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Tran K, Severn M. Blue Light Cystoscopy in Patients with Suspected Non-Muscle Invasive Bladder Carcinoma: A Review of Clinical Utility [Internet]. Ottawa (ON): Canadian Agency for Drugs and Technologies in Health; 2017 Feb 15.

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Blue Light Cystoscopy in Patients with Suspected Non-Muscle Invasive Bladder Carcinoma: A Review of Clinical Utility [Internet].

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Appendix 2Characteristics of Included Systematic Reviews and Meta-analyses

Study, Year, Country, Design, and Quality Assessment Tool, FundingElectronic searches, and Search RangeIncluded Studies: Types, Numbers, Publication Year, Follow-upPopulation: Number, conditionsIntervention and Control Groups (No. of study)Subgroup or Meta-regression AnalysisOutcomes (No. of study)
Chou et al., 2016 9
USA
SR and MA
Risk of Bias developed by the US Preventive Services Task Force
Agency for Healthcare Research and Quality (AHRQ)
Strength of evidence graded using AHRQ methods
MEDLINE (Jan 1990 to Oct 2014), Cochrane Central Register of Controlled Trials and Cochrane Database of Systematic Reviews (through Sep 2014), ClinicalTrials.gov; restricted to English language
Updated in Sep 2015
14 RCTs
2001 to 2014
Follow-up: 4 weeks to 60 months using fluorescent cystoscopy (3 RCTs) or using white light cystoscopy (11 RCTs)
Follow-up was for patients with NMIBC (Ta, Ti and in some cases CIS) on initial cystoscopy: range from 4 weeks to 60 months
2,906 patients (range 44 to 551 patients)
Mean age: 60 to 74 years
Gender: predominantly male (ratio not reported)
New bladder cancer (2 RCTs), high risk bladder cancer (2 RCTs), mixed conditions (10 RCTs)
Intervention: ALA fluorescent light cystoscopy with TURBT (6 RCTs)
HAL fluorescent light cystoscopy with TURBT (9 RCTs)
Control: White light cystoscopy with TURBT
By photosensitizing agent
  • Recurrencea (10 RCTs)
  • Progressionb (9 RCTs)
  • Mortality (3 RCTs)
  • Harms (3 RCTs)
Gakis and Fahmy, 2016 10
Germany and Malaysia
Cochrane risk of bias for RCTs and Newcastle-Ottawa scale for retrospective studies
Funding: NR
Pubmed and hand search; restricted to English language
2000 to 2016
4 RCTs and 1 retrospective study
2009 to 2016
Follow-up: 1 to 55 months
1,301 patients (range 44 to 516)
Mean age: NR
Patients with NMIBC
HAL fluorescent light cystoscopy with TURBT (5 studies)
Control: White light cystoscopy with TURBT
No
  • Progressionb (5 studies)

ALA = 5-aminolevulinic acid; CIS = carcinoma in situ; HAL = hexaminolevulinic acid; MA = meta-analysis; NMIBC = non-muscle invasive bladder cancer; NR = not reported; RCT = randomized controlled trial; SR = systematic review; TURBT = transurethral bladder tumor resection; vs = versus

a

Recurrence: short-term (less than 3 months), intermediate-term (3 months to less than 1 year), long-term (1 year or more) after initial cystoscopy

b

Progression to muscle invasive bladder cancer

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Bookshelf ID: NBK447630

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