Cochrane · systematic review · CD011864

Intravesical electromotive drug administration for non‐muscle invasive bladder cancer

Jung, JH, Gudeloglu, A, Kiziloz, H, et al. · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library

UrologyAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
25
current version
GRADE rated
20
No studies
5
Included studies
NR
No studies 5 · 20%Ungraded 0 · 0%Very low 8 · 32%Low 9 · 36%Moderate 3 · 12%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Postoperative MMC‐EMDA induction versus postoperative BCG induction therapy for non‐muscle invasive bladder cancer

5 questions
OutcomeEffectEvidenceStatus / GRADE
Time to recurrence
Postoperative MMC‐EMDA induction vs postoperative BCG induction therapy
RR 1.06 [0.64, 1.76]1 study · 72 participantsVery low
Downgraded: risk of bias
Time to progression
Postoperative MMC‐EMDA induction vs postoperative BCG induction therapy
no estimate extracted1 study · 72 participantsLow
Downgraded: risk of bias
Serious adverse events
Postoperative MMC‐EMDA induction vs postoperative BCG induction therapy
RR 0.75 [0.18, 3.11]1 study · 72 participantsVery low
Downgraded: risk of bias
Disease‐specific survival
Postoperative MMC‐EMDA induction vs postoperative BCG induction therapy
no estimate extracted1 study · 72 participantsLow
Downgraded: risk of bias
Disease‐specific quality of life ‐ not reported
Postoperative MMC‐EMDA induction vs postoperative BCG induction therapy
no estimate extractedNRNo studies

Postoperative MMC‐EMDA induction versus MMC‐PD induction therapy for non‐muscle invasive bladder cancer

5 questions
OutcomeEffectEvidenceStatus / GRADE
Time to recurrence
Postoperative MMC‐EMDA induction vs MMC‐PD induction therapy
RR 0.65 [0.44, 0.98]1 study · 72 participantsLow
Downgraded: risk of bias
Time to progression
Postoperative MMC‐EMDA induction vs MMC‐PD induction therapy
no estimate extracted1 study · 72 participantsLow
Downgraded: risk of bias
Serious adverse events
Postoperative MMC‐EMDA induction vs MMC‐PD induction therapy
RR 1.5 [0.27, 8.45]1 study · 72 participantsVery low
Downgraded: risk of bias
Disease‐specific survival
Postoperative MMC‐EMDA induction vs MMC‐PD induction therapy
no estimate extracted1 study · 72 participantsLow
Downgraded: risk of bias
Disease‐specific quality of life ‐ not reported
Postoperative MMC‐EMDA induction vs MMC‐PD induction therapy
no estimate extractedNRNo studies

Postoperative MMC‐EMDA with sequential BCG induction and maintenance versus postoperative BCG induction and maintenance therapy for non‐muscle invasive bladder cancer

5 questions
OutcomeEffectEvidenceStatus / GRADE
Time to recurrence
Postoperative MMC‐EMDA with sequential BCG induction and maintenance vs postoperative BCG induction and maintenance therapy
HR 0.51 [0.34, 0.77]1 study · 212 participantsLow
Downgraded: risk of bias
Time to progression
Postoperative MMC‐EMDA with sequential BCG induction and maintenance vs postoperative BCG induction and maintenance therapy
HR 0.36 [0.17, 0.75]1 study · 212 participantsLow
Downgraded: risk of bias
Serious adverse events
Postoperative MMC‐EMDA with sequential BCG induction and maintenance vs postoperative BCG induction and maintenance therapy
RR 1.02 [0.21, 4.94]1 study · 212 participantsVery low
Downgraded: risk of bias, imprecision
Disease‐specific survival
Postoperative MMC‐EMDA with sequential BCG induction and maintenance vs postoperative BCG induction and maintenance therapy
HR 0.31 [0.12, 0.8]1 study · 212 participantsLow
Downgraded: risk of bias
Disease‐specific quality of life ‐ not reported
Postoperative MMC‐EMDA with sequential BCG induction and maintenance vs postoperative BCG induction and maintenance therapy
no estimate extractedNRNo studies

Single‐dose, preoperative MMC‐EMDA versus single‐dose, postoperative MMC‐PD for non‐muscle invasive bladder cancer

5 questions
OutcomeEffectEvidenceStatus / GRADE
Time to recurrence
Single‐dose, preoperative MMC‐EMDA vs single‐dose, postoperative MMC‐PD
HR 0.47 [0.32, 0.69]1 study · 236 participantsModerate
Downgraded: risk of bias
Time to progression
Single‐dose, preoperative MMC‐EMDA vs single‐dose, postoperative MMC‐PD
HR 0.81 [0, 259.93]1 study · 236 participantsVery low
Downgraded: risk of bias
Serious adverse events
Single‐dose, preoperative MMC‐EMDA vs single‐dose, postoperative MMC‐PD
RR 0.79 [0.3, 2.05]1 study · 236 participantsVery low
Downgraded: risk of bias
Disease‐specific survival
Single‐dose, preoperative MMC‐EMDA vs single‐dose, postoperative MMC‐PD
HR 0.99 [0.74, 1.32]1 study · 236 participantsLow
Downgraded: risk of bias, imprecision
Disease‐specific quality of life ‐ not reported
Single‐dose, preoperative MMC‐EMDA vs single‐dose, postoperative MMC‐PD
no estimate extractedNRNo studies

Single‐dose, preoperative MMC‐EMDA versus TURBT alone for non‐muscle invasive bladder cancer

5 questions
OutcomeEffectEvidenceStatus / GRADE
Time to recurrence
Single‐dose, preoperative MMC‐EMDA vs TURBT alone
HR 0.4 [0.28, 0.57]1 study · 233 participantsModerate
Downgraded: risk of bias
Time to progression
Single‐dose, preoperative MMC‐EMDA vs TURBT alone
HR 0.74 [0, 247.93]1 study · 233 participantsVery low
Downgraded: risk of bias
Serious adverse events
Single‐dose, preoperative MMC‐EMDA vs TURBT alone
RR 1.74 [0.52, 5.77]1 study · 233 participantsVery low
Downgraded: risk of bias
Disease‐specific survival
Single‐dose, preoperative MMC‐EMDA vs TURBT alone
HR 1.06 [0.8, 1.4]1 study · 233 participantsModerate
Downgraded: risk of bias, imprecision
Disease‐specific quality of life ‐ not reported
Single‐dose, preoperative MMC‐EMDA vs TURBT alone
no estimate extractedNRNo studies