Evidence map›Paper›PMID 41384697›Full record

ReviewHistopathology2026

The Paris system for reporting urinary cytology: what worked and what still needs to be improved.

Eva M Wojcik

Abstract readReview
In one paragraph

Review in Histopathology, 2026. 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. Article
  2. Review
  3. Review
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

1 author.

Eva M WojcikDepartment of Pathology and Laboratory Medicine, Loyola University Chicago, Maywood, Illinois, USA.ORCID https://orcid.org/0000-0001-6384-8111

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Urine cytology has long been a challenging diagnostic modality due to its low sensitivity for low-grade urothelial neoplasms and high interobserver variability. The introduction of The Paris System (TPS) in 2016 marked a pivotal shift towards standardisation, with a primary focus on detecting high-grade urothelial carcinoma (HGUC). This review evaluates the impact of TPS on diagnostic accuracy, reproducibility, and clinical utility. It also highlights the system's limitations, including issues with nuclear-to-cytoplasmic (N/C) ratio estimation, cellular degeneration, and the underrepresentation of HGUC variants. The second edition of TPS (TPS 2.0) addresses many of these concerns, offering refined criteria and visual aids. However, further improvements are needed, particularly in the integration of molecular diagnostics and artificial intelligence.

Indexed as

Carcinoma, Transitional CellCytodiagnosisUrinary Bladder NeoplasmsUrineUrologic NeoplasmsHumansReproducibility of ResultsUrothelium

Identifiers

PMID41384697
PMCPMC12700038

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.