Evidence map›Paper›PMID 42739239›Full record

ReviewDiagnostics (Basel, Switzerland)2026

Urinary Biomarkers in Urological Oncology: From Biological Origin to Clinical Decision-Making-A Narrative Review.

Aliya Nurmukhanbetova, Kassymkhan Sultanbekov, Khussan Umurzakov, Zie Gassanov, Altyn Duisenbayeva, Alimkhan Talas, Lazzat Shaikenova, Aidos Bolatov

Abstract readReview
In one paragraph

Review in Diagnostics (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

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

8 authors.

Aliya NurmukhanbetovaGeneral Immunology Department, Asfendiyarov Kazakh National Medical University, Almaty 050054, Kazakhstan.ORCID 0000-0001-7981-8603
Kassymkhan SultanbekovDepartment of Public Health and Healthcare, South Kazakhstan Medical Academy, Shymkent 160019, Kazakhstan.
Khussan UmurzakovUrooncology Center, Kazakh Institute of Oncology and Radiology, Almaty 050022, Kazakhstan.
Zie GassanovUrooncology Center, Kazakh Institute of Oncology and Radiology, Almaty 050022, Kazakhstan.
Altyn DuisenbayevaDepartment of General Medical Practice No. 2, Asfendiyarov Kazakh National Medical University, Almaty 050054, Kazakhstan.
Alimkhan TalasDepartment of General Medical Practice No. 2, Asfendiyarov Kazakh National Medical University, Almaty 050054, Kazakhstan.
Lazzat ShaikenovaDepartment of Clinical Disciplines, University of International Business Named After Kenzhegali Sagadiev, Almaty 050010, Kazakhstan.
Aidos BolatovShenzhen University Medical School, Shenzhen University, Shenzhen 518037, China.ORCID 0000-0002-5390-4623

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Urinary biomarkers are promising tools in urological oncology because urine can be collected non-invasively and repeatedly during diagnosis, treatment, and surveillance. Despite extensive biomarker discovery, their adoption in routine practice remains limited. Biomarker performance depends not only on analytical accuracy but also on the clinical decision, anatomical route into urine, biological source of the signal, specimen fraction, and timing and conditions of sampling. This review evaluates urinary biomarkers across bladder cancer, upper-tract urothelial carcinoma, prostate cancer, and renal cell carcinoma using a biologically grounded, decision-oriented framework. It considers tumor-derived nucleic acids, epigenetic alterations, proteins, immune and inflammatory mediators, extracellular vesicles, metabolites, microbiome-associated signals, and multiparametric models. Bladder cancer represents the most anatomically direct and clinically mature setting, with potential applications in hematuria evaluation, cystoscopy triage, recurrence surveillance, molecular residual disease assessment, and monitoring of response to bacillus Calmette-Guérin therapy. In upper-tract urothelial carcinoma, distinguishing voided from selectively collected urine is essential because dilution, transit, obstruction, and limited localization affect interpretation. Prostate urine assays are best positioned for biopsy triage and refinement of active surveillance rather than general population screening. Renal cell carcinoma biomarkers remain exploratory because the sources and mechanisms of urinary signal release are insufficiently resolved. Clinical translation should be assessed using decision-specific outcomes, including incremental value, calibration, net clinical benefit, procedures avoided, significant cancers missed, reproducibility, and feasibility, rather than diagnostic accuracy or area under the receiver operating characteristic curve alone.

Indexed as

biomarker validationbladder cancerliquid biopsyprecision oncologyprostate cancerrenal cell carcinomaupper-tract urothelial carcinomaurinary biomarkers

Identifiers

PMID42739239
PMCPMC13565365

What OpenQuestion holds

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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.