Evidence map›Paper›PMID 41604012›Full record

ArticleWorld journal of urology2026

How safe is teaching radical cystectomy? : Results from the prospective Swiss society of urology database.

Matteo Scherrer, Lujza Brunaiova, Marc Furrer, Hubert John, Julien Schwartz, Ilaria Lucca, Philippe Sèbe, Agostino Mattei, Daniel Engeler, Räto T Strebel and 6 more

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Article in World journal of urology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors.

Matteo ScherrerDepartment of Urology, University Hospital Bern, Inselspital, University of Bern, Wilhelm-Fabry-Haus, Freiburgstr. 37, CH-3010, Bern, Switzerland.
Lujza BrunaiovaDepartment of Urology, University Hospital Bern, Inselspital, University of Bern, Wilhelm-Fabry-Haus, Freiburgstr. 37, CH-3010, Bern, Switzerland.
Marc FurrerDepartment of Urology, University Hospital Bern, Inselspital, University of Bern, Wilhelm-Fabry-Haus, Freiburgstr. 37, CH-3010, Bern, Switzerland.
Hubert JohnDepartment of Urology, Canton Hospital Winterthur, Winterthur, Switzerland.
Julien SchwartzDepartment of Urology, Hospital Cecile Lausanne, Lausanne, Switzerland.
Ilaria LuccaDepartment of Urology, CHUV Lausanne, Lausanne, Switzerland.
Philippe SèbeDepartment of Urology, University Hospital Genf, Genf, Switzerland.
Agostino MatteiDepartment of Urology, University and Teaching Hospital of Lucerne, University of Lucerne, Lucerne, Switzerland.
Daniel EngelerDepartment of Urology, Canton Hospital St. Gallen, St. Gallen, Switzerland.
Räto T StrebelDepartment of Urology, Canton Hospital St. Graubünden, Chur, Switzerland.
Stephen WylerDepartment of Urology, Canton Hospital St. Aarau, Aarau, Switzerland.
Thomas Rw HermannDepartment of Urology, Canton Hospital Frauenfeld, Frauenfeld, Switzerland.
Daniel NguyenDepartment of Urology, Hospital Neuchâtel - Pourtalès, Neuchatel, Switzerland.
Michael MüntenerDepartment of Urology, Hospital Zürich Triemli, Zürich, Switzerland.
Beat Roth *Department of Urology, University Hospital Bern, Inselspital, University of Bern, Wilhelm-Fabry-Haus, Freiburgstr. 37, CH-3010, Bern, Switzerland.
Laila Schneidewind *Department of Urology, University Hospital Bern, Inselspital, University of Bern, Wilhelm-Fabry-Haus, Freiburgstr. 37, CH-3010, Bern, Switzerland. laila.schneidewind@insel.ch.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo provide a detailed description of the Swiss Society of Urology prospective database of radical cystectomy (RC) due to bladder cancer (BC) about differences in operative outcomes between teaching and non-teaching RC.

methodsWe collected the data of all RCs for BC from the register from March 2017 to March 2025, leading to 1587 cases. Afterwards, we decided about the extraction of 34 variables, e.g. operating approach and intraoperative complications. Furthermore, we determined that only complete data sets for our pre-defined variables will be included in the analysis, which led to 1304 RC cases.

resultsMedian patient age was 72.0 years (IQR 64.0-78.0). The majority of patients underwent open RC (n = 838; 64.3%). More than one quarter (n = 344; 26.4%) were teaching surgeries and there was no significant difference between both groups regarding demographic characteristics. There were no significant differences between teaching and non-teaching operative results in terms of surgical resection (R1 status; p = 0.295), duration of inpatient treatment (p = 0.394), infection (p = 0.023), wound healing disorders (p = 0.484), duration of surgery (p = 0.365), intraoperative bleeding (p = 0.635) and intraoperative blood loss (p = 0.074). However, in terms of the number of resected lymph nodes, blood transfusion rate, number of transfused packed red blood cells, intraoperative complications as well as the highest grade of complication during inpatient treatment teaching RC showed less favorable results, e.g. number of evaluated lymph nodes (teaching median 18.0 versus non-teaching median 20.0, p < 0.001).

conclusionTeaching RC is safe, for a high complex procedure, according to our prospective pilot study.

Indexed as

CystectomyUrinary Bladder NeoplasmsUrologyAgedDatabases, FactualFemaleHumansMaleMiddle AgedPostoperative ComplicationsProspective StudiesSocieties, MedicalSwitzerlandBladder cancerRadical cystectomyRARCSurgical educationSurgical safety

Identifiers

PMID41604012
PMCPMC12852155

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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.