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Table 1 Baseline characteristics of patients in the 21 eligible studies included in the meta-analyses

From: Diagnostic value of circulating tumor cell detection in bladder and urothelial cancer: systematic review and meta-analysis

First author (year of publication)

(reference)

Country of origin

CTC+ patients (marker used)

CTC+ controls (marker used)

Patient age (years)

Tumor histology

Tumor location

Tumor stage

(AJCC)

Rate of CTC+ stage ≤II pts (marker used)

Rate of CTC+ stage III-IV pts

(Marker used)

    

Median (range)

Mean (range)

     

Gazzaniga (2005)[37]

Italy

11/19 (Tenascin C), 11/19 (EGFR)

0/40 (Tenascin C)

0/40 (EGFR)

NR

NR

NR

B

I-IV

NR

NR

Ribal (2006)[23]

Spain

23/70

0/22

65 (44-81)

-

TCC

B

0a-IV

4/31

17/39

Champelovier (1999)[38]

France

3/4

21/29

NR

NR

NR

B

NR

NR

NR

Okegawa (2004)[39]

Japan

25/108 (UP II), 31/108 (CK-20)

Healthy volunteers: 0/20 for either marker; nonmalignant bladder disease patients: 0/10 for UP II and 2/10 for CK-20

Bladder cancer and nonmalignant bladder patients: 57 (42-75); healthy volunteers: 41 (21-52)

-

TCC

B

0a-IV

20/91 (CK-20)

14/91 (UP II)

11/17 (CK-20)

11/17 (UP II)

Retz (2001)[24]

Germany

2/20

0/10 (isolated PBMN)

(34-79)

-

NR

B

0a-IV

0/14

2/6

Gudemann (2000)[16]

Germany

12/49

Healthy volunteers: 0/22; urocystitis patients: 0/6; benign renal tumor patients: 0/6; patients with prior history of urothelial cancer but no evidence of recurrence: 0/4

Cancer patients: 68 (60-75); urocystitis patients: 72 (68-74)

-

TCC

B: 48/49

U/P: 1/49

0a-IV

5/35

7/14

Li (1999)[40]

U.S.A.

3/60

0/10

NR

NR

TCC

B

NR

NR

NR

Soria (2002)[25]

France

27/30

0/17

Patients: 68.5 (49-99); controls: (26-58)

-

NR

B

0-IV

14/15

13/15

Desgrandchamps (1999)[41]

U.K.

1/31

0/2 (initially thought to have malignant bladder disease, one patient was found to have nonspecific inflammation and one schistosomiasis)

NR

NR

TCC

B

0a-IV

0/25

1/6

Naoe (2007)[18]

Japan

8/26

No controls assessed

70.5 (55-85)

-

TCC

B: 22/26

U: 3/26

P: 1/26

0a-IV

0/8

8/18

Kinjo (2004)[19]

Japan

18/38

0/18 (UTI n = 6; BPH n = 7; other benign conditions n = 5)

Cancer patients: 67 (35-87); controls:56 (18-78)

-

TCC:36/38; TCC+sq:1/38; TCC+ad:1/38

B

0a-IV

13/33

5/5

Guzzo (2009)[26]

U.S.A.

9/43

No controls assessed

-

67.5 (46-83)

TCC

B

0a-IV

2/17

7/26

Allard (2004)[43]

U.S.A.

6/7

8/145 healthy pre- and post-menopausal women had 1 CTC; 14/199 women with benign breast diseases had 1 CTC (none had ≥2 CTCs)

NR

NR

NR

B

IV

NR

NR

Lu (2000)[20]

Japan

15/56

0/10 healthy volunteers; 0/10 patients with renal cell cancer

71.5 (35-87)

69.41

TCC

B: 42/56

B/U: 1/56

U: 9/56

P: 4/56

0a-IV

4/34

11/22

Osman (2004)[45]

U.S.A.

21/48 (UP Ia), 10/48 (UP Ib), 25/48 (UP II), 11/48 (UP III), 26/48 (EGFR)a

5/14 (UP Ia), 7/14 (UP Ib), 5/14 (UP II), 10/14 (UP III), 10/14 (EGFR)a

64 (42-88)

-

NR

B

III-IV

NR

NR

Rink (2011)[27]

Germany

20/55

1/10

Patients: 67 (44-89); healthy volunteers: 45

Patients:66; healthy volunteers: 46

TCC

B

0a-IV

NR

NR

Fujii (1999)[21]

Japan

9/40

0/25

NR

NR

TCC

B: 27/40

U/P: 12/40

Urethra: 1/40

0a-IV

NR

NR

Okegawa (2010)[22]

Japan

11/36

No controls assessed

Stages I-II patients: 71; stage III-IV patients: 68

-

TCC

B: 28/36

U/P: 8/36

I-IV

0/16

11/20

Gradilone (2010)[48]

Italy

24/54 (CD45-/CK8+),

22/54 (survivin)

0/20

57.5 (51-64)

-

NR

B

I

NR

NR

Meye (2002)

Germany

18/34

0/20

NR

NR

TCC

B

NR

NR

NR

Gazzaniga (2001)[50]

Italy

20/27 (EGFR); 17/27 (UP II); 11/27 (CK-19); 4/27 (CK-20)

Healthy volunteers: 0/30 (EGFR), 0/30 (UP II), 6/30 (CK-19), 4/30 (CK-20); cystitis patients: 0/9 (EGFR), 3/9 (UP II), 3/9 (CK-19), 2/9 (CK-20)

NR

NR

TCC

B

Oa-IV

2/8 (EGFR)

7/8 (UP II)

1/8 (CK-19)

1/8 (CK-20)

18/19 (EGFR)

3/19 (UP II)

10/19 (CK-19)

3/19 (CK-20)

  1. aBladder cancer patients in this study were defined as those with disease at the end of follow up; controls were defined as those without disease at end of follow up
  2. B, bladder; BPH, benign prostatic hyperplasia; CK, cytokeratin; CTC+, circulating tumor cell positive; EGFR, epidermal growth factor receptor; NR, not reported/retrievable; P, renal pelvis; PBMN, peripheral blood mononucleocytes; pts, patients; TCC, transitional cell cancer; TCC+ad, transitional cell cancer with adenocarcinoma component; TCC+sq, transitional cell cancer with squamous component; U, ureter; UP, uroplakin; UTI, urinary tract infection.