Evidence map›Paper›PMID 42889117›Full record

ArticleFrontiers in oncology2026

Risk factors for recurrence after initial transurethral resection of bladder tumor in patients with non-muscle-invasive bladder cancer.

Fang Yuan, Xiong Li, Jing Zhang, Jian-Yong Gao

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Article in Frontiers in oncology, 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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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Fang YuanDepartment of Urology, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, China.
Xiong LiDepartment of Urology, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, China.
Jing ZhangDepartment of Urology, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, China.
Jian-Yong GaoDepartment of Urology, Panzhihua Central Hospital, Panzhihua, Sichuan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Recurrence remains common after initial transurethral resection of bladder tumor (TURBT) for non-muscle-invasive bladder cancer (NMIBC). This study aimed to identify routinely available clinicopathological, treatment-related, and inflammatory factors associated with recurrence and to characterize recurrence-free survival (RFS). Methods: This retrospective cohort included patients with pathologically confirmed Ta, T1, or primary carcinoma Results: Among 605 patients, 237 (39.2%) experienced recurrence during a median follow-up of 34.0 months. Multiple tumors were associated with higher recurrence odds and hazard (adjusted odds ratio [OR], 1.88; 95% confidence interval [CI], 1.27-2.78; adjusted hazard ratio [HR], 1.62; 95% CI, 1.25-2.10). Higher recurrence odds and hazards were also associated with increasing tumor diameter, T1 or primary CIS, high-grade pathology, concomitant CIS, and higher baseline neutrophil-to-lymphocyte ratio. Maintenance intravesical therapy was inversely associated with recurrence (adjusted OR, 0.49; 95% CI, 0.34-0.72; adjusted HR, 0.62; 95% CI, 0.47-0.81). Estimated RFS rates were 81.5%, 63.8%, and 54.1% at 1, 3, and 5 years, respectively. The bootstrap-corrected area under the curve was 0.769 for the logistic model, and the bootstrap-corrected Harrell's C-index was 0.739 for the Cox model. Conclusions: Recurrence after initial TURBT was associated with greater tumor burden, adverse pathological characteristics, concomitant CIS, and higher baseline neutrophil-to-lymphocyte ratio. Maintenance intravesical therapy showed an inverse observational association with recurrence. These routinely available factors may support postoperative risk stratification and risk-adapted surveillance.

Indexed as

carcinoma in situintravesical therapyneutrophil-to-lymphocyte rationon–muscle-invasive bladder cancerrecurrencetransurethral resection of bladder tumor

Identifiers

PMID42889117
PMCPMC13668579

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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.