Pulse Brain · Growing Health Evidence Index
Tier 3 — Observational / field trialPeer-reviewed

Prognostic markers in invasive bladder cancer: FGFR3 mutation status versus P53 and KI-67 expression: a multi-center, multi-laboratory analysis in 1058 radical cystectomy patients

Laura S. Mertens, Francesco Claps, Roman Mayr, Peter J. Boström, Shahrokh F. Shariat, Ellen C. Zwarthoff, Joost L. Boormans, Cheno Abas, Geert J.L.H. van Leenders, S. A. Gotz, Katrin Hippe, Simone Bertz, Y. Neuzillet, Joyce Sanders, Annegien Broeks, Dennis Peters, Michiel S. van der Heijden, Michael A.S. Jewett, Robert Stöhr, Alexandre R. Zlotta, Markus Eckstein, Yanish Soorojebally, Deric K. E. van der Schoot, Bernd Wullich, Maximilian Burger, Wolfgang Otto, François Radvanyi, Nanour Sirab, Damien Pouessel, Theodorus van der Kwast, Arndt Hartmann, Yair Lotan, Yves Allory, Tahlita C.M. Zuiverloon, Bas W.G. van Rhijn

Urologic Oncology Seminars and Original Investigations · 2021

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Summary

This multi-centre, multi-laboratory study examined the prognostic utility of FGFR3 mutation status versus P53 and KI-67 expression in 1058 patients with invasive bladder cancer treated by radical cystectomy. As suggested by the title and study design, the authors sought to determine which molecular and immunohistochemical markers most reliably predict patient outcomes and may guide treatment stratification. The findings contribute to the growing body of evidence on bladder cancer tumour biology and prognostication, though specific outcome associations are not disclosed in the available metadata.

UK applicability

Findings on molecular prognostic markers in bladder cancer are directly applicable to UK urological oncology practice and may inform stratification and follow-up protocols in the NHS. Multi-centre standardisation of FGFR3, P53, and KI-67 testing—as addressed in this study—is relevant to establishing consistent prognostic frameworks across UK cancer centres.

Key measures

FGFR3 mutation status, P53 expression levels, KI-67 proliferation index, clinical outcomes following radical cystectomy (recurrence, progression, survival)

Outcomes reported

The study evaluated the prognostic value of FGFR3 mutation status, P53 expression, and KI-67 expression as predictive markers for outcomes in patients with invasive bladder cancer treated by radical cystectomy. The analysis involved 1058 patients across multiple centres and laboratories to assess the independent and combined prognostic significance of these molecular and immunohistochemical markers.

Theme
Measurement & metrics
Subject
Measurement methods & nutrient profiling
Study type
Research
Study design
Observational cohort
Source type
Peer-reviewed study
Status
Published
Geography
International
System type
Human clinical
DOI
10.1016/j.urolonc.2021.10.010
Catalogue ID
BFmommpjky-3hz6jq

Topic tags

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