The significance of isolated de novo red patches in the bladder in patients referred with suspected urinary tract cancer: Results from the IDENTIFY study Article Swipe
Sinan Khadhouri
,
Kevin Gallagher
,
Kenneth R. MacKenzie
,
Taimur T. Shah
,
Chuanyu Gao
,
Eleanor Zimmermann
,
Miles P. Mannas
,
Taeweon Lee
,
Giancarlo Marra
,
Juan Gómez Rivas
,
Gautier Marcq
,
Mark Assmus
,
Taha Uçar
,
Francesco Claps
,
M. Boltri
,
G. Pizzuto
,
Tara Burnhope
,
Nkwam Nkwam
,
G Tănăsescu
,
Nicholas E. Boxall
,
Alison Downey
,
Troy Sukhu
,
M. Antón-Juanilla
,
Sonpreet Rai
,
Madeline Moore
,
Kathryn Bandeira de Mello
,
S. L. Parsons
,
John McGrath
,
Veeru Kasivisvanathan
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1002/bco2.475
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1002/bco2.475
Objectives To assess the contemporary malignancy rate in isolated de novo red patches in the bladder and associated risk factors for better selection of red patch biopsy. Patients Patients from the IDENTIFY dataset; Patients referred to secondary care with suspected urinary tract cancer and found to have isolated de novo red patches on cystoscopy. Methods We reported the unadjusted cancer prevalence in isolated de novo red patches that were biopsied; multivariable logistic regression was used to explore cancer‐associated risk factors including age, sex, smoking, type of haematuria, LUTS, UTIs and a suspicious‐looking red patch (as reported by the cystoscopist). Sub‐analysis of these by clinical role and experience was performed. Results A total of 1110 patients with isolated de novo red patches were included. 41.5% (n = 461) were biopsied, with a malignancy rate of 12.8% (59/461), which was significantly higher in suspicious versus non‐suspicious red patches (19.1% vs. 2.81%, p < 0.01). There was a significant association between bladder cancer and age (OR 1.04, 95% CI 1.01–1.07, p = 0.01), smoking history (OR 2.62, 95% CI 1.09–6.27, p = 0.03) and suspicious‐looking patch (OR 6.50, 95% CI 2.47–17.1, p < 0.01). The majority of malignancies were in over 60‐year‐olds. Malignancy rates in suspicious versus non‐suspicious red patches did not differ significantly between clinical roles or experiences. Limitations included subjectivity in classifying a suspicious patch and selection bias as not all patches were biopsied. Conclusions Many patients still undergo unnecessary biopsies under general anaesthetic for isolated de novo red patches. Clinicians should consider the patient's age, smoking status and how suspicious‐looking the patch is, before deciding on surveillance versus biopsy to improve cancer diagnostic yield.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1002/bco2.475
- OA Status
- gold
- References
- 10
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4406132942
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4406132942Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1002/bco2.475Digital Object Identifier
- Title
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The significance of isolated de novo red patches in the bladder in patients referred with suspected urinary tract cancer: Results from the IDENTIFY studyWork title
- Type
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articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2025Year of publication
- Publication date
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2025-01-01Full publication date if available
- Authors
-
Sinan Khadhouri, Kevin Gallagher, Kenneth R. MacKenzie, Taimur T. Shah, Chuanyu Gao, Eleanor Zimmermann, Miles P. Mannas, Taeweon Lee, Giancarlo Marra, Juan Gómez Rivas, Gautier Marcq, Mark Assmus, Taha Uçar, Francesco Claps, M. Boltri, G. Pizzuto, Tara Burnhope, Nkwam Nkwam, G Tănăsescu, Nicholas E. Boxall, Alison Downey, Troy Sukhu, M. Antón-Juanilla, Sonpreet Rai, Madeline Moore, Kathryn Bandeira de Mello, S. L. Parsons, John McGrath, Veeru KasivisvanathanList of authors in order
- Landing page
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https://doi.org/10.1002/bco2.475Publisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://doi.org/10.1002/bco2.475Direct OA link when available
- Concepts
-
Urinary system, Medicine, Bladder cancer, Cancer, Urology, Clinical significance, Internal medicineTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
- References (count)
-
10Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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