Evidence map›Paper›PMID 42101641›Full record

ArticleWorld journal of urology2026

Pathological assessment of morcellated tissue after ERBT: insights from a two-round Delphi survey.

Yossi Ventura, Andrey Morozov, Ronald Chan, Marcelo Combat Faria Tavares, Jeremy Yuen-Chun Teoh, Eva Compérat, Liang Cheng, Eddie Fridman, Julia Lerner, Ezra Baraban and 8 more

Abstract read
In one paragraph

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. Not yet cited in PubMed.

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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

18 authors.

Yossi VenturaDepartment of Urology, Rabin Medical Center, Hasharon Hospital, Petah Tikva, Israel.
Andrey MorozovInstitute for Urology and Reproductive Health, Sechenov University, Moscow, Russia.
Ronald ChanDepartment of Anatomical and Cellular Pathology, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China.
Marcelo Combat Faria TavaresPathologic Anatomy Laboratory, Federal University of Minas Gerais (UFMG), Brazilian Company of Hospital Services, Clinical Hospital, Belo Horizonte, MG, Brazil.
Jeremy Yuen-Chun TeohDepartment of Surgery, S. H. Ho Urology Centre, The Chinese University of Hong Kong, Hong Kong, China.
Eva CompératDepartment of Pathology, Tenon Hospital, Sorbonne University, Paris, France.
Liang ChengDepartment of Pathology and Laboratory Medicine, Department of Surgery (Urology), Brown University Warren Alpert Medical School, the Legorreta Cancer Center at Brown University, Brown University Health, Providence, RI, USA.
Eddie FridmanDepartment of Diagnostic Pathology, Sheba Medical Center, Ramat Gan, Israel.
Julia LernerInstitute for Clinical Morphology and Digital Pathology, Sechenov University, Moscow, Russia.
Ezra BarabanDepartment of Pathology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Max YakimovPathology Department, Rabin Medical Center, Petah Tikva, Israel.
Konstantin LokshinKent and Canterbury Hospital, East Kent Hospitals University Foundation, Canterbury, UK.
David LifshitzDepartment of Urology, Rabin Medical Center, Hasharon Hospital, Petah Tikva, Israel.
Shay GolanDepartment of Urology, Rabin Medical Center, Hasharon Hospital, Petah Tikva, Israel.
Vineet GauharNg Teng Fong General Hospital (NUHS), Singapore, Singapore.
Thomas R W HerrmannDepartment of Urology, Spital Thurgau AG, Kantonspital Frauenfeld, Frauenfeld, Switzerland.
Shahrokh ShariatInstitute for Urology and Reproductive Health, Sechenov University, Moscow, Russia.
Dmitry EnikeevDepartment of Urology, Rabin Medical Center, Hasharon Hospital, Petah Tikva, Israel. dvenikeev@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the pathological adequacy of morcellated ERBT specimens using a two-round Delphi methodology and to establish expert consensus among leading pathologists worldwide.

methodsCore pathological parameters relevant for ERBT specimens were predefined, and representative high-quality digital slides of morcellated ERBT specimens were selected. These images were reviewed by an international panel of expert uropathologists with extensive experience in bladder cancer. A two-round Delphi survey was conducted, in which panelists rated the importance of predefined pathological parameters on a 5-point Likert scale. The items on which a consensus was not reached during the first round, were reviewed and rephrased for the second round involving the same responders. Consensus was defined as > 75% agreement among participants.

results10 responders took part in the survey. During the initial Delphi round, agreement was achieved on six points, covering aspects such as tumor grading and staging (including lympho-vascular invasion, perineural invasion, detrusor muscle presence, grading adequacy, and histological classification). A broader statement also reached consensus, indicating that morcellation following ERBT provides specimen of appropriate quality. After revising the statements, the second round resulted in consensus on three more items: morcellated specimens allow for precise staging, evaluation of detrusor muscle invasion, and identification of carcinoma in situ.

conclusionTissue acquired after ERBT through morcellation permits dependable pathological evaluation, encompassing grading, staging, and identification of critical prognostic indicators such as carcinoma in situ, detrusor muscle, lymph vascular and perineural invasion. Morcellation is not perceived to compromise pathological evaluation based on expert consensus.

Indexed as

Carcinoma, Transitional CellMorcellationTransurethral Resection of BladderUrinary Bladder NeoplasmsConsensusDelphi TechniqueHumansNeoplasm GradingNeoplasm StagingBladder tumourDelphi surveyERBTMorcellationPathologyPiece-mealTURBT

Identifiers

PMID42101641
PMCPMC13156192

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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.