita, Mizuki Kobayashi, Shuya Kandori, Daiki Ikarashi, Hiroki Fukuhara, Takuma Sato, Shingo Myoen, Motohide Uemura, Takamitsu Inoue and 11 more

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Treatment Patterns and Outcomes After Recurrence Following Adjuvant Nivolumab for Urothelial Carcinoma: An AGEHA Real-World Study.International journal of urology : official journal of the Japanese Urological Association · 2026
    Observational
  3. Article
  4. Article
  5. 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

21 authors.

Shingo HatakeyamaDepartment of Urology, Hirosaki University Graduate School of Medicine, 5 Zaifu-chou, Hirosaki, 036-8562, Japan. shingoh@hirosaki-u.ac.jp.ORCID http://orcid.org/0000-0002-0026-4079
Naoki FujitaDepartment of Urology, Hirosaki University Graduate School of Medicine, 5 Zaifu-chou, Hirosaki, 036-8562, Japan.
Mizuki KobayashiDepartment of Urology, Akita University Graduate School of Medicine, Akita, Japan.
Shuya KandoriDepartment of Urology, Institute of Medicine, University of Tsukuba, Tsukuba, Japan.
Daiki IkarashiDepartment of Urology, Iwate Medical University, Morioka, Japan.
Hiroki FukuharaDepartment of Urology, Yamagata University Graduate School of Medicine, Yamagata, Japan.
Takuma SatoDepartment of Urology, Tohoku University Graduate School of Medicine, Sendai, Japan.
Shingo MyoenDepartment of Urology, Miyagi Cancer Center, Natori, Japan.
Motohide UemuraDivision of Urology, Fukushima Medical University, Fukushima, Japan.
Takamitsu InoueDepartment of Renal and Urological Surgery, International University of Health and Welfare Narita Hospital, Narita, Japan.
Masaaki OikawaDivision of Urology, Faculty of Medicine, Tohoku Medical and Pharmaceutical University, Sendai, Japan.
Yasuhiro KaihoDivision of Urology, Faculty of Medicine, Tohoku Medical and Pharmaceutical University, Sendai, Japan.
Jun MiyazakiDepartment of Renal and Urological Surgery, International University of Health and Welfare Narita Hospital, Narita, Japan.
Yoshiyuki KojimaDivision of Urology, Fukushima Medical University, Fukushima, Japan.
Hisanobu AdachiDepartment of Urology, Miyagi Cancer Center, Natori, Japan.
Akihiro ItoDepartment of Urology, Tohoku University Graduate School of Medicine, Sendai, Japan.
Norihiko TsuchiyaDepartment of Urology, Yamagata University Graduate School of Medicine, Yamagata, Japan.
Wataru ObaraDepartment of Urology, Iwate Medical University, Morioka, Japan.
Hiroyuki NishiyamaDepartment of Urology, Institute of Medicine, University of Tsukuba, Tsukuba, Japan.
Tomonori HabuchiDepartment of Urology, Akita University Graduate School of Medicine, Akita, Japan.
Chikara OhyamaDepartment of Urology, Hirosaki University Graduate School of Medicine, 5 Zaifu-chou, Hirosaki, 036-8562, Japan.

Funding

Japan Society for the Promotion of Science 20K09517
6 · The paper itself

Abstract

We investigated trends in the use of perioperative therapy and the efficacy of adjuvant immunotherapy on the prognosis of patients with muscle-invasive urothelial carcinoma (MIUC). The usage and trends in neoadjuvant and adjuvant therapy were examined, and the efficacy of adjuvant immunotherapy was assessed using propensity score-adjusted Cox multivariate analysis. We investigated 1383 patients with muscle-invasive bladder cancer and 1124 patients with upper tract urothelial carcinoma; 1095 (43.7%) patients received neoadjuvant therapy and 366 (14.6%) patients received adjuvant therapy. Adjuvant therapy usage rate increased from 30.3% before 2022 to 61% after 2022 in patients with pathological high-risk cancer (pT3-4, ypT2-4, or pN+). The adjuvant immunotherapy usage rate increased from 2.8% before 2022 to 67.5% after 2022. Sixty-three (18.9%) of the 334 patients with pathological high-risk cancer who were treated with adjuvant therapy were treated with adjuvant immunotherapy. The propensity score-adjusted Cox multivariate analysis showed that adjuvant immunotherapy significantly improved disease-free survival (Hazard ratios (HR) 0.39, P < 0.005) and overall survival (HR 0.20, P < 0.005) compared with conventional adjuvant chemotherapy. In conclusion, the introduction of adjuvant immunotherapy led to the increased use of adjuvant therapy and improved prognoses in patients with MIUC in real-world practice.

Indexed as

Carcinoma, Transitional CellImmunotherapyUrinary Bladder NeoplasmsAdultAgedAged, 80 and overChemotherapy, AdjuvantDisease-Free SurvivalFemaleHumansMaleMiddle AgedNeoadjuvant TherapyNeoplasm InvasivenessPrognosisTreatment OutcomeAdjuvant immunotherapyCystectomyNephroureterectomyPrognosisUrothelial carcinoma

Identifiers

PMID40652095
PMCPMC12255777

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.