Nonintravesical Interventions for Preventing Intravesical Recurrence in Patients With Nonmuscle-Invasive Bladder Cancer: A Systematic Review and Meta-Analysis Article Swipe
Ichiro Tsuboi
,
Akihiro Matsukawa
,
Mehdi Kardoust Parizi
,
R. J. Schulz
,
Stefano Mancon
,
Tamás Fazekas
,
Marcin Miszczyk
,
Anna Cadenar
,
Ekaterina Laukhtina
,
Paweł Rajwa
,
Tatsushi Kawada
,
Satoshi Katayama
,
Takehiro Iwata
,
Kensuke Bekku
,
Takafumi Yanagisawa
,
Jun Miki
,
Takahiro Kimura
,
Koichiro Wada
,
Pierre I. Karakiewicz
,
P. Chłosta
,
Jeremy Yuen‐Chun Teoh
,
Motoo Araki
,
Shahrokh F. Shariat
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1016/j.clgc.2025.102306
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1016/j.clgc.2025.102306
Despite currently used intravesical therapies in non-muscle-invasive bladder cancer (NMIBC), the rate of intravesical recurrence remains very high. We aimed to evaluate the effectiveness of adding nonintravesical interventions to standard intravesical therapies to prevent intravesical recurrence. In April 2024, 3 databases were queried for prospective studies evaluating nonintravesical interventions in addition to standard intravesical therapies for NMIBC (CRD42024490988). The primary outcome was intravesical recurrence-free survival (iRFS). Standard pairwise meta-analyses were performed using hazard ratios (HR) and 95% confidence intervals (95% CI) with a random-effects model. We identified 18 eligible studies (14 RCTs and 4 prospective trials) comprising 4,593 NMIBC patients, which investigated pharmacological interventions (eg, selenium, vitamins, Lactobacillus casei, celecoxib, metformin, mistletoe lectin) and lifestyle modifications (diet). The addition of Lactobacillus casei significantly improved iRFS (HR: 0.50; 95% CI: 0.34-0.73; P < .001). A high western diet pattern significantly worsened iRFS (HR:1.48, 95%CI:1.06-2.06, P = .03). The other nonintravesical interventions were not associated with iRFS. Our comprehensive review of the published literature highlights the need for further research into the efficacy of nonvesical interventions for NMIBC. While Lactobacillus was shown to improve iRFS in 2 RCTs, additional high-quality randomized studies are required to evaluate the effectiveness of other interventions.
Related Topics
Metadata
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.1016/j.clgc.2025.102306
- OA Status
- hybrid
- Cited By
- 1
- References
- 63
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4406771426
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4406771426Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1016/j.clgc.2025.102306Digital Object Identifier
- Title
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Nonintravesical Interventions for Preventing Intravesical Recurrence in Patients With Nonmuscle-Invasive Bladder Cancer: A Systematic Review and Meta-AnalysisWork title
- Type
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reviewOpenAlex work type
- Language
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enPrimary language
- Publication year
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2025Year of publication
- Publication date
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2025-01-23Full publication date if available
- Authors
-
Ichiro Tsuboi, Akihiro Matsukawa, Mehdi Kardoust Parizi, R. J. Schulz, Stefano Mancon, Tamás Fazekas, Marcin Miszczyk, Anna Cadenar, Ekaterina Laukhtina, Paweł Rajwa, Tatsushi Kawada, Satoshi Katayama, Takehiro Iwata, Kensuke Bekku, Takafumi Yanagisawa, Jun Miki, Takahiro Kimura, Koichiro Wada, Pierre I. Karakiewicz, P. Chłosta, Jeremy Yuen‐Chun Teoh, Motoo Araki, Shahrokh F. ShariatList of authors in order
- Landing page
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https://doi.org/10.1016/j.clgc.2025.102306Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
-
hybridOpen access status per OpenAlex
- OA URL
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https://doi.org/10.1016/j.clgc.2025.102306Direct OA link when available
- Concepts
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Medicine, Bladder cancer, Meta-analysis, Urology, Oncology, Cancer, Internal medicineTop concepts (fields/topics) attached by OpenAlex
- Cited by
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1Total citation count in OpenAlex
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2025: 1Per-year citation counts (last 5 years)
- References (count)
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63Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.lectin) | 112 |
| abstract_inverted_index.outcome | 60 |
| abstract_inverted_index.pattern | 137 |
| abstract_inverted_index.prevent | 33 |
| abstract_inverted_index.primary | 59 |
| abstract_inverted_index.queried | 42 |
| abstract_inverted_index.remains | 15 |
| abstract_inverted_index.studies | 45, 89, 189 |
| abstract_inverted_index.trials) | 95 |
| abstract_inverted_index.western | 135 |
| abstract_inverted_index.(NMIBC), | 9 |
| abstract_inverted_index.Standard | 66 |
| abstract_inverted_index.addition | 50, 118 |
| abstract_inverted_index.efficacy | 170 |
| abstract_inverted_index.eligible | 88 |
| abstract_inverted_index.evaluate | 21, 193 |
| abstract_inverted_index.improved | 123 |
| abstract_inverted_index.pairwise | 67 |
| abstract_inverted_index.required | 191 |
| abstract_inverted_index.research | 167 |
| abstract_inverted_index.standard | 29, 52 |
| abstract_inverted_index.survival | 64 |
| abstract_inverted_index.worsened | 139 |
| abstract_inverted_index.(HR:1.48, | 141 |
| abstract_inverted_index.currently | 1 |
| abstract_inverted_index.databases | 40 |
| abstract_inverted_index.intervals | 78 |
| abstract_inverted_index.lifestyle | 114 |
| abstract_inverted_index.mistletoe | 111 |
| abstract_inverted_index.patients, | 99 |
| abstract_inverted_index.performed | 70 |
| abstract_inverted_index.published | 160 |
| abstract_inverted_index.selenium, | 105 |
| abstract_inverted_index.therapies | 4, 31, 54 |
| abstract_inverted_index.vitamins, | 106 |
| abstract_inverted_index.0.34-0.73; | 129 |
| abstract_inverted_index.additional | 186 |
| abstract_inverted_index.associated | 152 |
| abstract_inverted_index.celecoxib, | 109 |
| abstract_inverted_index.comprising | 96 |
| abstract_inverted_index.confidence | 77 |
| abstract_inverted_index.evaluating | 46 |
| abstract_inverted_index.highlights | 162 |
| abstract_inverted_index.identified | 86 |
| abstract_inverted_index.literature | 161 |
| abstract_inverted_index.metformin, | 110 |
| abstract_inverted_index.nonvesical | 172 |
| abstract_inverted_index.randomized | 188 |
| abstract_inverted_index.recurrence | 14 |
| abstract_inverted_index.prospective | 44, 94 |
| abstract_inverted_index.recurrence. | 35 |
| abstract_inverted_index.high-quality | 187 |
| abstract_inverted_index.intravesical | 3, 13, 30, 34, 53, 62 |
| abstract_inverted_index.investigated | 101 |
| abstract_inverted_index.Lactobacillus | 107, 120, 177 |
| abstract_inverted_index.comprehensive | 156 |
| abstract_inverted_index.effectiveness | 23, 195 |
| abstract_inverted_index.interventions | 27, 48, 103, 149, 173 |
| abstract_inverted_index.meta-analyses | 68 |
| abstract_inverted_index.modifications | 115 |
| abstract_inverted_index.significantly | 122, 138 |
| abstract_inverted_index.interventions. | 198 |
| abstract_inverted_index.random-effects | 83 |
| abstract_inverted_index.nonintravesical | 26, 47, 148 |
| abstract_inverted_index.pharmacological | 102 |
| abstract_inverted_index.recurrence-free | 63 |
| abstract_inverted_index.95%CI:1.06-2.06, | 142 |
| abstract_inverted_index.(CRD42024490988). | 57 |
| abstract_inverted_index.non-muscle-invasive | 6 |
| cited_by_percentile_year.max | 95 |
| cited_by_percentile_year.min | 91 |
| countries_distinct_count | 11 |
| institutions_distinct_count | 23 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/2 |
| sustainable_development_goals[0].score | 0.4399999976158142 |
| sustainable_development_goals[0].display_name | Zero hunger |
| citation_normalized_percentile.value | 0.85203634 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |