Evidence map›Paper›PMID 41799330›Full record

ArticleBJUI compass2026

Standardized care pathway reshaped the diagnostic and therapeutic landscape of urinary bladder cancer. A 15-year population-based study.

Mansour Istamulov, Hanna Eriksson, Suleiman Abuhasanein

Abstract read
In one paragraph

Article in BJUI compass, 2026. 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

3 authors.

Mansour IstamulovDepartment of Urology, Institute of Clinical Science, Sahlgrenska Academy University of Gothenburg Gothenburg Sweden.
Hanna ErikssonDepartment of Surgery, Urology Section NU-Hospital Group Uddevalla Region Västra Götaland Sweden.
Suleiman AbuhasaneinDepartment of Urology, Institute of Clinical Science, Sahlgrenska Academy University of Gothenburg Gothenburg Sweden.ORCID https://orcid.org/0000-0003-3756-0397

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: This work aimed to evaluate the long-term impact of standardized care pathway (SCP) implementation for urinary bladder cancer (UBC) on tumour characteristics, diagnostic and treatment intervals and guideline adherence. Materials and Methods: A retrospective cohort study was conducted including all patients with newly diagnosed UBC at the NU Hospital Group, Sweden, between 2010 and 2024. Patients were grouped into pre-SCP (2010-2015) and during-SCP (2016-2024) cohorts. Patient demographics, tumour characteristics, adherence to guideline-recommended care and diagnostic and treatment time intervals were analysed. Overall survival was assessed using Kaplan-Meier analysis and Cox proportional hazards regression. Results: Following SCP implementation, emergency presentations declined significantly (15% pre-SCP to 10% SCP, Conclusions: SCP implementation was associated with earlier detection, improved guideline adherence and sustained reductions in diagnostic delays. However, increasing delays to definitive treatment for muscle-invasive disease highlight emerging system-level constraints, underscoring the need to optimize downstream capacity to fully realize the benefits of early diagnosis.

Indexed as

diagnostic delayguideline adherencehaematuriahealthcare deliveryresection of tumourstandardized care pathwaysurvival analysistreatment intervalsurinary bladder cancer

Identifiers

PMID41799330
PMCPMC12960746

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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.