Faculty Opinions recommendation of Predicting nonmuscle invasive bladder cancer recurrence and progression in patients treated with bacillus Calmette-Guerin: the CUETO scoring model.

Author(s):  
Juan Palou Redorta ◽  
Guillermo Urdaneta
BMC Urology ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Dai Koguchi ◽  
Kazumasa Matsumoto ◽  
Takahiro Hirayama ◽  
Shigetaka Moroo ◽  
Momoko Kobayashi ◽  
...  

Abstract Background Data are scarce regarding intravesical maintenance therapy (MT) with the low-dose bacillus Calmette–Guérin (BCG) Tokyo strain. We investigated the efficacy and safety of MT with a half dose of the Tokyo strain for patients following transurethral resection of nonmuscle invasive bladder cancer (NMIBC). Methods This study retrospectively reviewed clinical data on 78 patients diagnosed with intermediate or high-risk NMIBC followed by either MT (n = 38) or IT alone (n = 40) between January 2012 and March 2018. Statistical analysis was performed to compare recurrence-free survival (RFS) and adverse effects between the two groups. BCG was instilled once weekly for 6 weeks as IT, then once weekly in 2-week for a total of 20 instillations over 3 years. Results Kaplan–Meier analyses showed that patients undergoing MT had significantly better RFS than did those undergoing IT alone (hazard ratio (HR):0.32, 95% confidence interval (CI):0.12–0.89, P = 0.02). The 3-year RFS was 65.0% in the IT group and 89.5% in the MT group. Multivariate analysis showed that MT was associated with a reduced risk of recurrence (HR: 0.32, 95% CI:0.11–0.93, P = 0.03). One MT patient (2.6%) exhibited progression. Conclusions The BCG Tokyo strain showed acceptable efficacy and safety in patients undergoing MT; thus, it is a potential treatment for preventing bladder cancer recurrence.


2011 ◽  
Vol 185 (2) ◽  
pp. 701-705 ◽  
Author(s):  
Min-Su Yim ◽  
Yun-Sok Ha ◽  
Isaac Yi Kim ◽  
Seok-Joong Yun ◽  
Yung Hyun Choi ◽  
...  

2011 ◽  
Vol 186 (2) ◽  
pp. 707-712 ◽  
Author(s):  
Tahlita C.M. Zuiverloon ◽  
Stephen S. Tjin ◽  
Martijn Busstra ◽  
Chris H. Bangma ◽  
Egbert R. Boevé ◽  
...  

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