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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 study

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Title: The significance of isolated de novo red patches in the bladder in patients referred with suspected urinary tract cancer: Results from the IDENTIFY study
Authors: Khadhouri S., Gallagher K., MacKenzie K. R., Shah T. T., Gao C., Zimmermann E., Mannas M., Lee T., Marra G., Gomez Rivas J., Marcq G., Assmus M. A., Ucar T., Claps F., Boltri M., Pizzuto G., Burnhope T., Nkwam N., Tanasescu G., Boxall N. E., Downey A. P., Sukhu T. A., Antón-Juanilla M., Rai S., Moore M., Bandeira de Mello K., Parsons S., McGrath J. S., Kasivisvanathan V., Chaudry A., Sharma A., Bennett A., Ahmad A., Abroaf A., Suliman A. M., Lloyd A., McKay A., Wong A., Silva A., Schneider A., MacKay A., Knight A., Grigorakis A., Bdesha A., Nagle A., Cebola A., Dhanasekaran A. K., Kondža A., Barcelos A., Galosi A. B., Ebur A., Minervini A., Russell A., Webb A., de Jalón Á. G., Desai A., Czech A. K., Mainwaring A., Adimonye A., Das A., Nambiar A., Figueiredo A., Villers A., Leminski A., Chippagiri A., Lal A. A., Yıldırım A., Voulgaris A. M., Uzan A., Oo A. M. M., Younis A., Zelhof B., Mukhtar B., Ayres B., Challacombe B., Sherwood B., Ristau B., Lai B., Nellensteijn B., Schreiter B., Trombetta C., Dowling C., Hobbs C., Benitez C. A. E., Lebacle C., Ho C. W. Y., Ng C. F., Mount C., Lam C. M., Blick C., Brown C., Gallegos C., Higgs C., Browne C., McCann C., Alonso C. P., Beder D., Cohen D., Gordon D., Wilby D., Pavan N.
Contributors: Khadhouri S., Gallagher K., MacKenzie K.R., Shah T.T., Gao C., Zimmermann E., Mannas M., Lee T., Marra G., Gomez Rivas J., Marcq G., Assmus M.A., Ucar T., Claps F., Boltri M., Pizzuto G., Burnhope T., Nkwam N., Tanasescu G., Boxall N.E., Downey A.P., Sukhu T.A., Antón-Juanilla M., Rai S., Moore M., Bandeira de Mello K., Parsons S., McGrath J.S., Kasivisvanathan V., Chaudry A., Sharma A., Bennett A., Ahmad A., Abroaf A., Suliman A.M., Lloyd A., McKay A., Wong A., Silva A., Schneider A., MacKay A., Knight A., Grigorakis A., Bdesha A., Nagle A., Cebola A., Dhanasekaran A.K., Kondža A., Barcelos A., Galosi A.B., Ebur A., Minervini A., Russell A., Webb A., de Jalón Á.G., Desai A., Czech A.K., Mainwaring A., Adimonye A., Das A., Nambiar A., Figueiredo A., Villers A., Leminski A., Chippagiri A., Lal A.A., Yıldırım A., Voulgaris A.M., Uzan A., Oo A.M.M., Younis A., Zelhof B., Mukhtar B., Ayres B., Challacombe B., Sherwood B., Ristau B., Lai B., Nellensteijn B., Schreiter B., Trombetta C., Dowling C., Hobbs C., Benitez C.A.E., Lebacle C., Ho C.W.Y., Ng C.F., Mount C., Lam C.M., Blick C., Brown C., Gallegos C., Higgs C., Browne C., McCann C., Alonso C.P., Beder D., Cohen D., Gordon D., Wilby D.
Publisher Information: WILEY
Publication Year: 2025
Collection: IRIS Università degli Studi di Palermo
Subject Terms: biopsy, bladder cancer, cystoscopy, haematuria, red patch, risk factors
Description: ObjectivesTo 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. PatientsPatients 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. MethodsWe 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. ResultsA 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. ResultsA 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 ...
Document Type: article in journal/newspaper
Language: English
Relation: info:eu-repo/semantics/altIdentifier/wos/WOS:001390871700001; firstpage:1; lastpage:8; numberofpages:8; journal:BJUI COMPASS; https://hdl.handle.net/10447/670023
DOI: 10.1002/bco2.475
Availability: https://hdl.handle.net/10447/670023
https://doi.org/10.1002/bco2.475
Rights: info:eu-repo/semantics/openAccess
Accession Number: edsbas.131EC6FF
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  Data: The significance of isolated de novo red patches in the bladder in patients referred with suspected urinary tract cancer: Results from the IDENTIFY study
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  Group: Au
  Data: Khadhouri S.&lt;br /&gt;Gallagher K.&lt;br /&gt;MacKenzie K.R.&lt;br /&gt;Shah T.T.&lt;br /&gt;Gao C.&lt;br /&gt;Zimmermann E.&lt;br /&gt;Mannas M.&lt;br /&gt;Lee T.&lt;br /&gt;Marra G.&lt;br /&gt;Gomez Rivas J.&lt;br /&gt;Marcq G.&lt;br /&gt;Assmus M.A.&lt;br /&gt;Ucar T.&lt;br /&gt;Claps F.&lt;br /&gt;Boltri M.&lt;br /&gt;Pizzuto G.&lt;br /&gt;Burnhope T.&lt;br /&gt;Nkwam N.&lt;br /&gt;Tanasescu G.&lt;br /&gt;Boxall N.E.&lt;br /&gt;Downey A.P.&lt;br /&gt;Sukhu T.A.&lt;br /&gt;Antón-Juanilla M.&lt;br /&gt;Rai S.&lt;br /&gt;Moore M.&lt;br /&gt;Bandeira de Mello K.&lt;br /&gt;Parsons S.&lt;br /&gt;McGrath J.S.&lt;br /&gt;Kasivisvanathan V.&lt;br /&gt;Chaudry A.&lt;br /&gt;Sharma A.&lt;br /&gt;Bennett A.&lt;br /&gt;Ahmad A.&lt;br /&gt;Abroaf A.&lt;br /&gt;Suliman A.M.&lt;br /&gt;Lloyd A.&lt;br /&gt;McKay A.&lt;br /&gt;Wong A.&lt;br /&gt;Silva A.&lt;br /&gt;Schneider A.&lt;br /&gt;MacKay A.&lt;br /&gt;Knight A.&lt;br /&gt;Grigorakis A.&lt;br /&gt;Bdesha A.&lt;br /&gt;Nagle A.&lt;br /&gt;Cebola A.&lt;br /&gt;Dhanasekaran A.K.&lt;br /&gt;Kondža A.&lt;br /&gt;Barcelos A.&lt;br /&gt;Galosi A.B.&lt;br /&gt;Ebur A.&lt;br /&gt;Minervini A.&lt;br /&gt;Russell A.&lt;br /&gt;Webb A.&lt;br /&gt;de Jalón Á.G.&lt;br /&gt;Desai A.&lt;br /&gt;Czech A.K.&lt;br /&gt;Mainwaring A.&lt;br /&gt;Adimonye A.&lt;br /&gt;Das A.&lt;br /&gt;Nambiar A.&lt;br /&gt;Figueiredo A.&lt;br /&gt;Villers A.&lt;br /&gt;Leminski A.&lt;br /&gt;Chippagiri A.&lt;br /&gt;Lal A.A.&lt;br /&gt;Yıldırım A.&lt;br /&gt;Voulgaris A.M.&lt;br /&gt;Uzan A.&lt;br /&gt;Oo A.M.M.&lt;br /&gt;Younis A.&lt;br /&gt;Zelhof B.&lt;br /&gt;Mukhtar B.&lt;br /&gt;Ayres B.&lt;br /&gt;Challacombe B.&lt;br /&gt;Sherwood B.&lt;br /&gt;Ristau B.&lt;br /&gt;Lai B.&lt;br /&gt;Nellensteijn B.&lt;br /&gt;Schreiter B.&lt;br /&gt;Trombetta C.&lt;br /&gt;Dowling C.&lt;br /&gt;Hobbs C.&lt;br /&gt;Benitez C.A.E.&lt;br /&gt;Lebacle C.&lt;br /&gt;Ho C.W.Y.&lt;br /&gt;Ng C.F.&lt;br /&gt;Mount C.&lt;br /&gt;Lam C.M.&lt;br /&gt;Blick C.&lt;br /&gt;Brown C.&lt;br /&gt;Gallegos C.&lt;br /&gt;Higgs C.&lt;br /&gt;Browne C.&lt;br /&gt;McCann C.&lt;br /&gt;Alonso C.P.&lt;br /&gt;Beder D.&lt;br /&gt;Cohen D.&lt;br /&gt;Gordon D.&lt;br /&gt;Wilby D.
– Name: Publisher
  Label: Publisher Information
  Group: PubInfo
  Data: WILEY
– Name: DatePubCY
  Label: Publication Year
  Group: Date
  Data: 2025
– Name: Subset
  Label: Collection
  Group: HoldingsInfo
  Data: IRIS Universit&#224; degli Studi di Palermo
– Name: Subject
  Label: Subject Terms
  Group: Su
  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22biopsy%22&quot;&gt;biopsy&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22bladder+cancer%22&quot;&gt;bladder cancer&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22cystoscopy%22&quot;&gt;cystoscopy&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22haematuria%22&quot;&gt;haematuria&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22red+patch%22&quot;&gt;red patch&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22risk+factors%22&quot;&gt;risk factors&lt;/searchLink&gt;
– Name: Abstract
  Label: Description
  Group: Ab
  Data: ObjectivesTo 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. PatientsPatients 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. MethodsWe 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. ResultsA 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 &lt; 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 &lt; 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. ResultsA 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 &lt; 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 &lt; 0.01). The ...
– Name: TypeDocument
  Label: Document Type
  Group: TypDoc
  Data: article in journal/newspaper
– Name: Language
  Label: Language
  Group: Lang
  Data: English
– Name: NoteTitleSource
  Label: Relation
  Group: SrcInfo
  Data: info:eu-repo/semantics/altIdentifier/wos/WOS:001390871700001; firstpage:1; lastpage:8; numberofpages:8; journal:BJUI COMPASS; https://hdl.handle.net/10447/670023
– Name: DOI
  Label: DOI
  Group: ID
  Data: 10.1002/bco2.475
– Name: URL
  Label: Availability
  Group: URL
  Data: https://hdl.handle.net/10447/670023&lt;br /&gt;https://doi.org/10.1002/bco2.475
– Name: Copyright
  Label: Rights
  Group: Cpyrght
  Data: info:eu-repo/semantics/openAccess
– Name: AN
  Label: Accession Number
  Group: ID
  Data: edsbas.131EC6FF
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edsbas&AN=edsbas.131EC6FF
RecordInfo BibRecord:
  BibEntity:
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      – Type: doi
        Value: 10.1002/bco2.475
    Languages:
      – Text: English
    Subjects:
      – SubjectFull: biopsy
        Type: general
      – SubjectFull: bladder cancer
        Type: general
      – SubjectFull: cystoscopy
        Type: general
      – SubjectFull: haematuria
        Type: general
      – SubjectFull: red patch
        Type: general
      – SubjectFull: risk factors
        Type: general
    Titles:
      – TitleFull: The significance of isolated de novo red patches in the bladder in patients referred with suspected urinary tract cancer: Results from the IDENTIFY study
        Type: main
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