Defining and Treating the Spectrum of Intermediate Risk Nonmuscle Invasive Bladder Cancer

Purpose Low, intermediate and high risk categories have been defined to help guide the treatment of patients with nonmuscle invasive bladder cancer (Ta, T1, CIS). However, while low and high risk disease has been well classified, the intermediate risk category has traditionally comprised a heterogen...

Full description

Saved in:
Bibliographic Details
Published inThe Journal of urology Vol. 192; no. 2; pp. 305 - 315
Main Authors Kamat, Ashish M, Witjes, J. Alfred, Brausi, Maurizio, Soloway, Mark, Lamm, Donald, Persad, Raj, Buckley, Roger, Böhle, Andreas, Colombel, Marc, Palou, Joan
Format Journal Article
LanguageEnglish
Published New York, NY Elsevier Inc 01.08.2014
Elsevier
Subjects
Online AccessGet full text
ISSN0022-5347
1527-3792
1527-3792
DOI10.1016/j.juro.2014.02.2573

Cover

Abstract Purpose Low, intermediate and high risk categories have been defined to help guide the treatment of patients with nonmuscle invasive bladder cancer (Ta, T1, CIS). However, while low and high risk disease has been well classified, the intermediate risk category has traditionally comprised a heterogeneous group that does not fit into either of these categories. As a result, many urologists remain uncertain about the categorization of patients as intermediate risk as well as the selection of the most appropriate therapeutic option for this patient population. We review the current literature and clinical practice guidelines on intermediate risk nonmuscle invasive bladder cancer and, based on our findings, provide urologists with a better understanding of this heterogeneous risk group as well as practical recommendations for the treatment of intermediate risk patients. Materials and Methods The IBCG analyzed published clinical trials, meta-analyses and current clinical practice guidelines on intermediate risk nonmuscle invasive bladder cancer available as of September 2013. The definitions of intermediate risk, patient outcomes and guideline recommendations were considered, as were the limitations of the available literature and additional parameters that may be useful in guiding treatment decisions in intermediate risk patients. Results Current definitions and management recommendations for intermediate risk nonmuscle invasive bladder cancer vary. The most simple and practical definition is that proposed by the IBCG and the AUA of multiple and/or recurrent low grade Ta tumors. The IBCG suggests that several factors should be considered in clinical decisions in intermediate risk disease, including number (greater than 1) and size (greater than 3 cm) of tumors, timing (recurrence within 1 year) and frequency (more than 1 per year) of recurrence, and previous treatment. In patients without these risk factors a single, immediate instillation of chemotherapy is advised. In those with 1 to 2 risk factors adjuvant intravesical therapy (intravesical chemotherapy or maintenance bacillus Calmette-Guérin) is recommended, and previous intravesical therapy should be considered when choosing between these adjuvant therapies. For those patients with 3 to 4 risk factors, maintenance bacillus Calmette-Guérin is recommended. It is also important that all intermediate risk patients are accurately risk stratified at initial diagnosis and during subsequent followup. This requires appropriate transurethral resection of the bladder tumor, vigilance to rule out carcinoma in situ or other potential high risk tumors, and review of histological material directly with the pathologist. Conclusions Intermediate risk disease is a heterogeneous category, and there is a paucity of independent studies comparing therapies and outcomes in subgroups of intermediate risk patients. The IBCG has proposed a management algorithm that considers tumor characteristics, timing and frequency of recurrence, and previous treatment. Subgroup analyses of intermediate risk subjects in pivotal EORTC trials and meta-analyses will be important to validate the proposed algorithm and support clear evidence-based recommendations for subgroups of intermediate risk patients.
AbstractList Purpose Low, intermediate and high risk categories have been defined to help guide the treatment of patients with nonmuscle invasive bladder cancer (Ta, T1, CIS). However, while low and high risk disease has been well classified, the intermediate risk category has traditionally comprised a heterogeneous group that does not fit into either of these categories. As a result, many urologists remain uncertain about the categorization of patients as intermediate risk as well as the selection of the most appropriate therapeutic option for this patient population. We review the current literature and clinical practice guidelines on intermediate risk nonmuscle invasive bladder cancer and, based on our findings, provide urologists with a better understanding of this heterogeneous risk group as well as practical recommendations for the treatment of intermediate risk patients. Materials and Methods The IBCG analyzed published clinical trials, meta-analyses and current clinical practice guidelines on intermediate risk nonmuscle invasive bladder cancer available as of September 2013. The definitions of intermediate risk, patient outcomes and guideline recommendations were considered, as were the limitations of the available literature and additional parameters that may be useful in guiding treatment decisions in intermediate risk patients. Results Current definitions and management recommendations for intermediate risk nonmuscle invasive bladder cancer vary. The most simple and practical definition is that proposed by the IBCG and the AUA of multiple and/or recurrent low grade Ta tumors. The IBCG suggests that several factors should be considered in clinical decisions in intermediate risk disease, including number (greater than 1) and size (greater than 3 cm) of tumors, timing (recurrence within 1 year) and frequency (more than 1 per year) of recurrence, and previous treatment. In patients without these risk factors a single, immediate instillation of chemotherapy is advised. In those with 1 to 2 risk factors adjuvant intravesical therapy (intravesical chemotherapy or maintenance bacillus Calmette-Guérin) is recommended, and previous intravesical therapy should be considered when choosing between these adjuvant therapies. For those patients with 3 to 4 risk factors, maintenance bacillus Calmette-Guérin is recommended. It is also important that all intermediate risk patients are accurately risk stratified at initial diagnosis and during subsequent followup. This requires appropriate transurethral resection of the bladder tumor, vigilance to rule out carcinoma in situ or other potential high risk tumors, and review of histological material directly with the pathologist. Conclusions Intermediate risk disease is a heterogeneous category, and there is a paucity of independent studies comparing therapies and outcomes in subgroups of intermediate risk patients. The IBCG has proposed a management algorithm that considers tumor characteristics, timing and frequency of recurrence, and previous treatment. Subgroup analyses of intermediate risk subjects in pivotal EORTC trials and meta-analyses will be important to validate the proposed algorithm and support clear evidence-based recommendations for subgroups of intermediate risk patients.
Low, intermediate and high risk categories have been defined to help guide the treatment of patients with nonmuscle invasive bladder cancer (Ta, T1, CIS). However, while low and high risk disease has been well classified, the intermediate risk category has traditionally comprised a heterogeneous group that does not fit into either of these categories. As a result, many urologists remain uncertain about the categorization of patients as intermediate risk as well as the selection of the most appropriate therapeutic option for this patient population. We review the current literature and clinical practice guidelines on intermediate risk nonmuscle invasive bladder cancer and, based on our findings, provide urologists with a better understanding of this heterogeneous risk group as well as practical recommendations for the treatment of intermediate risk patients.PURPOSELow, intermediate and high risk categories have been defined to help guide the treatment of patients with nonmuscle invasive bladder cancer (Ta, T1, CIS). However, while low and high risk disease has been well classified, the intermediate risk category has traditionally comprised a heterogeneous group that does not fit into either of these categories. As a result, many urologists remain uncertain about the categorization of patients as intermediate risk as well as the selection of the most appropriate therapeutic option for this patient population. We review the current literature and clinical practice guidelines on intermediate risk nonmuscle invasive bladder cancer and, based on our findings, provide urologists with a better understanding of this heterogeneous risk group as well as practical recommendations for the treatment of intermediate risk patients.The IBCG analyzed published clinical trials, meta-analyses and current clinical practice guidelines on intermediate risk nonmuscle invasive bladder cancer available as of September 2013. The definitions of intermediate risk, patient outcomes and guideline recommendations were considered, as were the limitations of the available literature and additional parameters that may be useful in guiding treatment decisions in intermediate risk patients.MATERIALS AND METHODSThe IBCG analyzed published clinical trials, meta-analyses and current clinical practice guidelines on intermediate risk nonmuscle invasive bladder cancer available as of September 2013. The definitions of intermediate risk, patient outcomes and guideline recommendations were considered, as were the limitations of the available literature and additional parameters that may be useful in guiding treatment decisions in intermediate risk patients.Current definitions and management recommendations for intermediate risk nonmuscle invasive bladder cancer vary. The most simple and practical definition is that proposed by the IBCG and the AUA of multiple and/or recurrent low grade Ta tumors. The IBCG suggests that several factors should be considered in clinical decisions in intermediate risk disease, including number (greater than 1) and size (greater than 3 cm) of tumors, timing (recurrence within 1 year) and frequency (more than 1 per year) of recurrence, and previous treatment. In patients without these risk factors a single, immediate instillation of chemotherapy is advised. In those with 1 to 2 risk factors adjuvant intravesical therapy (intravesical chemotherapy or maintenance bacillus Calmette-Guérin) is recommended, and previous intravesical therapy should be considered when choosing between these adjuvant therapies. For those patients with 3 to 4 risk factors, maintenance bacillus Calmette-Guérin is recommended. It is also important that all intermediate risk patients are accurately risk stratified at initial diagnosis and during subsequent followup. This requires appropriate transurethral resection of the bladder tumor, vigilance to rule out carcinoma in situ or other potential high risk tumors, and review of histological material directly with the pathologist.RESULTSCurrent definitions and management recommendations for intermediate risk nonmuscle invasive bladder cancer vary. The most simple and practical definition is that proposed by the IBCG and the AUA of multiple and/or recurrent low grade Ta tumors. The IBCG suggests that several factors should be considered in clinical decisions in intermediate risk disease, including number (greater than 1) and size (greater than 3 cm) of tumors, timing (recurrence within 1 year) and frequency (more than 1 per year) of recurrence, and previous treatment. In patients without these risk factors a single, immediate instillation of chemotherapy is advised. In those with 1 to 2 risk factors adjuvant intravesical therapy (intravesical chemotherapy or maintenance bacillus Calmette-Guérin) is recommended, and previous intravesical therapy should be considered when choosing between these adjuvant therapies. For those patients with 3 to 4 risk factors, maintenance bacillus Calmette-Guérin is recommended. It is also important that all intermediate risk patients are accurately risk stratified at initial diagnosis and during subsequent followup. This requires appropriate transurethral resection of the bladder tumor, vigilance to rule out carcinoma in situ or other potential high risk tumors, and review of histological material directly with the pathologist.Intermediate risk disease is a heterogeneous category, and there is a paucity of independent studies comparing therapies and outcomes in subgroups of intermediate risk patients. The IBCG has proposed a management algorithm that considers tumor characteristics, timing and frequency of recurrence, and previous treatment. Subgroup analyses of intermediate risk subjects in pivotal EORTC trials and meta-analyses will be important to validate the proposed algorithm and support clear evidence-based recommendations for subgroups of intermediate risk patients.CONCLUSIONSIntermediate risk disease is a heterogeneous category, and there is a paucity of independent studies comparing therapies and outcomes in subgroups of intermediate risk patients. The IBCG has proposed a management algorithm that considers tumor characteristics, timing and frequency of recurrence, and previous treatment. Subgroup analyses of intermediate risk subjects in pivotal EORTC trials and meta-analyses will be important to validate the proposed algorithm and support clear evidence-based recommendations for subgroups of intermediate risk patients.
Low, intermediate and high risk categories have been defined to help guide the treatment of patients with nonmuscle invasive bladder cancer (Ta, T1, CIS). However, while low and high risk disease has been well classified, the intermediate risk category has traditionally comprised a heterogeneous group that does not fit into either of these categories. As a result, many urologists remain uncertain about the categorization of patients as intermediate risk as well as the selection of the most appropriate therapeutic option for this patient population. We review the current literature and clinical practice guidelines on intermediate risk nonmuscle invasive bladder cancer and, based on our findings, provide urologists with a better understanding of this heterogeneous risk group as well as practical recommendations for the treatment of intermediate risk patients. The IBCG analyzed published clinical trials, meta-analyses and current clinical practice guidelines on intermediate risk nonmuscle invasive bladder cancer available as of September 2013. The definitions of intermediate risk, patient outcomes and guideline recommendations were considered, as were the limitations of the available literature and additional parameters that may be useful in guiding treatment decisions in intermediate risk patients. Current definitions and management recommendations for intermediate risk nonmuscle invasive bladder cancer vary. The most simple and practical definition is that proposed by the IBCG and the AUA of multiple and/or recurrent low grade Ta tumors. The IBCG suggests that several factors should be considered in clinical decisions in intermediate risk disease, including number (greater than 1) and size (greater than 3 cm) of tumors, timing (recurrence within 1 year) and frequency (more than 1 per year) of recurrence, and previous treatment. In patients without these risk factors a single, immediate instillation of chemotherapy is advised. In those with 1 to 2 risk factors adjuvant intravesical therapy (intravesical chemotherapy or maintenance bacillus Calmette-Guérin) is recommended, and previous intravesical therapy should be considered when choosing between these adjuvant therapies. For those patients with 3 to 4 risk factors, maintenance bacillus Calmette-Guérin is recommended. It is also important that all intermediate risk patients are accurately risk stratified at initial diagnosis and during subsequent followup. This requires appropriate transurethral resection of the bladder tumor, vigilance to rule out carcinoma in situ or other potential high risk tumors, and review of histological material directly with the pathologist. Intermediate risk disease is a heterogeneous category, and there is a paucity of independent studies comparing therapies and outcomes in subgroups of intermediate risk patients. The IBCG has proposed a management algorithm that considers tumor characteristics, timing and frequency of recurrence, and previous treatment. Subgroup analyses of intermediate risk subjects in pivotal EORTC trials and meta-analyses will be important to validate the proposed algorithm and support clear evidence-based recommendations for subgroups of intermediate risk patients.
Author Persad, Raj
Kamat, Ashish M
Soloway, Mark
Böhle, Andreas
Witjes, J. Alfred
Buckley, Roger
Colombel, Marc
Palou, Joan
Lamm, Donald
Brausi, Maurizio
Author_xml – sequence: 1
  fullname: Kamat, Ashish M
– sequence: 2
  fullname: Witjes, J. Alfred
– sequence: 3
  fullname: Brausi, Maurizio
– sequence: 4
  fullname: Soloway, Mark
– sequence: 5
  fullname: Lamm, Donald
– sequence: 6
  fullname: Persad, Raj
– sequence: 7
  fullname: Buckley, Roger
– sequence: 8
  fullname: Böhle, Andreas
– sequence: 9
  fullname: Colombel, Marc
– sequence: 10
  fullname: Palou, Joan
BackLink http://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=28613939$$DView record in Pascal Francis
https://www.ncbi.nlm.nih.gov/pubmed/24681333$$D View this record in MEDLINE/PubMed
BookMark eNqFkl-L1DAUxYOsuLOjn0CQvgi-tObmT5s-KKzjri4sCu764FNI01tNt5OOSTuw396UmUXYByUPIeR3Lpxz7hk58aNHQl4CLYBC-bYv-jmMBaMgCsoKJiv-hKxAsirnVc1OyIpSxnLJRXVKzmLsaSJlxZ6RUyZKBZzzFfnxETvnnf-ZGd9mtwHNtDymX5jd7NBOYd5mY5dd-QnDFltnJsy-uXiXfRn9do52wPS3N9HtMfswmLbFkG2Mtxiek6edGSK-ON5r8v3y4nbzOb_--ulqc36d25LJKa-AVQi0bqFplIK2azgKaS3DmqpWqRI7yrhEACyFULaRFGslBDAGqukEX5M3h7m7MP6eMU5666LFYTAexzlqkLKiCiTIhL46onOTzOhdcFsT7vVDHAl4fQRMtGboQnLi4l9OlcDrdNakPnA2jDEG7LR1U0pu9FMwbtBA9VKR7vVSkV4q0pTppaKk5Y-0D-P_rXp3UGGKcu8w6GgdppxbF1JNuh3df_TvH-ntkHpPJu_wHmM_zsGnljToyDTVN8vqLJsDgnIqoOZ_AKfovh0
CODEN JOURAA
CitedBy_id crossref_primary_10_1093_milmed_usz166
crossref_primary_10_1007_s40846_015_0060_5
crossref_primary_10_1016_j_urolonc_2018_01_017
crossref_primary_10_1016_j_urolonc_2023_06_017
crossref_primary_10_1111_iju_15162
crossref_primary_10_3233_BLC_200311
crossref_primary_10_3233_BLC_160053
crossref_primary_10_1016_j_eururo_2015_06_023
crossref_primary_10_1016_j_euf_2018_11_005
crossref_primary_10_1111_bju_15254
crossref_primary_10_1097_MOU_0000000000000551
crossref_primary_10_1155_2021_5510318
crossref_primary_10_1016_j_urology_2016_01_004
crossref_primary_10_1016_j_urolonc_2016_05_028
crossref_primary_10_1586_14737140_2015_1115350
crossref_primary_10_1155_2020_5848493
crossref_primary_10_1097_CCO_0000000000000173
crossref_primary_10_1016_j_urolonc_2016_11_014
crossref_primary_10_1007_s00261_024_04737_3
crossref_primary_10_1097_MOU_0000000000000550
crossref_primary_10_1016_j_euf_2018_08_010
crossref_primary_10_1016_j_juro_2016_10_061
crossref_primary_10_1016_j_urolonc_2024_06_026
crossref_primary_10_1136_jitc_2021_002552
crossref_primary_10_1096_fj_201902626R
crossref_primary_10_1016_j_juro_2016_01_087
crossref_primary_10_3389_fonc_2021_795242
crossref_primary_10_1038_nrurol_2017_16
crossref_primary_10_1073_pnas_1610472113
crossref_primary_10_1186_s40425_017_0271_0
crossref_primary_10_1016_j_euf_2020_05_004
crossref_primary_10_1111_iju_15309
crossref_primary_10_7759_cureus_17446
crossref_primary_10_1007_s00345_024_05417_z
crossref_primary_10_33590_emjurol_10310878
crossref_primary_10_1038_s41598_017_01532_7
crossref_primary_10_1200_JCO_22_02104
crossref_primary_10_1007_s00345_018_2591_1
crossref_primary_10_1007_s00345_024_04992_5
crossref_primary_10_1016_j_euo_2019_06_003
crossref_primary_10_12688_f1000research_14903_1
crossref_primary_10_1097_CCO_0000000000000278
crossref_primary_10_1007_s11934_019_0952_y
crossref_primary_10_1016_j_eururo_2021_12_005
crossref_primary_10_1097_MOU_0000000000001028
crossref_primary_10_48083_NJCD1236
crossref_primary_10_3389_fonc_2018_00642
crossref_primary_10_1016_j_euo_2022_05_005
crossref_primary_10_1016_j_euros_2021_01_015
crossref_primary_10_1111_bju_15209
crossref_primary_10_1038_nrurol_2014_172
crossref_primary_10_3892_mco_2018_1602
crossref_primary_10_1016_S0140_6736_22_01188_6
crossref_primary_10_1111_bju_14995
crossref_primary_10_1007_s00345_015_1595_3
crossref_primary_10_1038_nrurol_2015_58
crossref_primary_10_1155_2019_6702964
crossref_primary_10_1016_j_euo_2022_10_008
crossref_primary_10_1016_S0140_6736_16_30512_8
crossref_primary_10_1016_j_urology_2017_03_034
crossref_primary_10_1016_j_euf_2020_01_006
crossref_primary_10_1111_bju_16371
crossref_primary_10_1016_j_euo_2024_06_004
crossref_primary_10_1016_j_euo_2024_06_005
crossref_primary_10_1038_s41379_021_00955_y
crossref_primary_10_1007_s00345_021_03740_3
crossref_primary_10_1016_j_urolonc_2016_05_033
crossref_primary_10_1016_j_urology_2022_12_009
crossref_primary_10_1200_JCO_2015_64_4070
Cites_doi 10.1016/j.eururo.2012.08.061
10.1016/j.eursup.2010.08.005
10.1016/j.eururo.2012.09.057
10.1111/j.1464-410X.2011.10571.x
10.1016/S0022-5347(05)67975-X
10.1016/S0302-2838(02)00068-4
10.1016/j.eururo.2009.12.024
10.1016/j.eururo.2009.11.041
10.1111/j.1464-410X.2012.11500.x
10.1016/j.urology.2005.07.063
10.1016/j.eursup.2011.03.002
10.1016/j.eururo.2009.01.006
10.1016/j.eururo.2009.05.047
10.1016/S0022-5347(05)64043-8
10.1016/S0022-5347(17)38731-1
10.1016/S0022-5347(17)51695-X
10.1016/S0022-5347(17)45923-4
10.1016/j.juro.2008.03.038
10.1016/j.eururo.2007.12.033
10.3109/01913123.2012.681833
10.1016/j.eururo.2005.12.031
10.1046/j.1464-410X.2003.04360.x
10.1016/j.juro.2011.07.076
10.1016/j.eururo.2007.04.062
10.1016/j.eururo.2009.04.038
10.1080/00365590310008037
10.1159/000019859
10.1016/j.eururo.2013.03.059
10.1016/j.juro.2007.09.003
10.1016/j.eururo.2007.10.006
10.1016/S0022-5347(01)61607-0
10.1016/j.eururo.2009.04.009
10.1016/S1569-9056(09)60669-2
10.1016/0959-8049(95)00287-S
10.1016/j.eururo.2009.03.052
10.1016/j.eururo.2012.10.039
10.1111/j.1464-410X.2010.09891.x
10.1016/j.eururo.2011.05.033
10.1016/S0022-5347(05)67280-1
10.1111/j.1464-410X.2009.08654.x
10.1016/j.eururo.2007.12.026
10.1016/j.eururo.2013.07.021
10.1016/j.eursup.2010.02.002
10.1111/bju.12012
10.1016/j.eururo.2013.06.003
ContentType Journal Article
Copyright American Urological Association Education and Research, Inc.
2014 American Urological Association Education and Research, Inc.
2015 INIST-CNRS
Copyright © 2014 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.
Copyright_xml – notice: American Urological Association Education and Research, Inc.
– notice: 2014 American Urological Association Education and Research, Inc.
– notice: 2015 INIST-CNRS
– notice: Copyright © 2014 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.
DBID AAYXX
CITATION
IQODW
CGR
CUY
CVF
ECM
EIF
NPM
7X8
DOI 10.1016/j.juro.2014.02.2573
DatabaseName CrossRef
Pascal-Francis
Medline
MEDLINE
MEDLINE (Ovid)
MEDLINE
MEDLINE
PubMed
MEDLINE - Academic
DatabaseTitle CrossRef
MEDLINE
Medline Complete
MEDLINE with Full Text
PubMed
MEDLINE (Ovid)
MEDLINE - Academic
DatabaseTitleList
MEDLINE - Academic
MEDLINE

Database_xml – sequence: 1
  dbid: NPM
  name: PubMed
  url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed
  sourceTypes: Index Database
– sequence: 2
  dbid: EIF
  name: MEDLINE
  url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search
  sourceTypes: Index Database
DeliveryMethod fulltext_linktorsrc
Discipline Medicine
EISSN 1527-3792
EndPage 315
ExternalDocumentID 24681333
28613939
10_1016_j_juro_2014_02_2573
S0022534714030419
1_s2_0_S0022534714030419
Genre Research Support, Non-U.S. Gov't
Journal Article
Review
GrantInformation_xml – fundername: NCI NIH HHS
  grantid: P30 CA016672
GroupedDBID ---
--K
.55
.GJ
.XZ
08P
0R~
123
1B1
1CY
354
3O-
4.4
457
4G.
4Q1
4Q2
4Q3
53G
5RE
5VS
7-5
AAAAV
AAEDT
AAEDW
AAGIX
AAHPQ
AAIQE
AAJCS
AAKAS
AALRI
AAMOA
AAQFI
AAQKA
AAQQT
AAQXK
AASCR
AASXQ
AAXUO
ABASU
ABCQX
ABDIG
ABJNI
ABLJU
ABMAC
ABOCM
ABPPZ
ABVCZ
ABWVN
ACGFS
ACIJW
ACILI
ACLDA
ACOAL
ACRPL
ACXJB
ADGGA
ADHPY
ADMUD
ADNKB
ADNMO
ADPAM
ADZCM
AEBDS
AEETU
AENEX
AFDTB
AFEXH
AFFNX
AFTRI
AFUWQ
AGHFR
AHOMT
AHQNM
AHRYX
AHVBC
AI.
AINUH
AITUG
AIZYK
AJCLO
AJIOK
AJNWD
AJZMW
AKCTQ
AKULP
ALKUP
ALMA_UNASSIGNED_HOLDINGS
ALMTX
AMJPA
AMKUR
AMNEI
AMRAJ
ASGHL
ASPBG
AVWKF
AZFZN
BCGUY
BELOY
BYPQX
C45
C5W
CS3
DIWNM
DU5
EBS
EEVPB
EJD
ERAAH
EX3
F5P
FCALG
FDB
FEDTE
FGOYB
GBLVA
GNXGY
GQDEL
HLJTE
HVGLF
HZ~
H~9
IH2
IHE
IKREB
IKYAY
IPNFZ
J5H
KMI
L7B
M41
MJL
MO0
N4W
NQ-
NTWIH
O9-
OAG
OAH
OB3
OBH
ODMTH
OGROG
OHH
OL1
OVD
OWU
OWV
OWW
OWY
OWZ
P2P
PKN
QTD
R2-
RIG
RLZ
ROL
RPZ
SEL
SES
SJN
SSZ
TEORI
TSPGW
UDS
UNMZH
UV1
VH1
VVN
WOW
X7M
XH2
XYM
YFH
YOC
ZCG
ZFV
ZGI
ZXP
ZY1
ZZMQN
AGZHU
AHPSJ
ALXNB
ZA5
AAYXX
ABPXF
ABXYN
ABZZY
ACVFH
ACZKN
ADCNI
ADGHP
AFBFQ
AFNMH
AGQPQ
AHQVU
AIGII
AOQMC
CITATION
IQODW
CGR
CUY
CVF
ECM
EIF
NPM
7X8
ID FETCH-LOGICAL-c625t-7127e109d1bb881dfb3e45cc2e908d886ef0235e11e6448cb50e984412218bf43
ISSN 0022-5347
1527-3792
IngestDate Fri Sep 05 09:23:24 EDT 2025
Thu Apr 03 07:03:34 EDT 2025
Wed Apr 02 07:18:32 EDT 2025
Tue Jul 01 04:30:09 EDT 2025
Thu Apr 24 23:06:09 EDT 2025
Fri Feb 23 02:30:55 EST 2024
Sun Feb 23 10:19:42 EST 2025
IsDoiOpenAccess false
IsOpenAccess true
IsPeerReviewed true
IsScholarly true
Issue 2
Keywords carcinoma in situ
mitomycin C
bacillus Calmette-Guérin
NCCN
NMIBC
TURBT
administration
ICUD
nonmuscle invasive bladder cancer
chemotherapy
AUA
Southwest Oncology Group
European Organisation for Research and Treatment of Cancer
International Consultation on Urological Diseases
PDD
International Bladder Cancer Group
narrow band imaging
transurethral resection of bladder tumor
NBI
adjuvant
urinary bladder neoplasms
American Urological Association
CUETO
SWOG
photodynamic diagnosis
IBCG
MMC
intermediate risk
EORTC
BCG
IR
CIS
European Association of Urology
Club Urologico Espanol de Tratamiento Oncologico
mycobacterium bovis
EAU
intravesical
risk
National Comprehensive Cancer Network
Nephrology
chemotherapy, adjuvant
Urology
Urinary bladder
Bacteria
Invasive cancer
Urinary system disease
Mycobacterium bovis
Urinary tract disease
Malignant tumor
Bladder cancer
Bladder tumor
Chemotherapy
Treatment
Urinary system
Mycobacteriales
Risk factor
Mycobacteriaceae
Actinomycetes
Bladder disease
Intravesical administration
Cancer
Language English
License https://www.elsevier.com/tdm/userlicense/1.0
CC BY 4.0
Copyright © 2014 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.
LinkModel OpenURL
MergedId FETCHMERGED-LOGICAL-c625t-7127e109d1bb881dfb3e45cc2e908d886ef0235e11e6448cb50e984412218bf43
Notes ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
ObjectType-Review-3
content type line 23
OpenAccessLink https://www.ncbi.nlm.nih.gov/pmc/articles/4687397
PMID 24681333
PQID 1557081515
PQPubID 23479
PageCount 11
ParticipantIDs proquest_miscellaneous_1557081515
pubmed_primary_24681333
pascalfrancis_primary_28613939
crossref_citationtrail_10_1016_j_juro_2014_02_2573
crossref_primary_10_1016_j_juro_2014_02_2573
elsevier_sciencedirect_doi_10_1016_j_juro_2014_02_2573
elsevier_clinicalkeyesjournals_1_s2_0_S0022534714030419
ProviderPackageCode CITATION
AAYXX
PublicationCentury 2000
PublicationDate 2014-08-01
PublicationDateYYYYMMDD 2014-08-01
PublicationDate_xml – month: 08
  year: 2014
  text: 2014-08-01
  day: 01
PublicationDecade 2010
PublicationPlace New York, NY
PublicationPlace_xml – name: New York, NY
– name: United States
PublicationTitle The Journal of urology
PublicationTitleAlternate J Urol
PublicationYear 2014
Publisher Elsevier Inc
Elsevier
Publisher_xml – name: Elsevier Inc
– name: Elsevier
References Millán-Rodríguez, Chéchile-Toniolo, Salvador-Bayarri (bib46) 2000; 164
Brausi (bib2) 2010; 9
Oddens, Brausi, Sylvester (bib19) 2013; 63
Heney, Ahmed, Flanagan (bib37) 1983; 130
Babjuk, Burger, Zigeuner (bib6) 2013; 64
Brausi, Collette, Kurth (bib23) 2002; 41
May, Brookman-Amissah, Roigas (bib31) 2010; 57
Dobruch, Herr (bib12) 2009; 104
Hendricksen, Witjes, Idema (bib20) 2008; 53
Brausi, Oddens, Sylvester (bib50) 2014; 65
Sos, Palou, Huguet (bib27) 2009; 8
Burger, van der Aa, van Oers (bib32) 2008; 54
Kurth, Denis, Bouffioux (bib43) 1995; 31A
Thalmann, Birkhäuser, Roth (bib35) 2011; 10
Böhle, Jocham, Bock (bib14) 2003; 169
Oosterlinck, Solsona, Akaza (bib45) 2005; 66
Sylvester, van der Meijden, Oosterlinck (bib33) 2006; 49
(bib10) 2014
Larsson, Wijkström, Thorstenson (bib40) 2003; 37
Millán-Rodríguez, Chéchile-Toniolo, Salvador-Bayarri (bib38) 2000; 163
Kamat, Hegarty, Gee (bib22) 2013; 63
Gudjónsson, Adell, Merdasa (bib11) 2009; 55
Parmar, Freedman, Hargreave (bib36) 1989; 142
Hinotsu, Akaza, Naito (bib16) 2011; 108
van der Meijden, Oosterlinck, Brausi (bib26) 1999; 35
Ojea, Nogueira, Solsona (bib15) 2007; 52
Hall, Chang, Dalbagni (bib8) 2007; 178
Fernandez-Gomez, Madero, Solsona (bib34) 2011; 60
Lamm, Persad, Colombel (bib1) 2010; 9
Zheng, Lv, Zhong (bib30) 2012; 110
Burger, Grossman, Droller (bib28) 2013; 64
Malmström, Wijkström, Lundholm (bib47) 1999; 161
Babjuk, Burger, Zigeuner (bib5) 2013
Sylvester, Brausi, Kirkels (bib18) 2010; 57
Konety, Oosterlinck, Chang (bib4) 2012
Cai, Nesi, Tinacci (bib13) 2008; 180
Hall, Chang, Dalbagni (bib7) 2007
Jӓrvinen, Kaasinen, Sankila (bib21) 2009; 56
Ali-El-Dein, Sarhan, Hinev (bib42) 2003; 92
Malmström, Sylvester, Crawford (bib17) 2009; 56
Kausch, Sommerauer, Montorsi (bib29) 2010; 57
Fitzpatrick, West, Butler (bib41) 1986; 135
Mariappan, Zachou, Grigor (bib24) 2010; 57
Ajili, Manai, Darouiche (bib39) 2012; 36
Witjes, Palou, Soloway (bib3) 2013; 112
Brausi, Witjes, Lamm (bib9) 2011; 186
Mariappan, Finney, Head (bib25) 2012; 109
Fernandez-Gomez, Solsona, Unda (bib44) 2008; 53
Mangiarotti, Trinchieri, Del Nero, Montanari (bib48) 2008; 80
Burger, Oosterlinck, Konety (bib49) 2013; 63
Fernandez-Gomez (10.1016/j.juro.2014.02.2573_bib34) 2011; 60
Witjes (10.1016/j.juro.2014.02.2573_bib3) 2013; 112
van der Meijden (10.1016/j.juro.2014.02.2573_bib26) 1999; 35
Zheng (10.1016/j.juro.2014.02.2573_bib30) 2012; 110
Malmström (10.1016/j.juro.2014.02.2573_bib17) 2009; 56
Fitzpatrick (10.1016/j.juro.2014.02.2573_bib41) 1986; 135
Ojea (10.1016/j.juro.2014.02.2573_bib15) 2007; 52
Larsson (10.1016/j.juro.2014.02.2573_bib40) 2003; 37
Babjuk (10.1016/j.juro.2014.02.2573_bib5) 2013
Mariappan (10.1016/j.juro.2014.02.2573_bib24) 2010; 57
Malmström (10.1016/j.juro.2014.02.2573_bib47) 1999; 161
Cai (10.1016/j.juro.2014.02.2573_bib13) 2008; 180
Burger (10.1016/j.juro.2014.02.2573_bib49) 2013; 63
Thalmann (10.1016/j.juro.2014.02.2573_bib35) 2011; 10
Burger (10.1016/j.juro.2014.02.2573_bib32) 2008; 54
Mariappan (10.1016/j.juro.2014.02.2573_bib25) 2012; 109
Kurth (10.1016/j.juro.2014.02.2573_bib43) 1995; 31A
Brausi (10.1016/j.juro.2014.02.2573_bib23) 2002; 41
Mangiarotti (10.1016/j.juro.2014.02.2573_bib48) 2008; 80
Gudjónsson (10.1016/j.juro.2014.02.2573_bib11) 2009; 55
Hinotsu (10.1016/j.juro.2014.02.2573_bib16) 2011; 108
Jӓrvinen (10.1016/j.juro.2014.02.2573_bib21) 2009; 56
Böhle (10.1016/j.juro.2014.02.2573_bib14) 2003; 169
Oosterlinck (10.1016/j.juro.2014.02.2573_bib45) 2005; 66
Hall (10.1016/j.juro.2014.02.2573_bib7) 2007
Millán-Rodríguez (10.1016/j.juro.2014.02.2573_bib38) 2000; 163
Sylvester (10.1016/j.juro.2014.02.2573_bib18) 2010; 57
Oddens (10.1016/j.juro.2014.02.2573_bib19) 2013; 63
Konety (10.1016/j.juro.2014.02.2573_bib4) 2012
Burger (10.1016/j.juro.2014.02.2573_bib28) 2013; 64
Parmar (10.1016/j.juro.2014.02.2573_bib36) 1989; 142
Babjuk (10.1016/j.juro.2014.02.2573_bib6) 2013; 64
Fernandez-Gomez (10.1016/j.juro.2014.02.2573_bib44) 2008; 53
Hendricksen (10.1016/j.juro.2014.02.2573_bib20) 2008; 53
Millán-Rodríguez (10.1016/j.juro.2014.02.2573_bib46) 2000; 164
Ali-El-Dein (10.1016/j.juro.2014.02.2573_bib42) 2003; 92
Dobruch (10.1016/j.juro.2014.02.2573_bib12) 2009; 104
May (10.1016/j.juro.2014.02.2573_bib31) 2010; 57
Hall (10.1016/j.juro.2014.02.2573_bib8) 2007; 178
Lamm (10.1016/j.juro.2014.02.2573_bib1) 2010; 9
Kamat (10.1016/j.juro.2014.02.2573_bib22) 2013; 63
Kausch (10.1016/j.juro.2014.02.2573_bib29) 2010; 57
Heney (10.1016/j.juro.2014.02.2573_bib37) 1983; 130
Brausi (10.1016/j.juro.2014.02.2573_bib2) 2010; 9
Sos (10.1016/j.juro.2014.02.2573_bib27) 2009; 8
Brausi (10.1016/j.juro.2014.02.2573_bib9) 2011; 186
Brausi (10.1016/j.juro.2014.02.2573_bib50) 2014; 65
Ajili (10.1016/j.juro.2014.02.2573_bib39) 2012; 36
(10.1016/j.juro.2014.02.2573_bib10) 2014
Sylvester (10.1016/j.juro.2014.02.2573_bib33) 2006; 49
19346063 - Eur Urol. 2010 May;57(5):850-8
10419345 - Eur Urol. 1999 Apr;35(4):267-71
10081852 - J Urol. 1999 Apr;161(4):1124-7
16399417 - Urology. 2005 Dec;66(6 Suppl 1):75-89
21621906 - Eur Urol. 2011 Sep;60(3):423-30
19235434 - Arch Ital Urol Androl. 2008 Dec;80(4):167-71
23141049 - Eur Urol. 2013 Mar;63(3):462-72
17485161 - Eur Urol. 2007 Nov;52(5):1398-406
8541110 - Eur J Cancer. 1995 Oct;31A(11):1840-6
20034729 - Eur Urol. 2010 May;57(5):766-73
19395154 - Eur Urol. 2009 Aug;56(2):260-5
12775276 - Scand J Urol Nephrol. 2003;37(3):195-201
12930428 - BJU Int. 2003 Sep;92(4):393-9
18248876 - Eur Urol. 2008 May;53(5):984-91
3959241 - J Urol. 1986 May;135(5):920-2
23827737 - Eur Urol. 2013 Oct;64(4):639-53
17993339 - J Urol. 2007 Dec;178(6):2314-30
22981672 - Eur Urol. 2013 Jan;63(1):36-44
2501516 - J Urol. 1989 Aug;142(2 Pt 1):284-8
22985502 - BJU Int. 2012 Dec;110(11 Pt B):E680-7
19409692 - Eur Urol. 2009 Aug;56(2):247-56
23910233 - Eur Urol. 2014 Jan;65(1):69-76
20004052 - Eur Urol. 2010 Apr;57(4):595-606
19153001 - Eur Urol. 2009 Apr;55(4):773-80
10954628 - J Urol. 2000 Sep;164(3 Pt 1):680-4
6644886 - J Urol. 1983 Dec;130(6):1083-6
19524354 - Eur Urol. 2010 May;57(5):843-9
17950987 - Eur Urol. 2008 May;53(5):992-1001
18166262 - Eur Urol. 2008 Oct;54(4):835-43
10604317 - J Urol. 2000 Jan;163(1):73-8
23083902 - Eur Urol. 2013 Jan;63(1):4-15
23025650 - Ultrastruct Pathol. 2012 Oct;36(5):320-4
23602406 - Eur Urol. 2013 Nov;64(5):846-54
23452187 - BJU Int. 2013 Oct;112(6):742-50
16442208 - Eur Urol. 2006 Mar;49(3):466-5; discussion 475-7
22014799 - J Urol. 2011 Dec;186(6):2158-67
22044434 - BJU Int. 2012 Jun;109(11):1666-73
12478111 - J Urol. 2003 Jan;169(1):90-5
18485394 - J Urol. 2008 Jul;180(1):110-5
12074794 - Eur Urol. 2002 May;41(5):523-31
19493266 - BJU Int. 2009 Jul;104(2):170-4
21176079 - BJU Int. 2011 Jul;108(2):187-95
References_xml – volume: 9
  start-page: 406
  year: 2010
  ident: bib2
  article-title: Challenging the EAU guidelines on non-muscle-invasive bladder cancer (NMIBC): single instillation of chemotherapy after transurethral resection of NMIBC and chemotherapy versus bacillus Calmette-Guérin in treatment of intermediate-risk tumours
  publication-title: Eur Urol Suppl
– year: 2014
  ident: bib10
  article-title: Clinical Practice Guidelines in Oncology: Bladder Cancer. Version 1
– volume: 110
  start-page: E680
  year: 2012
  ident: bib30
  article-title: Narrow band imaging diagnosis of bladder cancer: systematic review and meta-analysis
  publication-title: BJU Int
– volume: 104
  start-page: 170
  year: 2009
  ident: bib12
  article-title: Should all patients receive single chemotherapeutic agent instillation after bladder tumour resection?
  publication-title: BJU Int
– volume: 163
  start-page: 73
  year: 2000
  ident: bib38
  article-title: Multivariate analysis of the prognostic factors of primary superficial bladder cancer
  publication-title: J Urol
– volume: 56
  start-page: 260
  year: 2009
  ident: bib21
  article-title: Long-term efficacy of maintenance bacillus Calmette-Guérin versus maintenance mitomycin C instillation therapy in frequently recurrent TaT1 tumours without carcinoma in situ: a subgroup analysis of the prospective, randomised FinnBladder I study with a 20-year follow-up
  publication-title: Eur Urol
– volume: 57
  start-page: 766
  year: 2010
  ident: bib18
  article-title: Long-term efficacy results of EORTC Genito-Urinary Group randomized phase 3 study 30911 comparing intravesical instillations of epirubicin, bacillus Calmette-Guérin and bacillus Calmette-Guérin plus isoniazid in patients with intermediate- and high-risk stage Ta T1 urothelial carcinoma of the bladder
  publication-title: Eur Urol
– volume: 108
  start-page: 187
  year: 2011
  ident: bib16
  article-title: Maintenance therapy with bacillus Calmette-Guérin Connaught strain clearly prolongs recurrence-free survival following transurethral resection of bladder tumor for non-muscle-invasive cancer
  publication-title: BJU Int
– volume: 164
  start-page: 680
  year: 2000
  ident: bib46
  article-title: Primary superficial bladder cancer risk groups according to progression, mortality and recurrence
  publication-title: J Urol
– volume: 63
  start-page: 462
  year: 2013
  ident: bib19
  article-title: Final results of an EORTC-GU Cancer Group randomized study of maintenance bacillus Calmette-Guérin in intermediate- and high-risk Ta, T1 papillary carcinoma of the urinary bladder: one-third dose versus full dose and 1 year versus 3 years of maintenance
  publication-title: Eur Urol
– start-page: 231
  year: 2012
  end-page: 246
  ident: bib4
  article-title: Low-grade Ta urothelial carcinoma of the bladder
  publication-title: Bladder Cancer, 2nd ed
– volume: 60
  start-page: 423
  year: 2011
  ident: bib34
  article-title: The EORTC tables overestimate the risk of recurrence and progression in patients with non-muscle-invasive bladder cancer treated with bacillus Calmette-Guérin: external validation of the EORTC risk tables
  publication-title: Eur Urol
– volume: 57
  start-page: 843
  year: 2010
  ident: bib24
  article-title: Detrusor muscle in the first, apparently complete transurethral resection of bladder tumour specimen is a surrogate marker of resection quality, predicts risk of early recurrence, and is dependent on operator experience
  publication-title: Eur Urol
– volume: 112
  start-page: 742
  year: 2013
  ident: bib3
  article-title: Current clinical practice gaps in the treatment of intermediate- and high-risk non-muscle-invasive bladder cancer (NMIBC) with emphasis on the use of bacillus Calmette-Guérin (BCG): results of an international individual patient data survey (IPDS)
  publication-title: BJU Int
– volume: 8
  start-page: 289
  year: 2009
  ident: bib27
  article-title: Comparison of WHO 1973 to WHO 2004 grading system in bladder cancer related to association to CIS, recurrence and progression in Ta tumours
  publication-title: Eur Urol Suppl
– volume: 135
  start-page: 920
  year: 1986
  ident: bib41
  article-title: Superficial bladder tumors (stage pTa, grades 1 and 2): the importance of recurrence pattern following initial resection
  publication-title: J Urol
– volume: 52
  start-page: 1398
  year: 2007
  ident: bib15
  article-title: A multicentre, randomised prospective trial comparing three intravesical adjuvant therapies for intermediate-risk superficial bladder cancer: low-dose bacillus Calmette-Guérin (27 mg) versus very low-dose bacillus Calmette-Guérin (13.5 mg) versus mitomycin C
  publication-title: Eur Urol
– volume: 53
  start-page: 984
  year: 2008
  ident: bib20
  article-title: Comparison of three schedules of intravesical epirubicin in patients with non-muscle-invasive bladder cancer
  publication-title: Eur Urol
– volume: 109
  start-page: 1666
  year: 2012
  ident: bib25
  article-title: Good quality white-light transurethral resection of bladder tumours (GQ-WLTURBT) with experienced surgeons performing complete resections and obtaining detrusor muscle reduces early recurrence in new non-muscle-invasive bladder cancer: validation across time and place and recommendation for benchmarking
  publication-title: BJU Int
– volume: 57
  start-page: 850
  year: 2010
  ident: bib31
  article-title: Prognostic accuracy of individual uropathologists in noninvasive urinary bladder carcinoma: a multicentre study comparing the 1973 and 2004 World Health Organisation classifications
  publication-title: Eur Urol
– volume: 35
  start-page: 267
  year: 1999
  ident: bib26
  article-title: Significance of bladder biopsies in Ta,T1 bladder tumors: a report from the EORTC Genito-Urinary Tract Cancer Cooperative Group. EORTC-GU Group Superficial Bladder Committee
  publication-title: Eur Urol
– volume: 56
  start-page: 247
  year: 2009
  ident: bib17
  article-title: An individual patient data meta-analysis of the long-term outcome of randomised studies comparing intravesical mitomycin C versus bacillus Calmette-Guérin for non-muscle-invasive bladder cancer
  publication-title: Eur Urol
– year: 2013
  ident: bib5
  article-title: Guidelines on Non-Muscle-Invasive Bladder Cancer (TaT1 and CIS)
– volume: 186
  start-page: 2158
  year: 2011
  ident: bib9
  article-title: A review of current guidelines and best practice recommendations for the management of nonmuscle invasive bladder cancer by the International Bladder Cancer Group
  publication-title: J Urol
– volume: 53
  start-page: 992
  year: 2008
  ident: bib44
  article-title: Prognostic factors in patients with non-muscle-invasive bladder cancer treated with bacillus Calmette-Guérin: multivariate analysis of data from four randomized CUETO trials
  publication-title: Eur Urol
– volume: 63
  start-page: 4
  year: 2013
  ident: bib22
  article-title: ICUD-EAU International Consultation on Bladder Cancer 2012: screening, diagnosis, and molecular markers
  publication-title: Eur Urol
– volume: 180
  start-page: 110
  year: 2008
  ident: bib13
  article-title: Can early single dose instillation of epirubicin improve bacillus Calmette-Guerin efficacy in patients with nonmuscle invasive high risk bladder cancer? Results from a prospective, randomized, double-blind controlled study
  publication-title: J Urol
– volume: 36
  start-page: 320
  year: 2012
  ident: bib39
  article-title: Tumor multiplicity is an independent prognostic factor of non-muscle-invasive bladder cancer treated with Bacillus Calmette-Guerin immunotherapy
  publication-title: Ultrastruct Pathol
– volume: 55
  start-page: 773
  year: 2009
  ident: bib11
  article-title: Should all patients with non-muscle-invasive bladder cancer receive early intravesical chemotherapy after transurethral resection? The results of a prospective randomised multicentre study
  publication-title: Eur Urol
– volume: 9
  start-page: 715
  year: 2010
  ident: bib1
  article-title: Maintenance bacillus Calmette-Guérin: the standard of care for the prophylaxis and management of intermediate- and high-risk non-muscle-invasive bladder cancer
  publication-title: Eur Urol Suppl
– volume: 130
  start-page: 1083
  year: 1983
  ident: bib37
  article-title: Superficial bladder cancer: progression and recurrence
  publication-title: J Urol
– volume: 80
  start-page: 167
  year: 2008
  ident: bib48
  article-title: A randomized prospective study of intravesical prophylaxis in non-muscle invasive bladder cancer at intermediate risk of recurrence: mitomycin chemotherapy vs BCG immunotherapy
  publication-title: Arch Ital Urol Androl
– volume: 66
  start-page: 75
  year: 2005
  ident: bib45
  article-title: Low-grade Ta (noninvasive) urothelial carcinoma of the bladder
  publication-title: Urology
– volume: 178
  start-page: 2314
  year: 2007
  ident: bib8
  article-title: Guidelines for the management of nonmuscle invasive bladder cancer (stages Ta, T1, and Tis): 2007 update
  publication-title: J Urol
– volume: 65
  start-page: 69
  year: 2014
  ident: bib50
  article-title: Side effects of bacillus Calmette-Guérin (BCG) in the treatment of intermediate- and high-risk Ta, T1 papillary carcinoma of the bladder: results of the EORTC Genito-Urinary Cancers Group randomised phase 3 study comparing one-third dose with full dose and 1 year with 3 years of maintenance BCG
  publication-title: Eur Urol
– volume: 64
  start-page: 639
  year: 2013
  ident: bib6
  article-title: EAU guidelines on non-muscle-invasive urothelial carcinoma of the bladder: update 2013
  publication-title: Eur Urol
– volume: 92
  start-page: 393
  year: 2003
  ident: bib42
  article-title: Superficial bladder tumours: analysis of prognostic factors and construction of a predictive index
  publication-title: BJU Int
– volume: 63
  start-page: 36
  year: 2013
  ident: bib49
  article-title: ICUD-EAU International Consultation on Bladder Cancer 2012: non-muscle-invasive urothelial carcinoma of the bladder
  publication-title: Eur Urol
– volume: 41
  start-page: 523
  year: 2002
  ident: bib23
  article-title: Variability in the recurrence rate at first follow-up cystoscopy after TUR in stage Ta T1 transitional cell carcinoma of the bladder: a combined analysis of seven EORTC studies
  publication-title: Eur Urol
– volume: 10
  start-page: e1
  year: 2011
  ident: bib35
  article-title: Management of pT1G3 bladder cancer
  publication-title: Eur Urol Suppl
– volume: 49
  start-page: 466
  year: 2006
  ident: bib33
  article-title: Predicting recurrence and progression in individual patients with stage Ta T1 bladder cancer using EORTC risk tables: a combined analysis of 2596 patients from seven EORTC trials
  publication-title: Eur Urol
– year: 2007
  ident: bib7
  article-title: Guideline for the Management of Nonmuscle Invasive Bladder Cancer (Stages Ta, T1, and Tis): 2007 Update
– volume: 31A
  start-page: 1840
  year: 1995
  ident: bib43
  article-title: Factors affecting recurrence and progression in superficial bladder tumours
  publication-title: Eur J Cancer
– volume: 57
  start-page: 595
  year: 2010
  ident: bib29
  article-title: Photodynamic diagnosis in non-muscle-invasive bladder cancer: a systematic review and cumulative analysis of prospective studies
  publication-title: Eur Urol
– volume: 142
  start-page: 284
  year: 1989
  ident: bib36
  article-title: Prognostic factors for recurrence and followup policies in the treatment of superficial bladder cancer: report from the British Medical Research Council Subgroup on Superficial Bladder Cancer (Urological Cancer Working Party)
  publication-title: J Urol
– volume: 169
  start-page: 90
  year: 2003
  ident: bib14
  article-title: Intravesical bacillus Calmette-Guérin versus mitomycin C for superficial bladder cancer: a formal meta-analysis of comparative studies on recurrence and toxicity
  publication-title: J Urol
– volume: 37
  start-page: 195
  year: 2003
  ident: bib40
  article-title: A population-based study of 538 patients with newly detected urinary bladder neoplasms followed during 5 years
  publication-title: Scand J Urol Nephrol
– volume: 64
  start-page: 846
  year: 2013
  ident: bib28
  article-title: Photodynamic diagnosis of non-muscle-invasive bladder cancer with hexaminolevulinate cystoscopy: a meta-analysis of detection and recurrence based on raw data
  publication-title: Eur Urol
– volume: 54
  start-page: 835
  year: 2008
  ident: bib32
  article-title: Prediction of progression of non muscle-invasive bladder cancer by WHO 1973 and 2004 grading and by FGFR3 mutation status: a prospective study
  publication-title: Eur Urol
– volume: 161
  start-page: 1124
  year: 1999
  ident: bib47
  article-title: 5-year followup of a randomized prospective study comparing mitomycin C and bacillus Calmette-Guerin in patients with superficial bladder carcinoma. Swedish-Norwegian Bladder Cancer Study Group
  publication-title: J Urol
– volume: 63
  start-page: 36
  year: 2013
  ident: 10.1016/j.juro.2014.02.2573_bib49
  article-title: ICUD-EAU International Consultation on Bladder Cancer 2012: non-muscle-invasive urothelial carcinoma of the bladder
  publication-title: Eur Urol
  doi: 10.1016/j.eururo.2012.08.061
– volume: 9
  start-page: 715
  year: 2010
  ident: 10.1016/j.juro.2014.02.2573_bib1
  article-title: Maintenance bacillus Calmette-Guérin: the standard of care for the prophylaxis and management of intermediate- and high-risk non-muscle-invasive bladder cancer
  publication-title: Eur Urol Suppl
  doi: 10.1016/j.eursup.2010.08.005
– volume: 63
  start-page: 4
  year: 2013
  ident: 10.1016/j.juro.2014.02.2573_bib22
  article-title: ICUD-EAU International Consultation on Bladder Cancer 2012: screening, diagnosis, and molecular markers
  publication-title: Eur Urol
  doi: 10.1016/j.eururo.2012.09.057
– volume: 109
  start-page: 1666
  year: 2012
  ident: 10.1016/j.juro.2014.02.2573_bib25
  publication-title: BJU Int
  doi: 10.1111/j.1464-410X.2011.10571.x
– volume: 163
  start-page: 73
  year: 2000
  ident: 10.1016/j.juro.2014.02.2573_bib38
  article-title: Multivariate analysis of the prognostic factors of primary superficial bladder cancer
  publication-title: J Urol
  doi: 10.1016/S0022-5347(05)67975-X
– volume: 41
  start-page: 523
  year: 2002
  ident: 10.1016/j.juro.2014.02.2573_bib23
  article-title: Variability in the recurrence rate at first follow-up cystoscopy after TUR in stage Ta T1 transitional cell carcinoma of the bladder: a combined analysis of seven EORTC studies
  publication-title: Eur Urol
  doi: 10.1016/S0302-2838(02)00068-4
– volume: 57
  start-page: 766
  year: 2010
  ident: 10.1016/j.juro.2014.02.2573_bib18
  publication-title: Eur Urol
  doi: 10.1016/j.eururo.2009.12.024
– volume: 57
  start-page: 595
  year: 2010
  ident: 10.1016/j.juro.2014.02.2573_bib29
  article-title: Photodynamic diagnosis in non-muscle-invasive bladder cancer: a systematic review and cumulative analysis of prospective studies
  publication-title: Eur Urol
  doi: 10.1016/j.eururo.2009.11.041
– volume: 110
  start-page: E680
  year: 2012
  ident: 10.1016/j.juro.2014.02.2573_bib30
  article-title: Narrow band imaging diagnosis of bladder cancer: systematic review and meta-analysis
  publication-title: BJU Int
  doi: 10.1111/j.1464-410X.2012.11500.x
– volume: 66
  start-page: 75
  year: 2005
  ident: 10.1016/j.juro.2014.02.2573_bib45
  article-title: Low-grade Ta (noninvasive) urothelial carcinoma of the bladder
  publication-title: Urology
  doi: 10.1016/j.urology.2005.07.063
– volume: 10
  start-page: e1
  year: 2011
  ident: 10.1016/j.juro.2014.02.2573_bib35
  article-title: Management of pT1G3 bladder cancer
  publication-title: Eur Urol Suppl
  doi: 10.1016/j.eursup.2011.03.002
– volume: 55
  start-page: 773
  year: 2009
  ident: 10.1016/j.juro.2014.02.2573_bib11
  article-title: Should all patients with non-muscle-invasive bladder cancer receive early intravesical chemotherapy after transurethral resection? The results of a prospective randomised multicentre study
  publication-title: Eur Urol
  doi: 10.1016/j.eururo.2009.01.006
– volume: 57
  start-page: 843
  year: 2010
  ident: 10.1016/j.juro.2014.02.2573_bib24
  article-title: Detrusor muscle in the first, apparently complete transurethral resection of bladder tumour specimen is a surrogate marker of resection quality, predicts risk of early recurrence, and is dependent on operator experience
  publication-title: Eur Urol
  doi: 10.1016/j.eururo.2009.05.047
– volume: 169
  start-page: 90
  year: 2003
  ident: 10.1016/j.juro.2014.02.2573_bib14
  article-title: Intravesical bacillus Calmette-Guérin versus mitomycin C for superficial bladder cancer: a formal meta-analysis of comparative studies on recurrence and toxicity
  publication-title: J Urol
  doi: 10.1016/S0022-5347(05)64043-8
– volume: 142
  start-page: 284
  year: 1989
  ident: 10.1016/j.juro.2014.02.2573_bib36
  article-title: Prognostic factors for recurrence and followup policies in the treatment of superficial bladder cancer: report from the British Medical Research Council Subgroup on Superficial Bladder Cancer (Urological Cancer Working Party)
  publication-title: J Urol
  doi: 10.1016/S0022-5347(17)38731-1
– volume: 80
  start-page: 167
  year: 2008
  ident: 10.1016/j.juro.2014.02.2573_bib48
  article-title: A randomized prospective study of intravesical prophylaxis in non-muscle invasive bladder cancer at intermediate risk of recurrence: mitomycin chemotherapy vs BCG immunotherapy
  publication-title: Arch Ital Urol Androl
– volume: 130
  start-page: 1083
  year: 1983
  ident: 10.1016/j.juro.2014.02.2573_bib37
  article-title: Superficial bladder cancer: progression and recurrence
  publication-title: J Urol
  doi: 10.1016/S0022-5347(17)51695-X
– volume: 135
  start-page: 920
  year: 1986
  ident: 10.1016/j.juro.2014.02.2573_bib41
  article-title: Superficial bladder tumors (stage pTa, grades 1 and 2): the importance of recurrence pattern following initial resection
  publication-title: J Urol
  doi: 10.1016/S0022-5347(17)45923-4
– year: 2014
  ident: 10.1016/j.juro.2014.02.2573_bib10
– volume: 180
  start-page: 110
  year: 2008
  ident: 10.1016/j.juro.2014.02.2573_bib13
  article-title: Can early single dose instillation of epirubicin improve bacillus Calmette-Guerin efficacy in patients with nonmuscle invasive high risk bladder cancer? Results from a prospective, randomized, double-blind controlled study
  publication-title: J Urol
  doi: 10.1016/j.juro.2008.03.038
– start-page: 231
  year: 2012
  ident: 10.1016/j.juro.2014.02.2573_bib4
  article-title: Low-grade Ta urothelial carcinoma of the bladder
– volume: 53
  start-page: 984
  year: 2008
  ident: 10.1016/j.juro.2014.02.2573_bib20
  article-title: Comparison of three schedules of intravesical epirubicin in patients with non-muscle-invasive bladder cancer
  publication-title: Eur Urol
  doi: 10.1016/j.eururo.2007.12.033
– volume: 36
  start-page: 320
  year: 2012
  ident: 10.1016/j.juro.2014.02.2573_bib39
  article-title: Tumor multiplicity is an independent prognostic factor of non-muscle-invasive bladder cancer treated with Bacillus Calmette-Guerin immunotherapy
  publication-title: Ultrastruct Pathol
  doi: 10.3109/01913123.2012.681833
– volume: 49
  start-page: 466
  year: 2006
  ident: 10.1016/j.juro.2014.02.2573_bib33
  article-title: Predicting recurrence and progression in individual patients with stage Ta T1 bladder cancer using EORTC risk tables: a combined analysis of 2596 patients from seven EORTC trials
  publication-title: Eur Urol
  doi: 10.1016/j.eururo.2005.12.031
– volume: 92
  start-page: 393
  year: 2003
  ident: 10.1016/j.juro.2014.02.2573_bib42
  article-title: Superficial bladder tumours: analysis of prognostic factors and construction of a predictive index
  publication-title: BJU Int
  doi: 10.1046/j.1464-410X.2003.04360.x
– volume: 186
  start-page: 2158
  year: 2011
  ident: 10.1016/j.juro.2014.02.2573_bib9
  article-title: A review of current guidelines and best practice recommendations for the management of nonmuscle invasive bladder cancer by the International Bladder Cancer Group
  publication-title: J Urol
  doi: 10.1016/j.juro.2011.07.076
– volume: 52
  start-page: 1398
  year: 2007
  ident: 10.1016/j.juro.2014.02.2573_bib15
  publication-title: Eur Urol
  doi: 10.1016/j.eururo.2007.04.062
– volume: 56
  start-page: 247
  year: 2009
  ident: 10.1016/j.juro.2014.02.2573_bib17
  article-title: An individual patient data meta-analysis of the long-term outcome of randomised studies comparing intravesical mitomycin C versus bacillus Calmette-Guérin for non-muscle-invasive bladder cancer
  publication-title: Eur Urol
  doi: 10.1016/j.eururo.2009.04.038
– volume: 37
  start-page: 195
  year: 2003
  ident: 10.1016/j.juro.2014.02.2573_bib40
  article-title: A population-based study of 538 patients with newly detected urinary bladder neoplasms followed during 5 years
  publication-title: Scand J Urol Nephrol
  doi: 10.1080/00365590310008037
– volume: 35
  start-page: 267
  year: 1999
  ident: 10.1016/j.juro.2014.02.2573_bib26
  article-title: Significance of bladder biopsies in Ta,T1 bladder tumors: a report from the EORTC Genito-Urinary Tract Cancer Cooperative Group. EORTC-GU Group Superficial Bladder Committee
  publication-title: Eur Urol
  doi: 10.1159/000019859
– volume: 64
  start-page: 846
  year: 2013
  ident: 10.1016/j.juro.2014.02.2573_bib28
  article-title: Photodynamic diagnosis of non-muscle-invasive bladder cancer with hexaminolevulinate cystoscopy: a meta-analysis of detection and recurrence based on raw data
  publication-title: Eur Urol
  doi: 10.1016/j.eururo.2013.03.059
– volume: 178
  start-page: 2314
  year: 2007
  ident: 10.1016/j.juro.2014.02.2573_bib8
  article-title: Guidelines for the management of nonmuscle invasive bladder cancer (stages Ta, T1, and Tis): 2007 update
  publication-title: J Urol
  doi: 10.1016/j.juro.2007.09.003
– volume: 53
  start-page: 992
  year: 2008
  ident: 10.1016/j.juro.2014.02.2573_bib44
  article-title: Prognostic factors in patients with non-muscle-invasive bladder cancer treated with bacillus Calmette-Guérin: multivariate analysis of data from four randomized CUETO trials
  publication-title: Eur Urol
  doi: 10.1016/j.eururo.2007.10.006
– volume: 161
  start-page: 1124
  year: 1999
  ident: 10.1016/j.juro.2014.02.2573_bib47
  article-title: 5-year followup of a randomized prospective study comparing mitomycin C and bacillus Calmette-Guerin in patients with superficial bladder carcinoma. Swedish-Norwegian Bladder Cancer Study Group
  publication-title: J Urol
  doi: 10.1016/S0022-5347(01)61607-0
– volume: 56
  start-page: 260
  year: 2009
  ident: 10.1016/j.juro.2014.02.2573_bib21
  publication-title: Eur Urol
  doi: 10.1016/j.eururo.2009.04.009
– volume: 8
  start-page: 289
  year: 2009
  ident: 10.1016/j.juro.2014.02.2573_bib27
  article-title: Comparison of WHO 1973 to WHO 2004 grading system in bladder cancer related to association to CIS, recurrence and progression in Ta tumours
  publication-title: Eur Urol Suppl
  doi: 10.1016/S1569-9056(09)60669-2
– volume: 31A
  start-page: 1840
  year: 1995
  ident: 10.1016/j.juro.2014.02.2573_bib43
  article-title: Factors affecting recurrence and progression in superficial bladder tumours
  publication-title: Eur J Cancer
  doi: 10.1016/0959-8049(95)00287-S
– volume: 57
  start-page: 850
  year: 2010
  ident: 10.1016/j.juro.2014.02.2573_bib31
  article-title: Prognostic accuracy of individual uropathologists in noninvasive urinary bladder carcinoma: a multicentre study comparing the 1973 and 2004 World Health Organisation classifications
  publication-title: Eur Urol
  doi: 10.1016/j.eururo.2009.03.052
– volume: 63
  start-page: 462
  year: 2013
  ident: 10.1016/j.juro.2014.02.2573_bib19
  article-title: Final results of an EORTC-GU Cancer Group randomized study of maintenance bacillus Calmette-Guérin in intermediate- and high-risk Ta, T1 papillary carcinoma of the urinary bladder: one-third dose versus full dose and 1 year versus 3 years of maintenance
  publication-title: Eur Urol
  doi: 10.1016/j.eururo.2012.10.039
– volume: 108
  start-page: 187
  year: 2011
  ident: 10.1016/j.juro.2014.02.2573_bib16
  article-title: Maintenance therapy with bacillus Calmette-Guérin Connaught strain clearly prolongs recurrence-free survival following transurethral resection of bladder tumor for non-muscle-invasive cancer
  publication-title: BJU Int
  doi: 10.1111/j.1464-410X.2010.09891.x
– volume: 60
  start-page: 423
  year: 2011
  ident: 10.1016/j.juro.2014.02.2573_bib34
  article-title: The EORTC tables overestimate the risk of recurrence and progression in patients with non-muscle-invasive bladder cancer treated with bacillus Calmette-Guérin: external validation of the EORTC risk tables
  publication-title: Eur Urol
  doi: 10.1016/j.eururo.2011.05.033
– volume: 164
  start-page: 680
  year: 2000
  ident: 10.1016/j.juro.2014.02.2573_bib46
  article-title: Primary superficial bladder cancer risk groups according to progression, mortality and recurrence
  publication-title: J Urol
  doi: 10.1016/S0022-5347(05)67280-1
– volume: 104
  start-page: 170
  year: 2009
  ident: 10.1016/j.juro.2014.02.2573_bib12
  article-title: Should all patients receive single chemotherapeutic agent instillation after bladder tumour resection?
  publication-title: BJU Int
  doi: 10.1111/j.1464-410X.2009.08654.x
– volume: 54
  start-page: 835
  year: 2008
  ident: 10.1016/j.juro.2014.02.2573_bib32
  article-title: Prediction of progression of non muscle-invasive bladder cancer by WHO 1973 and 2004 grading and by FGFR3 mutation status: a prospective study
  publication-title: Eur Urol
  doi: 10.1016/j.eururo.2007.12.026
– year: 2007
  ident: 10.1016/j.juro.2014.02.2573_bib7
– volume: 65
  start-page: 69
  year: 2014
  ident: 10.1016/j.juro.2014.02.2573_bib50
  publication-title: Eur Urol
  doi: 10.1016/j.eururo.2013.07.021
– volume: 9
  start-page: 406
  year: 2010
  ident: 10.1016/j.juro.2014.02.2573_bib2
  article-title: Challenging the EAU guidelines on non-muscle-invasive bladder cancer (NMIBC): single instillation of chemotherapy after transurethral resection of NMIBC and chemotherapy versus bacillus Calmette-Guérin in treatment of intermediate-risk tumours
  publication-title: Eur Urol Suppl
  doi: 10.1016/j.eursup.2010.02.002
– volume: 112
  start-page: 742
  year: 2013
  ident: 10.1016/j.juro.2014.02.2573_bib3
  article-title: Current clinical practice gaps in the treatment of intermediate- and high-risk non-muscle-invasive bladder cancer (NMIBC) with emphasis on the use of bacillus Calmette-Guérin (BCG): results of an international individual patient data survey (IPDS)
  publication-title: BJU Int
  doi: 10.1111/bju.12012
– year: 2013
  ident: 10.1016/j.juro.2014.02.2573_bib5
– volume: 64
  start-page: 639
  year: 2013
  ident: 10.1016/j.juro.2014.02.2573_bib6
  article-title: EAU guidelines on non-muscle-invasive urothelial carcinoma of the bladder: update 2013
  publication-title: Eur Urol
  doi: 10.1016/j.eururo.2013.06.003
– reference: 10604317 - J Urol. 2000 Jan;163(1):73-8
– reference: 20034729 - Eur Urol. 2010 May;57(5):766-73
– reference: 19493266 - BJU Int. 2009 Jul;104(2):170-4
– reference: 23602406 - Eur Urol. 2013 Nov;64(5):846-54
– reference: 23827737 - Eur Urol. 2013 Oct;64(4):639-53
– reference: 18166262 - Eur Urol. 2008 Oct;54(4):835-43
– reference: 19346063 - Eur Urol. 2010 May;57(5):850-8
– reference: 20004052 - Eur Urol. 2010 Apr;57(4):595-606
– reference: 19153001 - Eur Urol. 2009 Apr;55(4):773-80
– reference: 12074794 - Eur Urol. 2002 May;41(5):523-31
– reference: 21621906 - Eur Urol. 2011 Sep;60(3):423-30
– reference: 22044434 - BJU Int. 2012 Jun;109(11):1666-73
– reference: 23910233 - Eur Urol. 2014 Jan;65(1):69-76
– reference: 2501516 - J Urol. 1989 Aug;142(2 Pt 1):284-8
– reference: 22981672 - Eur Urol. 2013 Jan;63(1):36-44
– reference: 19524354 - Eur Urol. 2010 May;57(5):843-9
– reference: 16442208 - Eur Urol. 2006 Mar;49(3):466-5; discussion 475-7
– reference: 12930428 - BJU Int. 2003 Sep;92(4):393-9
– reference: 17993339 - J Urol. 2007 Dec;178(6):2314-30
– reference: 21176079 - BJU Int. 2011 Jul;108(2):187-95
– reference: 23141049 - Eur Urol. 2013 Mar;63(3):462-72
– reference: 17950987 - Eur Urol. 2008 May;53(5):992-1001
– reference: 10081852 - J Urol. 1999 Apr;161(4):1124-7
– reference: 23025650 - Ultrastruct Pathol. 2012 Oct;36(5):320-4
– reference: 19235434 - Arch Ital Urol Androl. 2008 Dec;80(4):167-71
– reference: 12775276 - Scand J Urol Nephrol. 2003;37(3):195-201
– reference: 19395154 - Eur Urol. 2009 Aug;56(2):260-5
– reference: 16399417 - Urology. 2005 Dec;66(6 Suppl 1):75-89
– reference: 22985502 - BJU Int. 2012 Dec;110(11 Pt B):E680-7
– reference: 6644886 - J Urol. 1983 Dec;130(6):1083-6
– reference: 18485394 - J Urol. 2008 Jul;180(1):110-5
– reference: 23452187 - BJU Int. 2013 Oct;112(6):742-50
– reference: 18248876 - Eur Urol. 2008 May;53(5):984-91
– reference: 10419345 - Eur Urol. 1999 Apr;35(4):267-71
– reference: 12478111 - J Urol. 2003 Jan;169(1):90-5
– reference: 19409692 - Eur Urol. 2009 Aug;56(2):247-56
– reference: 17485161 - Eur Urol. 2007 Nov;52(5):1398-406
– reference: 8541110 - Eur J Cancer. 1995 Oct;31A(11):1840-6
– reference: 10954628 - J Urol. 2000 Sep;164(3 Pt 1):680-4
– reference: 3959241 - J Urol. 1986 May;135(5):920-2
– reference: 22014799 - J Urol. 2011 Dec;186(6):2158-67
– reference: 23083902 - Eur Urol. 2013 Jan;63(1):4-15
SSID ssj0014572
Score 2.4376516
SecondaryResourceType review_article
Snippet Purpose Low, intermediate and high risk categories have been defined to help guide the treatment of patients with nonmuscle invasive bladder cancer (Ta, T1,...
Low, intermediate and high risk categories have been defined to help guide the treatment of patients with nonmuscle invasive bladder cancer (Ta, T1, CIS)....
SourceID proquest
pubmed
pascalfrancis
crossref
elsevier
SourceType Aggregation Database
Index Database
Enrichment Source
Publisher
StartPage 305
SubjectTerms adjuvant
administration
Algorithms
Biological and medical sciences
chemotherapy
Humans
intravesical
Medical sciences
Multiple tumors. Solid tumors. Tumors in childhood (general aspects)
mycobacterium bovis
Nephrology. Urinary tract diseases
Practice Guidelines as Topic
risk
Risk Assessment
Tumors
Tumors of the urinary system
urinary bladder neoplasms
Urinary Bladder Neoplasms - classification
Urinary Bladder Neoplasms - therapy
Urinary tract. Prostate gland
Urology
Title Defining and Treating the Spectrum of Intermediate Risk Nonmuscle Invasive Bladder Cancer
URI https://www.clinicalkey.es/playcontent/1-s2.0-S0022534714030419
https://dx.doi.org/10.1016/j.juro.2014.02.2573
https://www.ncbi.nlm.nih.gov/pubmed/24681333
https://www.proquest.com/docview/1557081515
Volume 192
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1ba9swFBZZCmMwxu7LLkWDvWUOlmTH8mObdSvt2oeRju5JWLJMG9Kk-MJY_8b-8I4sy3HIUra-mGAsRdb5dPzp3ITQhySgmulEewzosRdkceJJqSIvzGikCKVRRkxy8snp-PAsODoPz3u9352opaqUI3Xz17ySu0gV7oFcTZbsf0i27RRuwG-QL1xBwnD9Jxl_0ll9vkPtAZjW9K9JfjLHypd5deUyRfI6Q6TUw28mlPx0ubiqCujMlNlI6gD2_blRQflwYlCQdynrKnmspq1VvmaIP06A8tYKprgwxZE6hpxyZlXQ0Wi4N8_ckaDWf18VlzZTqMovb2woWG3ngb5_Jr_WkogakwQJ2oC4bopAyGwpzVbNxrSDJ9pRmswPO99fZtM7N1S7tTLMRjN4TxOSF5haq6Bw2OpL5rz3B5Nj4hV05HvGF03NSExZQj9otPN6gW0iCip8sfHoPbRDIyBkfbTzZf_r973WORWEUVuE3jRwxazqsMGN4W0jPA-vkwKWYWbPT9m-wamJzvQxetSIGu9ZuD1BPb14iu6fNDEYz9APhzoMqMMOdRhQhx3q8DLDXdRhgzrcog471OEGddii7jk6-3wwnRx6zQEdnoJtc-lFhEaa-HFKpOSw8ckk00GoFNWxz1POxzoz5ZQ0IdqYAZQMfR1zIOAUiKXMAvYC9RfLhX6FsM7Gyk9jlQa-DFLJ44THnCrNiGJcy3SAqJtFoZrq9eYQlblwYYozYaZemKkXPhVm6gfoY9vo2hZvuf3xyIlHuLxk-JLqolnyhdgGlQEaty0b5moZqQD03v6Xu2swaIdJOfDsmEHP7x0uBCh-481LFnpZwVhM8Txu9iMD9NICZtU6GHPCGHt95zd6gx6sVvZb1Afw6HdAv0u52yyHPxcX1pk
linkProvider Elsevier
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Defining+and+Treating+the+Spectrum+of+Intermediate+Risk+Nonmuscle+Invasive+Bladder+Cancer&rft.jtitle=The+Journal+of+urology&rft.au=Kamat%2C+Ashish+M&rft.au=Witjes%2C+J.+Alfred&rft.au=Brausi%2C+Maurizio&rft.au=Soloway%2C+Mark&rft.date=2014-08-01&rft.issn=0022-5347&rft.volume=192&rft.issue=2&rft.spage=305&rft.epage=315&rft_id=info:doi/10.1016%2Fj.juro.2014.02.2573&rft.externalDBID=ECK1-s2.0-S0022534714030419&rft.externalDocID=1_s2_0_S0022534714030419
thumbnail_m http://utb.summon.serialssolutions.com/2.0.0/image/custom?url=https%3A%2F%2Fcdn.clinicalkey.com%2Fck-thumbnails%2F00225347%2FS0022534713X00230%2Fcov150h.gif