Impact of ABO blood type on outcomes in patients with primary nonmuscle invasive bladder cancer
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Impact of ABO blood type on outcomes in patients with primary nonmuscle invasive bladder cancer. / Klatte, Tobias; Xylinas, Evanguelos; Rieken, Malte; Kluth, Luis A; Rouprêt, Morgan; Pycha, Armin; Fajkovic, Harun; Seitz, Christian; Karakiewicz, Pierre I; Lotan, Yair; Babjuk, Marko; de Martino, Michela; Scherr, Douglas S; Shariat, Shahrokh F.
in: J UROLOGY, Jahrgang 191, Nr. 5, 01.05.2014, S. 1238-1243.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Impact of ABO blood type on outcomes in patients with primary nonmuscle invasive bladder cancer
AU - Klatte, Tobias
AU - Xylinas, Evanguelos
AU - Rieken, Malte
AU - Kluth, Luis A
AU - Rouprêt, Morgan
AU - Pycha, Armin
AU - Fajkovic, Harun
AU - Seitz, Christian
AU - Karakiewicz, Pierre I
AU - Lotan, Yair
AU - Babjuk, Marko
AU - de Martino, Michela
AU - Scherr, Douglas S
AU - Shariat, Shahrokh F
N1 - Copyright © 2014 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.
PY - 2014/5/1
Y1 - 2014/5/1
N2 - PURPOSE: ABO blood type is an established prognostic factor for several malignancies but its role in bladder urothelial carcinoma is largely unknown. We determined whether ABO blood type is associated with the outcome of transurethral resection of nonmuscle invasive bladder urothelial carcinoma.MATERIALS AND METHODS: We retrospectively studied ABO blood types in 931 patients with primary nonmuscle invasive bladder urothelial carcinoma treated with transurethral bladder resection with or without intravesical instillation therapy. Disease recurrence and progression were analyzed with univariable and multivariable competing risks regression models. Median followup was 67 months. Discrimination was evaluated by the concordance index.RESULTS: The ABO blood type was O, A, B and AB in 414 (44.5%), 360 (38.7%), 103 (11.1%) and 54 patients (5.8%), respectively. ABO blood type was significantly associated with outcome on univariable and multivariable analysis. Overall, patients with blood type O had worse recurrence and progression rates than those with A (p = 0.015 and 0.031) or B (p = 0.004 and 0.075, respectively). The concordance index of multivariable base models increased after including ABO blood type.CONCLUSIONS: In patients with nonmuscle invasive bladder urothelial carcinoma the ABO blood type may predict the outcome. Those with blood type O showed the highest recurrence and progression rates. Including ABO blood type in multivariable models increases the accuracy of standard prognostic factors. Since the ABO blood type is available for most patients, it may represent an ideal adjunctive marker to predict recurrence and progression. The biological explanation and prognostic value of this finding must be further elucidated.
AB - PURPOSE: ABO blood type is an established prognostic factor for several malignancies but its role in bladder urothelial carcinoma is largely unknown. We determined whether ABO blood type is associated with the outcome of transurethral resection of nonmuscle invasive bladder urothelial carcinoma.MATERIALS AND METHODS: We retrospectively studied ABO blood types in 931 patients with primary nonmuscle invasive bladder urothelial carcinoma treated with transurethral bladder resection with or without intravesical instillation therapy. Disease recurrence and progression were analyzed with univariable and multivariable competing risks regression models. Median followup was 67 months. Discrimination was evaluated by the concordance index.RESULTS: The ABO blood type was O, A, B and AB in 414 (44.5%), 360 (38.7%), 103 (11.1%) and 54 patients (5.8%), respectively. ABO blood type was significantly associated with outcome on univariable and multivariable analysis. Overall, patients with blood type O had worse recurrence and progression rates than those with A (p = 0.015 and 0.031) or B (p = 0.004 and 0.075, respectively). The concordance index of multivariable base models increased after including ABO blood type.CONCLUSIONS: In patients with nonmuscle invasive bladder urothelial carcinoma the ABO blood type may predict the outcome. Those with blood type O showed the highest recurrence and progression rates. Including ABO blood type in multivariable models increases the accuracy of standard prognostic factors. Since the ABO blood type is available for most patients, it may represent an ideal adjunctive marker to predict recurrence and progression. The biological explanation and prognostic value of this finding must be further elucidated.
KW - ABO Blood-Group System
KW - Carcinoma, Transitional Cell
KW - Cohort Studies
KW - Disease Progression
KW - Humans
KW - Neoplasm Invasiveness
KW - Neoplasm Recurrence, Local
KW - Retrospective Studies
KW - Treatment Outcome
KW - Urinary Bladder Neoplasms
U2 - 10.1016/j.juro.2013.11.106
DO - 10.1016/j.juro.2013.11.106
M3 - SCORING: Journal article
C2 - 24333243
VL - 191
SP - 1238
EP - 1243
JO - J UROLOGY
JF - J UROLOGY
SN - 0022-5347
IS - 5
ER -